AccountId: 011433970860 ContactId: 793cc419-db44-4e3c-93a8-78952ad2e635 Channel: VOICE LanguageCode: en-US Total Conversation Duration: 398579 ms Total Talk Time (AGENT): 107916 ms Total Talk Time (CUSTOMER): 119582 ms Interruptions: 2 Overall Sentiment: AGENT=0.5, CUSTOMER=0.6 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/04/23/793cc419-db44-4e3c-93a8-78952ad2e635_20250423T18:17_UTC.wav -------------------------------------------- [AGENT][NEUTRAL] Thank you for calling APL. This is [PII]. How may I help you? [CUSTOMER][NEUTRAL] Hello, this is [CUSTOMER][NEUTRAL] Hi, this is [PII] from Abundant Home Health. [AGENT][POSITIVE] Hi Ms. [PII], how can I help you today? [CUSTOMER][NEUTRAL] I'm calling ma'am to check eligibility and benefits for home health care for a mutual patient and also if we are in network. [AGENT][NEUTRAL] OK, Ms. [PII], I can help you with the eligibility and benefits of the patient and network. Can I please get your callback number just in case the call gets disconnected? [CUSTOMER][NEUTRAL] [PII] [CUSTOMER][NEUTRAL] [PII]. [AGENT][NEUTRAL] Thank you, ma'am. And what is the patient's name, date of birth, and policy number? [CUSTOMER][NEUTRAL] Um, patient's name is [CUSTOMER][NEUTRAL] Uh, [PII]. [CUSTOMER][NEUTRAL] Date of birth? [CUSTOMER][NEUTRAL] It's [PII]. [CUSTOMER][NEUTRAL] Policy ID number is 0027. [CUSTOMER][NEUTRAL] 562 8 [AGENT][NEUTRAL] OK, let me look that up real quick. [CUSTOMER][POSITIVE] I'm so sorry ma'am you're breaking up. I'm sorry. [AGENT][NEUTRAL] Oh, I'm looking at the uh policy for you. [CUSTOMER][POSITIVE] OK, thank you. [AGENT][NEUTRAL] OK, you said that was 00275628? [CUSTOMER][NEUTRAL] 275628 yes correct ma'am. [AGENT][NEUTRAL] OK, that's not one of our policy numbers. um, do you have his social? [CUSTOMER][NEUTRAL] Let me check. [AGENT][NEUTRAL] OK. [CUSTOMER][NEUTRAL] Uh, we don't have the patients, uh, social as of the moment. Um, what we only have is a referral from the doctor's office, uh, stating that this patient needs a home healthcare, and [CUSTOMER][NEUTRAL] Uh, the insurance of the patient is American Public Health, uh, I mean, American Public Life. [AGENT][NEUTRAL] OK. Let me look here. Can you know the um state and address that the insured lives at? [CUSTOMER][NEUTRAL] I'm sorry? [AGENT][NEUTRAL] The address and uh state that that the insured lives. [CUSTOMER][NEUTRAL] Yes, yes, ma'am. We have patient's address. [CUSTOMER][NEUTRAL] Um, [CUSTOMER][NEUTRAL] At [PII]. [CUSTOMER][NEUTRAL] [PII]. [AGENT][NEUTRAL] OK, let me see if I have that patient. [AGENT][NEUTRAL] But I'm gonna search by the name. [CUSTOMER][POSITIVE] OK, thank you. [AGENT][NEUTRAL] And the last name is spelled [PII], is that correct? [CUSTOMER][NEUTRAL] [PII] [CUSTOMER][NEUTRAL] [PII]. [AGENT][NEUTRAL] [PII] OK. [AGENT][NEUTRAL] OK. [AGENT][NEUTRAL] I'm still looking it's gonna be just a moment while the computer searches for him. [AGENT][NEUTRAL] Finds [PII] at all in our system. [AGENT][NEUTRAL] Um, we'll have to get a policy number. [CUSTOMER][NEGATIVE] Uh, I can barely hear you, ma'am. You're breaking up. [AGENT][NEUTRAL] For me to be able to find the insured. [CUSTOMER][NEUTRAL] I'm sorry? [AGENT][NEUTRAL] I'm sorry. [AGENT][NEUTRAL] I cannot find number in our system. [AGENT][NEUTRAL] With that policy number or that address? [CUSTOMER][NEUTRAL] Oh, OK, all right. [CUSTOMER][NEUTRAL] Maybe we will just try to ask for the right. Uh, the, [AGENT][POSITIVE] You're very yeah. [CUSTOMER][POSITIVE] OK alrighty thank you can I have your name again? [AGENT][NEUTRAL] Yes, my name is [PII] [AGENT][NEUTRAL] And you can use my name in today's date as your reference. [CUSTOMER][NEUTRAL] Last name in the show, please. [AGENT][NEUTRAL] OK. [CUSTOMER][NEUTRAL] Uh, I just want to verify, ma'am, uh, the [CUSTOMER][NEGATIVE] Member ID that I gave you is invalid. No members found. [AGENT][POSITIVE] Correct. [CUSTOMER][POSITIVE] Alrighty thank you have a great day. [AGENT][NEUTRAL] You have a