AccountId: 011433970860 ContactId: 5c360ce8-fd23-4746-a098-e834d2261bb7 Channel: VOICE LanguageCode: en-US Total Conversation Duration: 206449 ms Total Talk Time (AGENT): 73925 ms Total Talk Time (CUSTOMER): 99575 ms Interruptions: 0 Overall Sentiment: AGENT=2, CUSTOMER=0.6 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/01/07/5c360ce8-fd23-4746-a098-e834d2261bb7_20250107T22:30_UTC.wav -------------------------------------------- [AGENT][NEUTRAL] Hi, thank you for calling APL. This is [PII]. How can I help you today? [CUSTOMER][NEUTRAL] Hi [PII], um, good afternoon. My name is [PII] from United Health Group's coordination benefits department on behalf of United Healthcare. I am calling to verify members' eligibility and also please be advised these calls may be monitored or recorded for quality and training purposes. [AGENT][NEUTRAL] OK, absolutely, and may I have, I'm so sorry if you had already said this, but may I have your name again please? [CUSTOMER][NEUTRAL] Sure, my name is [PII] [PII]. [AGENT][POSITIVE] Thank you very much and do you mind if I get a good call back number for you? [CUSTOMER][NEUTRAL] [PII]. [AGENT][POSITIVE] Wonderful and then that member's policy number? [CUSTOMER][NEUTRAL] I have here 994158. [AGENT][NEUTRAL] You said [AGENT][NEUTRAL] 994158. Did I hear that correct? [CUSTOMER][NEUTRAL] Yes. [AGENT][NEUTRAL] OK, let me try pulling that up for you. [CUSTOMER][NEUTRAL] OK. [AGENT][NEUTRAL] And your member's first and last name and date of birth? [CUSTOMER][NEUTRAL] Member's name, I mean member name that I have here is um [PII]. Date of birth is [PII]. [AGENT][POSITIVE] OK, I do see that here thank you so much and. [AGENT][NEUTRAL] How, um how can I help you today? What information can I provide you? [CUSTOMER][NEUTRAL] Yes, um, 1st may I know what, um, type of or what kind of insurance is American Public? Is it like a full medical insurance, a gap, um, a gap plan or a supplemental plan? [AGENT][NEUTRAL] Yeah, we offer tons of different coverage. This one is a supplemental gap policy. It's uh secondary insurance. [CUSTOMER][NEUTRAL] All right, get it. [CUSTOMER][NEUTRAL] OK, supplemental, let me take note of that. [CUSTOMER][NEUTRAL] And um did I provide you the correct member ID it's the 994158. [AGENT][POSITIVE] Yes, that is correct. [CUSTOMER][POSITIVE] Alright thank you and also um. [CUSTOMER][NEUTRAL] Under this plan, can you please verify if there is a child dependent named [PII]. Date of birth is [PII]. [AGENT][POSITIVE] Yes, I do see [PII] on here. He is current and active with us. [CUSTOMER][NEUTRAL] Alright, thank you. And also can you please provide the original effective date of this plan without any breaking coverage and also if there is a termination date. [AGENT][NEUTRAL] Alright, I do not have a termination date on file. Let me see. [AGENT][NEUTRAL] Um, they've only had this one policy, and it has been active since [PII]. [CUSTOMER][NEUTRAL] OK. [CUSTOMER][NEUTRAL] Alright, get it, and the plan is still active, right? [AGENT][NEUTRAL] Yes, it is. [CUSTOMER][NEUTRAL] Alright, OK, uh, we have got all the information that I need for this number. If you could please provide your last name, initial, and a reference number. [AGENT][NEUTRAL] Yeah, I'd love to. My last name is [PII] and the reference number is just my name [PII], first initial last name [PII], and then today's date. [CUSTOMER][POSITIVE] Alright, thank you so much for your assistance. I really appreciate it. Have a nice day and stay safe. Bye. [AGENT][POSITIVE] My pleasure you too bye bye.