AccountId: 011433970860 ContactId: 8d2faefd-691e-4824-9441-6d526cd68785 Channel: VOICE LanguageCode: en-US Total Conversation Duration: 229389 ms Total Talk Time (AGENT): 73681 ms Total Talk Time (CUSTOMER): 98485 ms Interruptions: 0 Overall Sentiment: AGENT=1.1, CUSTOMER=0.3 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/06/03/8d2faefd-691e-4824-9441-6d526cd68785_20250603T16:33_UTC.wav -------------------------------------------- [AGENT][NEUTRAL] Calling APL. This is [PII]. How may I assist you? [CUSTOMER][NEUTRAL] Uh, yes, I'm calling for a claim status. Could you please, uh, uh, connect me to the correct party? [AGENT][NEUTRAL] This is the claims department. [CUSTOMER][NEUTRAL] OK, yes ma'am, I'm calling from Li care physician Services, and I'm calling, uh, actually I'm calling for eligibility. I apologize. [AGENT][POSITIVE] No worries, can I have your name and a callback number and I'll be able to assist you. [CUSTOMER][NEUTRAL] Yes ma'am, [PII] G [PII]. [AGENT][NEUTRAL] You said [PII]? [CUSTOMER][NEUTRAL] [PII] [AGENT][NEUTRAL] You said your name was [PII]? [CUSTOMER][NEUTRAL] Yes ma'am. [AGENT][POSITIVE] Thank you. [CUSTOMER][NEUTRAL] Mhm. [AGENT][NEUTRAL] Can I have that call back number um, can I have the policy number of the member that you're calling to verify eligibility for today? [CUSTOMER][NEUTRAL] Yes ma'am, let me get back over here on my screen. [CUSTOMER][NEUTRAL] I have [CUSTOMER][NEUTRAL] 4 or 5 consecutive zeros. [CUSTOMER][NEUTRAL] 8053126 [AGENT][NEUTRAL] Can you verify the patient's name and date of birth? [CUSTOMER][NEUTRAL] Yes, [PII]. Date of birth is. [CUSTOMER][NEUTRAL] [PII]. [AGENT][NEUTRAL] Could you provide me that policy number again without the 5 consecutive zeros because I'm not pulling up a policy. [CUSTOMER][NEUTRAL] Yes ma'am. [CUSTOMER][NEUTRAL] 8053126 [AGENT][NEUTRAL] Um, do you have a copy of their card to verify the policy number? [CUSTOMER][NEUTRAL] No, ma'am, I have a social and I have the Medicare number. [AGENT][NEUTRAL] What is the social? [CUSTOMER][NEUTRAL] [PII] [AGENT][NEUTRAL] And could you give me that member's name again? [CUSTOMER][NEUTRAL] [PII]. [AGENT][NEUTRAL] Spell that last name cause I'm not pulling it up in the system. [CUSTOMER][NEUTRAL] [PII] [AGENT][NEUTRAL] So I'm not sure if you're saying [PII]. [CUSTOMER][NEUTRAL] Yes. [CUSTOMER][POSITIVE] Yes ma'am, that is correct. [AGENT][NEUTRAL] And the first name? [CUSTOMER][NEUTRAL] [PII]. [AGENT][POSITIVE] Thank you. [AGENT][NEUTRAL] OK. [CUSTOMER][NEUTRAL] Mhm. [AGENT][NEUTRAL] And what city and state does this member live in? [CUSTOMER][NEUTRAL] Um, let's see, this is [PII]. [AGENT][NEUTRAL] And this is for dental or medical? [CUSTOMER][NEUTRAL] Medical. [AGENT][NEUTRAL] Is she the is this member the policy holder? [CUSTOMER][NEUTRAL] Well, it says that they are. [AGENT][NEUTRAL] What's her date of birth? [CUSTOMER][NEUTRAL] It is [PII]. [AGENT][NEUTRAL] I'm not pulling her up in the system. [AGENT][NEUTRAL] Do you have a copy of her card? [CUSTOMER][NEUTRAL] OK. [CUSTOMER][NEUTRAL] No, ma'am, I do not. I just, um, I'm on a government website and they have American Republic listed as her secondary insurance. [AGENT][NEUTRAL] American Republic or American public life. [CUSTOMER][NEUTRAL] American Republic. [AGENT][NEUTRAL] This is American Public Life, Sandra. [CUSTOMER][POSITIVE] OK, I apologize, thank you. [AGENT][POSITIVE] No worries, thanks for calling APL and have a great day. [CUSTOMER][NEUTRAL] You also goodbye. [AGENT][POSITIVE] Thanks bye.