AccountId: 011433970860 ContactId: 569eaaf6-6d9c-409b-9195-b297bac6237b Channel: VOICE LanguageCode: en-US Total Conversation Duration: 151500 ms Total Talk Time (AGENT): 73343 ms Total Talk Time (CUSTOMER): 60102 ms Interruptions: 1 Overall Sentiment: AGENT=2.4, CUSTOMER=1.3 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/01/24/569eaaf6-6d9c-409b-9195-b297bac6237b_20250124T16:21_UTC.wav -------------------------------------------- [AGENT][POSITIVE] Good morning. Thank you for calling APL. My name is [PII]. How may I help you? [CUSTOMER][NEUTRAL] Hey Ms. [PII], this is [PII] from Me more pre-service department. I was just calling to check um benefits and eligibility on a patient please if you don't mind. [AGENT][POSITIVE] OK, I'll be more than happy to help you with the eligibility and benefits and [PII], may I have a good contact number in case we're disconnected and the policy number? [CUSTOMER][NEUTRAL] Yes, that'll be [PII]. Policy number will be. [CUSTOMER][NEUTRAL] 01975935 ML 7. [AGENT][NEUTRAL] Thank you, hold on one moment. [AGENT][NEUTRAL] And can you verify the member's first and last name and date of birth? [CUSTOMER][NEUTRAL] Yes, I have [PII] and its [PII]. [AGENT][NEUTRAL] Thank you for that and all the information provided is a verification of benefits, not a guarantee of payment. Now, I am showing that this particular policy is no longer active. Um, it was effective from [PII]. [CUSTOMER][NEUTRAL] OK, not active. [AGENT][NEUTRAL] There is, however, an active policy. Um, let me get that information for you. [CUSTOMER][NEUTRAL] Mhm. [CUSTOMER][POSITIVE] OK, thank you. [AGENT][POSITIVE] You're welcome. [AGENT][NEUTRAL] Alright, so policy number 246-4244. [AGENT][NEUTRAL] is currently active and has been active since [PII]. [CUSTOMER][NEUTRAL] OK. So the member ID or the policy ID number is 2464244? [AGENT][POSITIVE] Yes, that's correct. [CUSTOMER][NEUTRAL] OK. [CUSTOMER][NEUTRAL] And um do they require any authorization by any chance? [AGENT][NEUTRAL] Um, no, none of our policies require prior author pre-cert, um, because we're not the major medical insurance. [CUSTOMER][NEUTRAL] Perfect. Um, Ms. [PII], may I have the first letter of your last name and a reference number, please, if you don't mind? [AGENT][NEUTRAL] Sure, um, so it's [PII], and there's no call reference number, but you can use my name in today's date. And again, all the information provided was a verification of benefits, not a guarantee of payment. [CUSTOMER][POSITIVE] OK. Perfect. Thank you very much. [AGENT][POSITIVE] Is there anything else I can help you with today, [PII]? You're welcome. [CUSTOMER][POSITIVE] No, you've been a big help. Thank you very much. I appreciate it. [AGENT][POSITIVE] You're welcome. Thanks for calling APL. Have a great day. [CUSTOMER][NEUTRAL] You too. Bye-bye. [AGENT][NEUTRAL] Bye bye.