AccountId: 011433970860 ContactId: 485aa35a-45b2-4735-b312-d2489dd05809 Channel: VOICE LanguageCode: en-US Total Conversation Duration: 190600 ms Total Talk Time (AGENT): 83020 ms Total Talk Time (CUSTOMER): 69989 ms Interruptions: 0 Overall Sentiment: AGENT=0.6, CUSTOMER=1.1 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/06/18/485aa35a-45b2-4735-b312-d2489dd05809_20250618T14:43_UTC.wav -------------------------------------------- [AGENT][NEUTRAL] Contacting ATR, my name is [PII]. How may I help you? [CUSTOMER][NEUTRAL] Uh yes hi. [AGENT][NEUTRAL] I'm sorry, I can barely hear you. [AGENT][NEUTRAL] I'm sorry, I can barely hear you. [AGENT][NEUTRAL] Hello? [CUSTOMER][NEUTRAL] Yes, uh, can you hear me now? Hello? [AGENT][POSITIVE] A little bit better. How may I help you? [CUSTOMER][NEUTRAL] Uh yes, ma'am. Um, I'm calling from the, my name is [PII], by the way. I'm calling from the provider's office. [CUSTOMER][NEUTRAL] I just need an information on a member's eligibility, please. [AGENT][NEUTRAL] I can help with eligibility. [PII], what is that policy number, please? [CUSTOMER][NEUTRAL] Yes, uh, policy policy number would be 02501700. [AGENT][NEUTRAL] Thank you and the insured's name and date of birth, please? [CUSTOMER][NEUTRAL] My name is [PII]. Date of birth would be [PII]. [AGENT][NEUTRAL] Thank you. Is there a callback number I can have in the event that we're disconnected? [CUSTOMER][POSITIVE] Uh, I'm sorry, I didn't get you. I'm sorry about that. [AGENT][NEUTRAL] Yes, is there a callback number I can have in the evening that we're disconnected? [CUSTOMER][POSITIVE] Uh, just the benefits, yes. [AGENT][NEUTRAL] Yes, is there a callback number I can have in the event that we're disconnected? [CUSTOMER][NEUTRAL] Sure, sure. Um, it's uh [PII]. [CUSTOMER][NEUTRAL] [PII] [AGENT][NEUTRAL] Thank you. This is a secondary or gap insurance that Ada gets from her. [AGENT][NEUTRAL] Employer when they renew as a group, they get a new policy number. [AGENT][NEUTRAL] That policy number that went into effect on [PII] and which is active. [AGENT][NEUTRAL] 02639913. Again, that's 0293 excuse me, 02639913 that is active. Is there anything else besides eligibility that I can help with, [PII]? [CUSTOMER][NEUTRAL] Uh, can you repeat the, uh, policy number just one more time, please, if you don't mind. [AGENT][NEUTRAL] Yes, I can. It's 02. [AGENT][NEUTRAL] 63. [AGENT][NEUTRAL] 9913. [CUSTOMER][NEUTRAL] 991. OK. [CUSTOMER][NEUTRAL] Alright, and that, uh, the policy is active, right? [AGENT][POSITIVE] That is correct, yes. [CUSTOMER][NEUTRAL] Yes, and uh um there's no deductible and co-insurance or any of that, right, for a specialist uh offers with it? [AGENT][NEUTRAL] Yeah [AGENT][NEUTRAL] No, this, this policy does not cover the specialist offices. It covers treatment within the physician's office. [CUSTOMER][NEUTRAL] Oh [AGENT][NEUTRAL] Up to $3000 per calendar year and again, that's just a verification, not a guarantee of payment, but the office visit copay is not covered on this policy. [CUSTOMER][NEUTRAL] Oh [CUSTOMER][NEUTRAL] All right. All right. OK. OK. OK, then, thank you so much. Um, um, may I have a reference number for this call? [AGENT][NEUTRAL] My name is [PII] first [PII]. [AGENT][NEUTRAL] We use that in today's date as a reference. Is there anything else that I need help with? [CUSTOMER][POSITIVE] Uh, no, that would be all. Um, thank you so much, [PII]. [AGENT][POSITIVE] Thank you for contacting ATO have a good.