AccountId: 011433970860 ContactId: 4965c936-9fc9-4319-9dc4-7dcf275fb505 Channel: VOICE LanguageCode: en-US Total Conversation Duration: 126099 ms Total Talk Time (AGENT): 82651 ms Total Talk Time (CUSTOMER): 33322 ms Interruptions: 1 Overall Sentiment: AGENT=1.9, CUSTOMER=1 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/01/03/4965c936-9fc9-4319-9dc4-7dcf275fb505_20250103T13:59_UTC.wav -------------------------------------------- [AGENT][POSITIVE] Good Morning, thank you for calling APL. This is [PII]. How can I help you? [CUSTOMER][NEUTRAL] Hi, yes, um, I just need to verify eligibility for a patient. [AGENT][NEUTRAL] OK, so you only need eligibility and not benefits, is that correct? [CUSTOMER][NEUTRAL] Yes, ma'am. Yes ma'am. [AGENT][POSITIVE] Yes ma'am. I can help you with that. Who am I speaking with, please? [CUSTOMER][NEUTRAL] My name is [PII] calling with the University of Virginia Health Center. [AGENT][NEUTRAL] Thank you. And [PII], what is your callback number? [CUSTOMER][NEUTRAL] [PII] [CUSTOMER][NEUTRAL] [PII] [AGENT][POSITIVE] Thank you. And the member's policy number, please. [CUSTOMER][NEUTRAL] 022. [CUSTOMER][NEUTRAL] 879977 [AGENT][NEUTRAL] OK, thank you. One moment, please. [AGENT][NEUTRAL] And [PII], any information that I do provide for you today will be a verification of benefits and not a guarantee of payment. What is your patient's name and date of birth? [CUSTOMER][NEUTRAL] [PII]. Date of birth is [PII]. [AGENT][NEUTRAL] OK, thank you. So I do show that he is the subscriber on the supplemental policy, and the supplemental policy is active with an effective date of [PII]. [AGENT][NEUTRAL] And [PII], because it is a supplement to the primary health care insurance when the claim is submitted to APL, we must also have a copy of his primary insurance company's explanation of benefits for review. [CUSTOMER][NEUTRAL] OK. [AGENT][NEUTRAL] And then also we do have a portal which claim status can be checked once we have processed the claim and that website for our portal is secured. [CUSTOMER][NEUTRAL] OK. [AGENT][NEUTRAL] [PII] [AGENT][NEUTRAL] [PII]. [CUSTOMER][POSITIVE] OK perfect all right thanks. [AGENT][NEUTRAL] All right. Well, is there anything else I can help you with? [CUSTOMER][POSITIVE] That is all. Thank you so much. [AGENT][POSITIVE] Yes ma'am, you're welcome and thank you again for calling APL. I hope you have a really nice day. [CUSTOMER][NEUTRAL] You too. Bye-bye. [AGENT][POSITIVE] Thank you. Bye bye. [CUSTOMER][NEUTRAL] So