AccountId: 011433970860 ContactId: 9a00a933-2581-48bd-9596-6a320c8a3939 Channel: VOICE LanguageCode: en-US Total Conversation Duration: 531650 ms Total Talk Time (AGENT): 146198 ms Total Talk Time (CUSTOMER): 208415 ms Interruptions: 3 Overall Sentiment: AGENT=1.1, CUSTOMER=-0.3 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/03/03/9a00a933-2581-48bd-9596-6a320c8a3939_20250303T20:14_UTC.wav -------------------------------------------- [AGENT][POSITIVE] Thank you for calling EPA. This is easy. How can I help you? [CUSTOMER][NEGATIVE] Yeah, I, uh, I'm unable to hear your voice clearly. Could you please be more louder? [AGENT][NEUTRAL] Thank you for calling ATM. This is [PII]. How can I help you? [CUSTOMER][NEUTRAL] Yeah, hi. My name is [PII] calling from the broader office to check on patient medical eligibility. Could you please help me with that? [AGENT][POSITIVE] Yes, sir. I can assist you with benefits. Uh first, can I get your name again and a good callback number? [CUSTOMER][NEUTRAL] Yeah, definitely. Before that, could you please spell out your name for the documentation purpose? [AGENT][NEUTRAL] Yes, my name is [PII]. It's spelled [PII] and my last name should be [PII]. [CUSTOMER][NEUTRAL] Sorry, uh sorry for the disturbance, but, uh, your voice is not clear. It's [PII]. That's correct? [AGENT][POSITIVE] That's correct. [CUSTOMER][NEUTRAL] Uh yeah. My callback number is going to be. [CUSTOMER][NEUTRAL] [PII] with an extension of [PII]. [AGENT][POSITIVE] Thank you. And please spell your name. [CUSTOMER][NEUTRAL] Yeah, it's [PII] last name is [PII]. [AGENT][NEUTRAL] OK. Thank you, [PII] And could I get the policy number, please? [CUSTOMER][NEUTRAL] Sorry? [AGENT][NEUTRAL] What's the policy number? [CUSTOMER][NEUTRAL] Yeah, I don't have any policy number, but I do have a patient's name, date of birth, and their social. Is there any way you could pull out the details using that? [AGENT][NEUTRAL] Yes, what's the social thing. [CUSTOMER][NEUTRAL] Yeah, it's [PII]. [AGENT][NEUTRAL] You said it was [PII]? [CUSTOMER][NEUTRAL] Uh sorry? [AGENT][NEUTRAL] Repeat the social security number. [CUSTOMER][NEUTRAL] Yeah, it's uh [PII]. [AGENT][NEUTRAL] OK. No one is coming up under that Social Security number. What's the last name? [CUSTOMER][NEUTRAL] The last name is [PII]. It's spelled like [PII]. [AGENT][NEUTRAL] And what's the first name? [CUSTOMER][NEUTRAL] Yeah [CUSTOMER][NEUTRAL] It's [PII]. [AGENT][NEUTRAL] One moment, please. [CUSTOMER][NEUTRAL] Yeah. [CUSTOMER][NEUTRAL] Yeah [CUSTOMER][NEUTRAL] Yeah [CUSTOMER][NEUTRAL] OK. [CUSTOMER][NEUTRAL] Mhm. [AGENT][NEUTRAL] OK, please verify her date of birth. [CUSTOMER][NEUTRAL] Sorry? [AGENT][NEUTRAL] What is your date of birth? [CUSTOMER][NEUTRAL] Yeah. The date of birth is uh [CUSTOMER][NEUTRAL] [PII]. [AGENT][NEUTRAL] OK. And you need to verify benefits or um the status of the claim. [CUSTOMER][NEUTRAL] Hello. [CUSTOMER][NEUTRAL] Eligible, uh, I need just eligibility. [AGENT][NEUTRAL] OK, you just do the verification of coverage does not guarantee that you pay. [CUSTOMER][NEGATIVE] Uh, I'm sorry, you, I'm unable to hear you clearly. Uh, your voice is really [AGENT][NEUTRAL] But do you need to, do you need to give us a call back? [AGENT][NEUTRAL] Do you need to give us a call back? [CUSTOMER][NEUTRAL] So you're saying you have to give a call back? [AGENT][NEUTRAL] Well, I'm asking you, do you need to give us a call back because. [AGENT][NEUTRAL] OK. [CUSTOMER][NEUTRAL] anything at all. [CUSTOMER][NEGATIVE] I'm sorry, but I, I, I really don't hear your voice. I mean, it's, I'm unable to hear you, but it's not so clear. It's like you're, you're speaking like in a tunnel. [AGENT][NEUTRAL] One moment, I'm gonna place you on a brief hold, OK? [CUSTOMER][NEUTRAL] Yeah. [AGENT][POSITIVE] OK, thank you. [CUSTOMER][NEGATIVE] You are on hold. [CUSTOMER][NEGATIVE] You are on hold. [CUSTOMER][NEUTRAL] Yeah. [AGENT][POSITIVE] OK, [PII], thanks for your patience. Is that better? [CUSTOMER][NEUTRAL] Yeah [CUSTOMER][NEUTRAL] Sorry? [AGENT][NEUTRAL] Can I, can you hear me better now? [CUSTOMER][NEUTRAL] Yeah [CUSTOMER][NEUTRAL] Yeah, um, could you please repeat that again? [CUSTOMER][NEUTRAL] Yeah [CUSTOMER][NEUTRAL] I [CUSTOMER][NEUTRAL] Yeah [AGENT][NEUTRAL] Yes. Can you hear me better now? [CUSTOMER][POSITIVE] Yeah. It's slightly better. [AGENT][POSITIVE] OK. Well, this is the best way to get um I apologize. I'm sure. [AGENT][NEUTRAL] That's the policy. [AGENT][NEUTRAL] Yeah, could you say that. [CUSTOMER][NEUTRAL] OK [CUSTOMER][NEUTRAL] So you want me to repeat the date of birth and the patient's name? [AGENT][NEUTRAL] Mhm, yes. [CUSTOMER][NEUTRAL] Yeah, the patient's first name is [PII] and the last name is [PII]. And the date of birth is [PII]. [AGENT][NEUTRAL] OK, thank you. And just let me advise you that verification of the guarantee payment of claim. The effective date on this policy was [PII]. [CUSTOMER][NEUTRAL] Yeah [AGENT][NEUTRAL] And most probably in general. [CUSTOMER][NEUTRAL] Yeah [CUSTOMER][NEUTRAL] That. [AGENT][NEUTRAL] Mhm [CUSTOMER][NEUTRAL] So the policy got down now. [AGENT][NEUTRAL] Yes, it was terminated [PII]. [CUSTOMER][NEUTRAL] So the policy got termed on [PII]. [AGENT][NEUTRAL] Yes. [CUSTOMER][NEUTRAL] Yeah, thanks for the confirmation. Could you please want the subscriber ID? [AGENT][NEUTRAL] Um, yes, the policy number is 01688703. [CUSTOMER][NEUTRAL] Yeah [CUSTOMER][NEUTRAL] Uh, it's 0968887. [AGENT][NEUTRAL] No, it's 016. [AGENT][NEUTRAL] 8870. Mhm. [CUSTOMER][NEUTRAL] 016 [AGENT][NEUTRAL] A [CUSTOMER][NEUTRAL] 887. [AGENT][NEUTRAL] 03. [CUSTOMER][NEUTRAL] It's 01688703. Is that correct, [PII]? [AGENT][POSITIVE] Yes, it is. That's correct. [CUSTOMER][NEUTRAL] Yeah, so the policy got terminated on [PII]. Could you please find the original effective date? [AGENT][NEUTRAL] The effective date in mater[PII]. [AGENT][NEUTRAL] January [CUSTOMER][NEUTRAL] OK. [AGENT][NEUTRAL] Like. [CUSTOMER][NEUTRAL] So it's [PII]. [AGENT][NEUTRAL] Yeah. [CUSTOMER][NEUTRAL] Thanks for the confirmation. Is there any call reference number that I should get? [AGENT][NEUTRAL] Yes, you can use my name and that date for the reference number. [AGENT][NEUTRAL] that [CUSTOMER][NEUTRAL] Uh, so it's your name and today's date as a call reference number. [AGENT][NEUTRAL] Yeah. [CUSTOMER][POSITIVE] Thanks for the confirmation, [PII], uh, and thanks for bearing with me even if the mic is not working. Hope you have a nice day. Bye-bye. [AGENT][POSITIVE] You're welcome, [PII]. I hope you have a nice day as well. Bye bye.