AccountId: 011433970860 ContactId: 66204da2-a61a-402d-b645-a37c0c28fc7c Channel: VOICE LanguageCode: en-US Total Conversation Duration: 134779 ms Total Talk Time (AGENT): 73943 ms Total Talk Time (CUSTOMER): 42349 ms Interruptions: 0 Overall Sentiment: AGENT=1.5, CUSTOMER=1.8 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/02/19/66204da2-a61a-402d-b645-a37c0c28fc7c_20250219T13:37_UTC.wav -------------------------------------------- [AGENT][POSITIVE] Good morning. Thank you for calling APL. My name is [PII]. How may I help you? [CUSTOMER][NEUTRAL] Good morning. This is [PII] with Nova Health. I was calling to verify coverage for a member. [AGENT][POSITIVE] Well, [PII], it would be my pleasure to assist you with eligibility for a member. What is a good callback number, please, sir? [CUSTOMER][NEUTRAL] It is [PII]. [AGENT][NEUTRAL] Thank you, [PII]. And what is the policy number for the patient? [CUSTOMER][NEUTRAL] Policy number is 251-9536. [AGENT][NEUTRAL] Thank you and the patient's name and date of birth, please? [CUSTOMER][NEUTRAL] It is [PII], [PII]. [AGENT][POSITIVE] All right, thank you, and I can help you with eligibility for [PII]. I'm showing that her policy is active. [AGENT][NEUTRAL] Effective date is [PII] and this is a secondary policy to her primary insurance. Is there anything else I can assist you with, [PII]? [CUSTOMER][NEUTRAL] All right. [CUSTOMER][NEUTRAL] May I have this patient's group number for this plan, and then, um, are you in network with any specific network or is this more of an open access policy? [AGENT][NEUTRAL] I [AGENT][NEUTRAL] So this is a secondary policy. We follow the guidelines of the major medical. [CUSTOMER][NEUTRAL] OK. [AGENT][NEUTRAL] There's no network participation on our on our plan. [CUSTOMER][NEUTRAL] OK. [AGENT][NEUTRAL] And the group. [CUSTOMER][NEUTRAL] And then [AGENT][NEUTRAL] Number? [CUSTOMER][NEUTRAL] Oh, yes. [AGENT][NEUTRAL] It's 231-68. [AGENT][NEUTRAL] And if you need the group name, it's Polaris Pharmacy Services. [CUSTOMER][NEUTRAL] OK [CUSTOMER][POSITIVE] All right, thank you so much. That is all I needed. May I just have a call reference number? [AGENT][NEUTRAL] It's gonna be my name and today's date, and I spell my name [PII]. [CUSTOMER][POSITIVE] Thank you so much. I hope you have a great day. [AGENT][POSITIVE] I hope you have a great day as well, [PII] and thank you for calling APL. Take care. [CUSTOMER][POSITIVE] Thank you. All right, bye. [AGENT][NEUTRAL] Bye-bye.