AccountId: 011433970860 ContactId: 77e05b73-336b-40ca-b1fb-bc17a57a37b9 Channel: VOICE LanguageCode: en-US Total Conversation Duration: 140830 ms Total Talk Time (AGENT): 75582 ms Total Talk Time (CUSTOMER): 52516 ms Interruptions: 0 Overall Sentiment: AGENT=2.4, CUSTOMER=1.6 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/02/24/77e05b73-336b-40ca-b1fb-bc17a57a37b9_20250224T13:35_UTC.wav -------------------------------------------- [AGENT][POSITIVE] Good morning. Thank you for calling APL. This is [PII]. How may I help you today? [CUSTOMER][NEUTRAL] Yes, excuse me. Good morning. I'm calling from a provider's office to verify patient eligibility, please. [AGENT][POSITIVE] OK, I'll be glad to help you. Go and give me your name and the member's policy number, please, sir. [CUSTOMER][NEUTRAL] My name is [PII] and policy number is 02560536. [AGENT][POSITIVE] Alrighty, [PII], thank you so much for all that information. Now while I'm pulling this up, [PII], go ahead and give me a good return telephone call number, please, sir. [CUSTOMER][NEUTRAL] OK, that is [PII]. That's a direct number. And I'm sorry, I didn't quite catch your name. [AGENT][NEUTRAL] Uh, that's OK, [PII]. My name is [PII]. That's [PII] [CUSTOMER][POSITIVE] Thank you. [AGENT][NEUTRAL] Yes, sir. OK, what's your patient's name and date of birth? [CUSTOMER][NEUTRAL] Uh, [PII], [PII]. [AGENT][NEUTRAL] Alrighty, [PII], thank you so much for that information. Looks like [PII] is the insured on this medical supplemental plan. I do show the original effective date is [PII]. She is current and active, but I must advise that verification of coverage is not a guarantee of payment on a claim, but you did say you want some type of benefit. Is that correct? [CUSTOMER][NEUTRAL] I'm just making sure that that this coverage is active and this is a uh supplement to Medicare, correct? [AGENT][NEUTRAL] Uh, no, sir. We do not, uh, coordinate with Medicare at all. We will, this is a supplemental plan to her major medical coverage. [CUSTOMER][NEUTRAL] OK, OK, got you, alright, um. [AGENT][NEUTRAL] Yes, sir. OK. [CUSTOMER][NEUTRAL] OK, so let me ask you a question, so um. [AGENT][NEUTRAL] Sure. [CUSTOMER][NEUTRAL] So you will not, you will not pay secondary to Medicare for, for, uh, like a or B provider, is that correct? [AGENT][NEUTRAL] No, yeah, we do not coordinate with Medicare at all. [CUSTOMER][POSITIVE] OK, OK, OK, great, thank you so much. [AGENT][NEUTRAL] No. OK, [PII], was that all I can help you with? [CUSTOMER][NEUTRAL] OK. [CUSTOMER][NEUTRAL] Yes, uh, and I'm sorry, could I get a reference number for the call? [AGENT][NEUTRAL] Oh. [AGENT][NEUTRAL] Oh, we don't give reference numbers, [PII], but you can use my name in today's date if you need to do so, OK. [CUSTOMER][POSITIVE] Name and date. OK, thank you so much. [AGENT][POSITIVE] Yes sir, yes sir, and thanks for calling APO. Have a great day. [CUSTOMER][POSITIVE] Thank you. [AGENT][POSITIVE] Thank you, sir. Bye bye. [CUSTOMER][NEUTRAL] Uh