AccountId: 011433970860 ContactId: 53f68568-8e39-4500-be83-51f6d400492f Channel: VOICE LanguageCode: en-US Total Conversation Duration: 156600 ms Total Talk Time (AGENT): 78026 ms Total Talk Time (CUSTOMER): 34900 ms Interruptions: 0 Overall Sentiment: AGENT=2.3, CUSTOMER=0.8 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/05/22/53f68568-8e39-4500-be83-51f6d400492f_20250522T18:02_UTC.wav -------------------------------------------- [AGENT][NEUTRAL] Good afternoon. Thank you for calling APL. This is [PII]. How can I help you? [CUSTOMER][NEUTRAL] Hello, [PII]. It's [PII] from Memorial Hospital. I'm just trying to check if patients active with their supplement. [AGENT][NEUTRAL] OK [PII] you're only needing eligibility, is that correct? [CUSTOMER][NEUTRAL] Yes, eligibility. [AGENT][POSITIVE] Yes ma'am, I can help you with that. 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] Um, I have 02518304. [AGENT][NEUTRAL] OK, thank you. One moment. [AGENT][NEUTRAL] OK, and [PII], any information provided will be a verification of benefits and not a guarantee of payment. What is your patient's name and their date of birth? [CUSTOMER][NEUTRAL] Sure. [PII], [PII]. [AGENT][NEUTRAL] OK, thank you. So I do show that he is the subscriber on the supplemental policy and it is active with an effective date of [PII]. [CUSTOMER][NEUTRAL] OK. [AGENT][NEUTRAL] And [PII], if you will, yes ma'am, uh huh, if you all will be filing a claim. [CUSTOMER][POSITIVE] [PII], perfect. [AGENT][NEUTRAL] For him with us, we will have to have a copy of his primary insurance company's explanation of benefits along with the claim. [AGENT][NEUTRAL] For review [CUSTOMER][NEUTRAL] OK. [AGENT][NEUTRAL] And then once we process our claim here at APL we do have a portal that you should be able to check claim status in as well and the website for our portal is located at [PII]. [CUSTOMER][NEUTRAL] Can we also check eligibility or that's just for claims? [AGENT][NEUTRAL] That's claim status currently. [CUSTOMER][POSITIVE] OK. Not a problem. All right, thank you. Have a good day. [AGENT][NEUTRAL] Mhm. [AGENT][POSITIVE] Well, you're very welcome. So is there anything else I can help you with? [CUSTOMER][NEUTRAL] No, that was all. [AGENT][POSITIVE] OK [PII], well thank you for calling APL and I hope you have a great afternoon. [CUSTOMER][NEUTRAL] OK, you too. Bye-bye. [AGENT][POSITIVE] Yes, ma'am. Thank