AccountId: 011433970860 ContactId: 777fefbc-cbd0-4228-8835-6cc14f3e5810 Channel: VOICE LanguageCode: en-US Total Conversation Duration: 290660 ms Total Talk Time (AGENT): 117255 ms Total Talk Time (CUSTOMER): 111725 ms Interruptions: 0 Overall Sentiment: AGENT=1.8, CUSTOMER=0.6 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/05/13/777fefbc-cbd0-4228-8835-6cc14f3e5810_20250513T15:33_UTC.wav -------------------------------------------- [AGENT][NEUTRAL] Thank you for calling APL. This is. How may I help you? [CUSTOMER][NEUTRAL] I just need to know this. I'm a medical provider. I need to know if the policy is active on the termination date. [AGENT][NEUTRAL] OK, I can help you with eligibility. May I please get your name and your callback number and the name of the facility you're calling from? [CUSTOMER][NEUTRAL] I'm calling from Tishomingo. [CUSTOMER][NEUTRAL] Health services. [CUSTOMER][NEUTRAL] My name is [PII] My direct line is [PII]. [AGENT][POSITIVE] Thank you very much, Ms. [PII]. I appreciate that. What is the patient's name, date of birth, and policy number? [CUSTOMER][NEUTRAL] [PII] I have 02. Well, her date of birth is [PII]. Her policy number I have listed is 0258. [CUSTOMER][NEUTRAL] 247. [AGENT][NEUTRAL] 5, OK, can you repeat it one more time? 0258. [CUSTOMER][NEUTRAL] 324 7. [AGENT][POSITIVE] 324-7. OK, thank you so much. I appreciate that. [AGENT][NEUTRAL] OK, I do show that [PII] does have an active policy with us. Her effective date of her policy is [PII] and it's current. [CUSTOMER][NEUTRAL] OK, that being said, what is your claims address? [AGENT][NEUTRAL] Yes ma'am, it's [PII]. [AGENT][NEUTRAL] And that's in [PII]. [AGENT][NEUTRAL] And the zip code is [PII]. [CUSTOMER][NEUTRAL] [PII]. I don't know where we get this other information. I'm sorry. [AGENT][NEUTRAL] [PII] [AGENT][NEUTRAL] It's [PII]. [CUSTOMER][NEUTRAL] [PII]. So it's [PII] Public [PII]. [AGENT][POSITIVE] Yes, ma'am. That's right. [CUSTOMER][NEUTRAL] [PII]. [AGENT][NEUTRAL] Yes. [AGENT][NEUTRAL] Yes. [CUSTOMER][NEUTRAL] Did I have the correct. [CUSTOMER][NEUTRAL] ID number. [AGENT][POSITIVE] Yes ma'am, you do. [CUSTOMER][NEUTRAL] OK, is there a group? [AGENT][POSITIVE] Yes, let me get that for you. [CUSTOMER][NEUTRAL] Are you a gap plan to her Blue Cross or supplement? [AGENT][POSITIVE] Yes we are. [AGENT][NEUTRAL] And her um employer group number is 23023. [CUSTOMER][NEUTRAL] OK. [AGENT][NEUTRAL] And the name of the group is M as in Michael, T as in Tom, S as in Sam, Safety Products. [CUSTOMER][NEUTRAL] M as in Mary, T as in Tom, S as in Sam, Safety products. [AGENT][NEUTRAL] Yes ma'am. [CUSTOMER][NEUTRAL] OK. [CUSTOMER][NEUTRAL] And. [CUSTOMER][NEUTRAL] I got that. Do you accept claims by fax? [AGENT][NEUTRAL] Yes we do. Let me give you that fax number. We also have a payer ID number if you wanted to send electronically to the fax number is [PII]. [CUSTOMER][NEUTRAL] OK. [AGENT][NEUTRAL] 365. [AGENT][NEUTRAL] 942 3. [AGENT][NEUTRAL] And the payer ID number is 60801. [CUSTOMER][NEUTRAL] OK. [CUSTOMER][NEUTRAL] I'm gonna fax over a Blue Cross Primary EOB. [AGENT][NEUTRAL] OK. [CUSTOMER][NEUTRAL] And a claim in a claim. I just need I just need to verify this information because it went to some something else. So thank you so. [AGENT][NEUTRAL] OK. [AGENT][NEUTRAL] Oh, OK. [AGENT][POSITIVE] Yes ma'am, you're very welcome. I hope you have a wonderful day. Is that everything I can help you with before we go? [CUSTOMER][POSITIVE] It is, thank you. [AGENT][POSITIVE] OK, well, you have a wonderful day, Ms. [PII] and thank you for calling APL. [CUSTOMER][POSITIVE] Uh-huh, thank you, bye bye