AccountId: 011433970860 ContactId: 6ef0ef8c-4a5b-4723-9e73-7d7ea261c394 Channel: VOICE LanguageCode: en-US Total Conversation Duration: 221070 ms Total Talk Time (AGENT): 97608 ms Total Talk Time (CUSTOMER): 104701 ms Interruptions: 3 Overall Sentiment: AGENT=0.6, CUSTOMER=0.8 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/05/08/6ef0ef8c-4a5b-4723-9e73-7d7ea261c394_20250508T18:35_UTC.wav -------------------------------------------- [AGENT][POSITIVE] Good afternoon. Thank you for calling APL. This is [PII]. How may I assist you? [CUSTOMER][NEUTRAL] Hi, this is [PII] calling from providers to check on eligibility. [AGENT][NEUTRAL] OK, sure, I can assist you with the eligibility, Miss [PII], and may I have a callback number just in case we get disconnected? [CUSTOMER][NEUTRAL] I think [CUSTOMER][NEUTRAL] Yeah, the callback number is [PII] with [PII] [PII]. [AGENT][POSITIVE] OK. Thank you. [AGENT][NEUTRAL] And may I have the patient's policy number? [CUSTOMER][NEUTRAL] Mhm. [CUSTOMER][NEUTRAL] Yeah. The policy number is 02404597 M as in Mike L as in Lima 8. [AGENT][POSITIVE] OK. Thank you. [CUSTOMER][NEUTRAL] Mhm. [AGENT][NEUTRAL] May I have the name and date of birth of the patient? [CUSTOMER][NEUTRAL] Yeah [CUSTOMER][NEUTRAL] Yes, the patient's name is [PII] and the date of birth is [PII]. [AGENT][NEUTRAL] OK. Independent. All right. And you said you're looking for eligibility today, correct? [CUSTOMER][NEUTRAL] OK. [CUSTOMER][POSITIVE] Correct. [AGENT][NEUTRAL] OK, we have an effective date of [AGENT][NEUTRAL] [PII]. [CUSTOMER][NEUTRAL] Mhm [AGENT][NEUTRAL] It is active at the moment. The policy is active at the moment. And this is one of our secondary supplemental plan to the major medical. [CUSTOMER][NEUTRAL] Mhm. Active at the moment at the moment. [CUSTOMER][POSITIVE] And this is one of our secondary to the cycle. Uh, thank you so much for that. And can I get the claim's mailing address? [AGENT][NEUTRAL] The address is [PII]. [CUSTOMER][NEUTRAL] I [CUSTOMER][NEUTRAL] [PII] [AGENT][NEUTRAL] [PII]. [CUSTOMER][NEUTRAL] Mhm. [CUSTOMER][NEUTRAL] OK. [AGENT][NEUTRAL] The zip code is [PII]. [CUSTOMER][NEUTRAL] The zip code is [PII]. [AGENT][NEUTRAL] [PII]. [CUSTOMER][NEUTRAL] [PII]. [CUSTOMER][POSITIVE] Uh thank you so much for that. And can I get the payer ID? [AGENT][NEUTRAL] Yeah [AGENT][NEUTRAL] OK, so the payer ID for this one is 60801. [CUSTOMER][NEUTRAL] OK. [CUSTOMER][NEUTRAL] 60864. [CUSTOMER][NEUTRAL] Thank you for that. Uh, what is the timely filing limit? [AGENT][NEGATIVE] We don't have timely filing limits. [CUSTOMER][POSITIVE] Thank you. And may I know the group number? [AGENT][NEUTRAL] Mhm [AGENT][NEUTRAL] OK, let me get that for you one moment. [CUSTOMER][NEUTRAL] Mhm. [AGENT][NEUTRAL] The group number is 1 and the number is 26064. [CUSTOMER][NEUTRAL] Yeah. [CUSTOMER][NEUTRAL] OK [CUSTOMER][NEUTRAL] Number is 26664. [AGENT][NEUTRAL] The name is town of Miami Lakes. [CUSTOMER][POSITIVE] That I like. [CUSTOMER][NEUTRAL] Thank you. Uh, and what is the plan type? [AGENT][NEUTRAL] OK. [AGENT][NEUTRAL] This is a secondary supplemental plan to the major medical. [CUSTOMER][NEUTRAL] OK, thank you. And can you spell your name? [AGENT][NEUTRAL] Mm [AGENT][NEUTRAL] Sure, that's [PII]. [CUSTOMER][NEUTRAL] Sure [CUSTOMER][NEUTRAL] OK. [CUSTOMER][NEUTRAL] OK, thank you. So, can I get the call reference number? [AGENT][NEUTRAL] We don't have reference numbers. You can use my name in today's date if you will. [CUSTOMER][POSITIVE] OK, thank you, thank you so much for your assistance. Have a good day. [AGENT][POSITIVE] You're welcome. You as well. Thank you for calling APL. Mm, bye-bye, Miss [PII]. [CUSTOMER][NEUTRAL] Mhm bye.