AccountId: 011433970860 ContactId: 88f402a2-d2c0-4203-8155-744d38a64086 Channel: VOICE LanguageCode: en-US Total Conversation Duration: 216300 ms Total Talk Time (AGENT): 96383 ms Total Talk Time (CUSTOMER): 65330 ms Interruptions: 1 Overall Sentiment: AGENT=1.1, CUSTOMER=0.6 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/05/21/88f402a2-d2c0-4203-8155-744d38a64086_20250521T18:19_UTC.wav -------------------------------------------- [AGENT][NEUTRAL] Afternoon, thank you for calling APL. This is [PII]. How can I help you? [CUSTOMER][NEUTRAL] Hi, this is [PII] calling from provider's office. I'm checking on eligibility for a member. [AGENT][NEUTRAL] OK, you're needing eligibility, is that correct? [CUSTOMER][NEUTRAL] Yeah. [AGENT][NEUTRAL] Hello. [CUSTOMER][NEUTRAL] Yes, yes, hello. [AGENT][NEUTRAL] Did you say you were needing eligibility? [CUSTOMER][NEUTRAL] I'm audible? [CUSTOMER][POSITIVE] Exactly. [AGENT][POSITIVE] Yes, I can help you with that. Can you spell your name for me, please? [CUSTOMER][NEUTRAL] [PII]. [AGENT][NEUTRAL] Thank you and [PII], what is your callback number? [CUSTOMER][NEUTRAL] [PII] and we have a [PII]. [AGENT][NEUTRAL] I'm [AGENT][NEUTRAL] OK. Say, give me your, OK. Give me your phone number one more time. [PII]. [CUSTOMER][NEUTRAL] As an extension. [CUSTOMER][NEUTRAL] [PII]. [AGENT][POSITIVE] Thank you and your extension? [CUSTOMER][NEUTRAL] [PII] sorry, [PII]. [AGENT][NEUTRAL] Thank you and the member's policy number, please, [PII]? [CUSTOMER][NEUTRAL] Uh, the member ID number is 02507921 M as in Mike. [CUSTOMER][NEUTRAL] L as in Lima, 8. [AGENT][POSITIVE] Thank you one moment. [AGENT][NEUTRAL] And any information that I provide for you today, Shawna would be a verification of benefits and not a guarantee of payment. What is your patient's name and their date of birth? [CUSTOMER][NEUTRAL] Patient's name, uh, that's [PII]. [PII] is the date of birth. [AGENT][POSITIVE] Thank you. [CUSTOMER][NEUTRAL] My name is [PII]? [AGENT][NEUTRAL] [PII] [AGENT][NEUTRAL] And I do show that she is covered on this supplemental policy, and this supplemental policy is active with an effective date of [PII]. [AGENT][NEUTRAL] And [PII], if you all are going to be filing a claim for her with APO, we must also receive a copy of her primary insurance company explanation of benefits along with the claim. [AGENT][NEUTRAL] And then once we have processed the claim here at APL we have a portal that you should be able to check claim status in and the website for our portal is located at secured. [CUSTOMER][NEUTRAL] So, uh, [AGENT][NEUTRAL] [PII] [AGENT][NEUTRAL] [PII]. [CUSTOMER][NEUTRAL] Uh, you said the number was active effective [PII] and uh it's still active, right? [AGENT][NEUTRAL] Right. [CUSTOMER][NEUTRAL] Uh, may I get the call reference number? [AGENT][NEUTRAL] My name and today's date. [CUSTOMER][POSITIVE] Thank you so much, [PII], for your assistance. You have a great rest of your day. [AGENT][POSITIVE] OK, well, you're welcome. Yes, ma'am. You too, Shit. That is all I can help you with. Thank you again for calling [PII].