AccountId: 011433970860 ContactId: 5d179f3b-3694-4a4c-ad21-14f1c1391052 Channel: VOICE LanguageCode: en-US Total Conversation Duration: 167350 ms Total Talk Time (AGENT): 91288 ms Total Talk Time (CUSTOMER): 36134 ms Interruptions: 0 Overall Sentiment: AGENT=1.8, CUSTOMER=2.2 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/06/24/5d179f3b-3694-4a4c-ad21-14f1c1391052_20250624T17:02_UTC.wav -------------------------------------------- [AGENT][NEUTRAL] Good afternoon. Thank you for calling APL. This is [PII]. How can I help you? [CUSTOMER][NEUTRAL] Hello Ms. [PII], my name is [PII]. I'm calling from University of Miami Hospital. I need to verify eligibility, please. [AGENT][NEUTRAL] Yes. [AGENT][NEUTRAL] OK, sure, you're only needing eligibility. You do not need benefits, is that correct? [CUSTOMER][NEUTRAL] Yes, please, just effective date. [AGENT][POSITIVE] Yes, ma'am. I can help you with that. And what is your callback number, please? [CUSTOMER][NEUTRAL] [PII] direct line. [AGENT][NEUTRAL] Thank you. And the member's policy number, please? [CUSTOMER][NEUTRAL] 0249 [CUSTOMER][NEUTRAL] 431 3. [AGENT][POSITIVE] Thank you one moment. [CUSTOMER][NEUTRAL] Yes ma'am. [AGENT][NEUTRAL] And any information [PII] 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 their date of birth? [CUSTOMER][NEUTRAL] [PII]. [CUSTOMER][NEUTRAL] [PII]. [AGENT][NEUTRAL] OK, thank you. So this, I do show that he is the subscriber on the supplemental policy and it is active with an effective date of [PII]. [CUSTOMER][POSITIVE] Thank you. [CUSTOMER][NEUTRAL] Mm [AGENT][NEUTRAL] And she just a couple of additional things because this is a supplemental plan to this primary insurance. If you all file a claim with us for him, we will also have to have a copy of the primary insurance company's explanation of benefits with the claim for review and then once we have processed our claim here, we do have a portal that you should be able to check claim status for us in. [AGENT][NEUTRAL] And the website for our portal is located at [PII]. [AGENT][NEUTRAL] [PII] [AGENT][NEUTRAL] [PII]. [CUSTOMER][POSITIVE] Yes ma'am, thank you so much. Is it any call reference number? [AGENT][POSITIVE] Well, you're very welcome. [AGENT][NEUTRAL] Yes, ma'am, you would use my name that I gave you along with today's date. [CUSTOMER][POSITIVE] Yes ma'am thank you so much I appreciate it. [AGENT][POSITIVE] OK. Well, you're very welcome. So if that is all I can help you with, thank you again for calling APL and I hope that you have a nice rest of your day. [CUSTOMER][POSITIVE] You too thank you bye bye. [AGENT][POSITIVE] All right, [PII]. Thank you. Bye bye.