AccountId: 011433970860 ContactId: 4b99165d-5b5b-4436-9545-15ff160e4e19 Channel: VOICE LanguageCode: en-US Total Conversation Duration: 196389 ms Total Talk Time (AGENT): 65731 ms Total Talk Time (CUSTOMER): 83876 ms Interruptions: 0 Overall Sentiment: AGENT=2.1, CUSTOMER=1.1 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/06/16/4b99165d-5b5b-4436-9545-15ff160e4e19_20250616T13:58_UTC.wav -------------------------------------------- [CUSTOMER][NEUTRAL] Hello? [AGENT][POSITIVE] Good morning. Thank you for calling. Good morning. Thank you for calling APL. This is [PII]. How can I help you? [CUSTOMER][NEUTRAL] Hi, good morning. My name is [PII]. I'm calling from the provider's office to check on patient's medical eligibility. Could you please help us out? [AGENT][NEUTRAL] Yes, I can, [PII]. What is your call back number please? [CUSTOMER][NEUTRAL] Sure, sir. My good callback number is [PII] with the extension [PII]. [AGENT][POSITIVE] Thank you and spell your first name for me? [CUSTOMER][NEUTRAL] [PII]. [AGENT][NEUTRAL] OK, thank you. And again, my name is [PII], spelled [PII] My last initial is [PII]. May I have that policy number, please, [PII]? [CUSTOMER][POSITIVE] Thank you. [CUSTOMER][NEUTRAL] Patient's policy number starts with 025814. [CUSTOMER][NEUTRAL] 52 M as in Mike, L as in Lima, 8. [AGENT][POSITIVE] OK, thank you very much. Give me one moment please. [CUSTOMER][POSITIVE] Thank you so much, [PII]. [AGENT][NEUTRAL] OK, I have that as. [AGENT][NEUTRAL] You're welcome, [PII]. I have that policy number as 02581452ML8. [CUSTOMER][NEUTRAL] Yes. [AGENT][NEUTRAL] Thank you. Verify the patient's name and date of birth. [CUSTOMER][NEUTRAL] Patient's first name is [CUSTOMER][NEUTRAL] [PII], and the last name is [PII] and the date of birth is [PII]. [AGENT][NEUTRAL] OK, thank you very much for the information and you're calling for eligibility and outpatient benefits, is that correct? [CUSTOMER][NEUTRAL] Yes. [CUSTOMER][NEUTRAL] That eligibility, that eligibility for medical. [AGENT][NEUTRAL] OK [AGENT][NEUTRAL] OK, thank you. I can help you with that. Now this member shows effective as of [PII] and the policy shows active for this member. [CUSTOMER][POSITIVE] Thank you so much. Patience is not a dependent, right? He's a cardholder himself. [AGENT][POSITIVE] You're welcome. [AGENT][POSITIVE] Correct policy holder. [CUSTOMER][NEUTRAL] Patient is. Thank you. Could you please provide me the call that symptom for this call, [PII]? [AGENT][NEUTRAL] We do not provide call reference number. You can use my name and today's date. Will there be anything else I can help you with? [CUSTOMER][NEUTRAL] Oh. [CUSTOMER][NEUTRAL] Thank you so much, Angel. Policy active for medical effective from [PII]. Still it is active. It is a Medicaid policy, secondary to the primary. Your name is [PII]? [AGENT][NEUTRAL] Yes. [CUSTOMER][POSITIVE] Thank you so much. Have a great day. Take care. Bye-bye. [AGENT][POSITIVE] Thank you for calling I'll take care bye bye.