AccountId: 011433970860 ContactId: 81663a19-201f-452b-a5cc-047da56f6019 Channel: VOICE LanguageCode: en-US Total Conversation Duration: 154050 ms Total Talk Time (AGENT): 90466 ms Total Talk Time (CUSTOMER): 27646 ms Interruptions: 0 Overall Sentiment: AGENT=2, CUSTOMER=1.8 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/05/05/81663a19-201f-452b-a5cc-047da56f6019_20250505T14:25_UTC.wav -------------------------------------------- [AGENT][POSITIVE] Good morning. Thank you for calling APL. This is [PII]. How can I help you? [CUSTOMER][NEUTRAL] Yes, I'm trying to verify eligibility on a patient. [AGENT][NEUTRAL] OK, you're just needing to get eligibility. You do not need benefits. Is that correct? [CUSTOMER][POSITIVE] Correct. [AGENT][POSITIVE] Yes, ma'am. I can certainly help you with that. And who am I speaking with, please? [CUSTOMER][NEUTRAL] My name is [PII]. [AGENT][NEUTRAL] Thank you and [PII], what is your callback number? [CUSTOMER][NEUTRAL] [PII] [CUSTOMER][NEUTRAL] [PII]. [CUSTOMER][NEUTRAL] [PII]. [AGENT][NEUTRAL] Thank you and the member's policy number please, [PII]? [CUSTOMER][NEUTRAL] It is 02409024. [AGENT][NEUTRAL] Thank you. One moment while I get the member's information all pulled up please. [AGENT][NEUTRAL] And any information that I do provide would be a verification of benefits and not a guarantee of payment. What is your patient's name and date of birth? [CUSTOMER][NEUTRAL] [PII], date of birth is [PII]. [AGENT][POSITIVE] OK, thank you. [AGENT][NEUTRAL] I do show, uh, first off, again, any information provided will be a verification of benefits and not a guarantee of payment. So I do show she is the subscriber on the supplemental policy, [PII] and it is active with an effective date of [PII]. [AGENT][NEUTRAL] Now, if you all, just a couple of additional things, if you all will be filing a claim for her because it is a supplement to your primary insurance, we will have to have a copy of the primary EOB along with the claim for review. [CUSTOMER][POSITIVE] Perfect. [AGENT][NEUTRAL] And then once we have processed any claim here at APL we do have a portal that you should be able to check our claim status in and the website for that is secured. [PII]. [CUSTOMER][NEUTRAL] OK. [CUSTOMER][POSITIVE] OK perfect. [AGENT][NEUTRAL] OK. Well, can I help you with anything else today? [CUSTOMER][POSITIVE] That's all I needed thank you so much. [AGENT][POSITIVE] Uh, well, you're welcome and thank you for calling APL. I hope you have a wonderful day. [CUSTOMER][NEUTRAL] You too bye bye. [AGENT][POSITIVE] Thank you. Bye-bye.