AccountId: 011433970860 ContactId: 764e3dc5-169b-4998-ba5c-310203a6d35f Channel: VOICE LanguageCode: en-US Total Conversation Duration: 445489 ms Total Talk Time (AGENT): 168550 ms Total Talk Time (CUSTOMER): 145089 ms Interruptions: 2 Overall Sentiment: AGENT=1.4, CUSTOMER=1 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/03/24/764e3dc5-169b-4998-ba5c-310203a6d35f_20250324T14:58_UTC.wav -------------------------------------------- [AGENT][POSITIVE] Good morning. Thank you for calling APL. This is [PII]. How can I help you? [CUSTOMER][NEUTRAL] Yes ma'am, I'm with Lee Casey Dental. I am currently trying to um verify two of our patients. Um, I don't believe we have a provider portal set up with y'all, so I was needing to see if I could get some info. [AGENT][NEUTRAL] Mhm. [AGENT][NEUTRAL] OK. So is it are these two people that you're needing to verify benefits or get eligibility for? Are they the same family or is it two different individuals completely? [CUSTOMER][NEUTRAL] It's a, it's a husband and wife. [AGENT][NEUTRAL] OK, so it's [CUSTOMER][NEUTRAL] Let me see what we have. [AGENT][NEUTRAL] One policy. So, yes, ma'am, I can help you. [CUSTOMER][NEUTRAL] I have her under hers. [AGENT][NEUTRAL] OK. [CUSTOMER][NEUTRAL] Let me see if he's under the same. [AGENT][NEUTRAL] OK. [CUSTOMER][NEUTRAL] He may have his own. [CUSTOMER][NEUTRAL] Let me see, I have them both under her policy. [AGENT][NEUTRAL] Mhm. [AGENT][NEUTRAL] Yes, sir. Oh yes, ma'am, I can help you with that. And who am I speaking with, please? [CUSTOMER][NEUTRAL] My name is [PII] [AGENT][NEUTRAL] OK, [PII], thank you. And what is your callback number, please? [CUSTOMER][NEUTRAL] [PII] [AGENT][NEUTRAL] Thank you. And the policy number? [CUSTOMER][NEUTRAL] The policy number I have is 605-584. [AGENT][POSITIVE] OK, thank you. Give me a couple of moments, [PII], to get the information pulled up please. [CUSTOMER][NEUTRAL] All right [CUSTOMER][NEUTRAL] OK. [AGENT][NEUTRAL] OK, and [PII], any information that I do provide for you today would be a verification of benefits and not a guarantee of payment. What are your patients' names and dates of birth? [CUSTOMER][NEUTRAL] OK, my first. [CUSTOMER][NEUTRAL] Patient will be. [CUSTOMER][NEUTRAL] [PII] [AGENT][NEUTRAL] Uh-huh. [CUSTOMER][NEUTRAL] [PII] [AGENT][NEUTRAL] Uh-huh. [CUSTOMER][NEUTRAL] Date of birth is. [CUSTOMER][NEUTRAL] [PII]. [CUSTOMER][NEUTRAL] [PII]. [AGENT][NEUTRAL] OK. And then her husband's name and date of birth? [CUSTOMER][NEUTRAL] And husband is. [CUSTOMER][NEUTRAL] [PII] [CUSTOMER][NEUTRAL] [PII] [CUSTOMER][NEUTRAL] Date of birth is [PII]. [AGENT][NEUTRAL] Mhm. [AGENT][NEUTRAL] OK. All right. Thank you. So yes, ma'am, I do show that both are covered under [AGENT][NEUTRAL] For this policy and it is active with the day [PII]. [CUSTOMER][NEUTRAL] Hello? [CUSTOMER][NEUTRAL] The phone cut out. I'm sorry. [AGENT][NEUTRAL] Hi. [AGENT][NEUTRAL] OK. Can you hear me OK? [CUSTOMER][NEUTRAL] Can you hear me? [AGENT][NEUTRAL] Yes, ma'am, I can hear you OK. OK, that's OK. So, yes, ma'am, they are both covered under this policy and it is active with an effective date of [PII]. [CUSTOMER][POSITIVE] I can hear you now. I'm so sorry. [AGENT][NEUTRAL] [PII]. [AGENT][NEUTRAL] Now, I can send you [PII] back [PII] of the benefits and I can put both of their names on there if you would like for me to do that. [CUSTOMER][NEUTRAL] Yes [CUSTOMER][NEUTRAL] Can you do that? [AGENT][NEUTRAL] Sure, and one fax that will be sufficient with both names on there? [CUSTOMER][POSITIVE] That would be perfect. [CUSTOMER][NEUTRAL] Yes. [AGENT][NEUTRAL] OK. All right. So give me just a moment to get that pulled up. [AGENT][NEUTRAL] OK. [AGENT][NEUTRAL] Will the facts need to be put to your attention? [AGENT][NEUTRAL] Or is that not necessary? [CUSTOMER][NEUTRAL] No, it's fine. [CUSTOMER][NEUTRAL] No, it's not necessary. [AGENT][NEUTRAL] OK. [AGENT][NEUTRAL] OK. [AGENT][NEUTRAL] OK, and what is [AGENT][NEUTRAL] Take a fax number for you, please. [CUSTOMER][NEUTRAL] It is 6. [CUSTOMER][NEUTRAL] 601. [CUSTOMER][NEUTRAL] 657 [CUSTOMER][NEUTRAL] 5889. [AGENT][NEUTRAL] OK, and I'm just gonna repeat that back to you. [PII]. [CUSTOMER][POSITIVE] Correct. [AGENT][NEUTRAL] OK, so I have just sent that fax back to you so provided there's not any type of technical mishap, you. [AGENT][POSITIVE] You should be receiving that uh within just the next, you know, few minutes. [CUSTOMER][POSITIVE] All righty, ma'am. Well, I do thank you. [AGENT][NEUTRAL] Now, if you [AGENT][NEUTRAL] Well, you're welcome and just uh one additional once the claim, once we've received claims and they've been processed, we do have a portal that you should be able to check claim status in [PII], and our website for the portal is [PII]. [CUSTOMER][NEUTRAL] OK, and I have secured. [PII]? [AGENT][POSITIVE] That is correct, yes ma'am. [CUSTOMER][POSITIVE] Alrighty well I do appreciate you ma'am. [AGENT][POSITIVE] All right. Well, you are certainly very welcome. And is there anything else that I can help you with today? [CUSTOMER][NEUTRAL] That will be it. [AGENT][POSITIVE] OK, well then thank you again for calling APO and I hope you have a very nice day. [CUSTOMER][POSITIVE] Yes, ma'am, you as well. [AGENT][POSITIVE] Thank you. Bye-bye. [CUSTOMER][POSITIVE] Thank you bye bye.