AccountId: 011433970860 ContactId: 6d415771-aa71-4a04-83ff-ea4e743a82b6 Channel: VOICE LanguageCode: en-US Total Conversation Duration: 229500 ms Total Talk Time (AGENT): 96123 ms Total Talk Time (CUSTOMER): 64706 ms Interruptions: 0 Overall Sentiment: AGENT=1, CUSTOMER=1.1 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/05/16/6d415771-aa71-4a04-83ff-ea4e743a82b6_20250516T17:18_UTC.wav -------------------------------------------- [AGENT][POSITIVE] Good afternoon. Thank you for calling APL. My name is [PII]. How may I help you? [CUSTOMER][NEUTRAL] Hi, [PII]. My name is [PII] and I'm calling from McLaren Hospital and I'm calling to see if a patient has medical benefits with this card cause the plan says dental, so I don't know. I've never seen it, so I don't know. [AGENT][NEUTRAL] OK. [AGENT][POSITIVE] Alright, well I can definitely check the benefits for you and [PII], may I have a good contact number in case we're disconnected? [CUSTOMER][NEUTRAL] [PII] [AGENT][NEUTRAL] And the policy number? [CUSTOMER][NEUTRAL] It is 1560176. [AGENT][NEUTRAL] Thank you, hold on one moment. [CUSTOMER][NEUTRAL] Mhm. [AGENT][NEUTRAL] And can you verify the member's first and last name and date of birth? [CUSTOMER][NEUTRAL] [PII], [PII]. [AGENT][NEUTRAL] Thank you for that and all the information provided is a verification of benefits, not a guarantee of payment. So, um, this is an old dental policy, but he does have an active medical policy. Um, did you need that policy information? [CUSTOMER][NEUTRAL] OK. [CUSTOMER][NEUTRAL] Yes. [AGENT][NEUTRAL] OK, hold on one moment let me get it for you. [AGENT][NEUTRAL] Alright, so the policy has been active since [PII]. [AGENT][NEUTRAL] The policy number is 1678. [CUSTOMER][NEUTRAL] OK. [AGENT][NEUTRAL] 406. [CUSTOMER][NEUTRAL] 1678406 [AGENT][POSITIVE] Yes, that's correct. And [CUSTOMER][NEUTRAL] OK. What's [AGENT][NEUTRAL] Hold on. [CUSTOMER][NEUTRAL] What's the group number? [AGENT][NEUTRAL] The group number is 16068. [CUSTOMER][NEUTRAL] OK. And then does this cover colonoscopies? [AGENT][NEUTRAL] Now for the benefits though, um, you'll have to go through web TPA because they do the claims and the benefits for them. Um, I can um give you the number and transfer you over if you like or just provide the number, which would you prefer? [CUSTOMER][NEUTRAL] Oh, OK. [CUSTOMER][POSITIVE] Um, both, please. Thank you very much. [AGENT][NEUTRAL] OK, um, hold on one moment. [CUSTOMER][NEUTRAL] But he does have a medical policy with you guys. [AGENT][NEUTRAL] Yes, this is a medical policy. [CUSTOMER][POSITIVE] OK, OK, thank you. [AGENT][NEUTRAL] You're welcome, and the number to web TPA is 866. [AGENT][NEUTRAL] 975. [AGENT][NEUTRAL] 9458. [CUSTOMER][NEGATIVE] What was the 3 in the middle, 8669 and then the phone cut out and come back in. [AGENT][NEUTRAL] 075. [CUSTOMER][NEUTRAL] 9759458, right? [AGENT][POSITIVE] Yes, that's correct. [CUSTOMER][POSITIVE] OK, alright, thank you. [AGENT][NEUTRAL] You're welcome. Was there anything else I can assist you with today, [PII]? [CUSTOMER][POSITIVE] No, that's all. Thank you so much. [AGENT][POSITIVE] Alright, thanks for calling ATO have a great weekend bye bye. [CUSTOMER][POSITIVE] Thank you you too. [AGENT][NEUTRAL] Hold on one moment for your transfer. [CUSTOMER][NEGATIVE] You are on hold. [CUSTOMER][NEUTRAL] Welcome to Web TPA, the administrator for the limited Benefit Health Insurance program underwritten by American Public Life Insurance Company. [CUSTOMER][NEUTRAL] If this is an emergency,