AccountId: 011433970860 ContactId: 8003036e-6b28-4b2d-a5ab-f6d01a3c1491 Channel: VOICE LanguageCode: en-US Total Conversation Duration: 167059 ms Total Talk Time (AGENT): 83715 ms Total Talk Time (CUSTOMER): 28042 ms Interruptions: 0 Overall Sentiment: AGENT=3.6, CUSTOMER=1.7 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/03/11/8003036e-6b28-4b2d-a5ab-f6d01a3c1491_20250311T14:28_UTC.wav -------------------------------------------- [AGENT][POSITIVE] Good morning. Thank you for calling APL. This is [PII]. How can I help you? [CUSTOMER][NEUTRAL] I'm calling to check eligibility on a patient. [AGENT][NEUTRAL] OK, you're only needing eligibility. You do not need benefit information, is that correct? [CUSTOMER][POSITIVE] Correct. [AGENT][POSITIVE] Yes ma'am, I can help you with that and who am I speaking with please? [CUSTOMER][NEUTRAL] I'm [PII]. [AGENT][POSITIVE] Thank you. And [PII], what's a good callback number for you? [CUSTOMER][NEUTRAL] [PII] [AGENT][POSITIVE] Thank you and the member's policy number please [PII]. [CUSTOMER][NEUTRAL] 02566532 [AGENT][NEUTRAL] OK, thank you. One moment, please. [AGENT][NEUTRAL] And [PII], any information that I do provide for you today would be a verification of benefits and not a guarantee of payment. What is your patient's name and date of birth? [CUSTOMER][NEUTRAL] Um [CUSTOMER][NEUTRAL] And [PII], date of birth [PII]. [AGENT][POSITIVE] OK, thank you. [AGENT][NEUTRAL] Hiya, she is the subscriber on this supplemental policy, and this supplemental policy is active with an effective date of [PII]. [AGENT][NEUTRAL] And [PII], if you all will be submitting a claim to APO for review for her, we will also have to have a copy of her primary insurance company's explanation of benefits as well. [CUSTOMER][POSITIVE] Perfect. [AGENT][NEUTRAL] And then once we have processed our claim here we do have a portal in which you should be able to check claim status by going to [PII]. [CUSTOMER][NEUTRAL] Perfect, is there a call reference number for this call? [AGENT][NEUTRAL] OK. [AGENT][POSITIVE] Yes, ma'am, you will actually use my name that I gave you along with today's date. [CUSTOMER][POSITIVE] Perfect thank you so much for your help today. [AGENT][POSITIVE] Well, you're very welcome. And is there anything else I can help you with? [CUSTOMER][NEUTRAL] No, that's it. [AGENT][POSITIVE] OK, well, thank you for calling APL and I hope you have a great day, [PII]. [CUSTOMER][POSITIVE] You too thanks. [AGENT][POSITIVE] Thank you. Bye-bye.