AccountId: 011433970860 ContactId: a155a392-988a-4600-a8da-ac626419c7fd Channel: VOICE LanguageCode: en-US Total Conversation Duration: 236919 ms Total Talk Time (AGENT): 63439 ms Total Talk Time (CUSTOMER): 128226 ms Interruptions: 2 Overall Sentiment: AGENT=1, CUSTOMER=0.8 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/04/03/a155a392-988a-4600-a8da-ac626419c7fd_20250403T17:39_UTC.wav -------------------------------------------- [AGENT][NEUTRAL] Good afternoon. Thank you for calling APL. This is [PII]. May I help you? [CUSTOMER][NEUTRAL] Hi, [PII]. Um, my name is [PII]. I'm calling to get eligibility. [CUSTOMER][NEUTRAL] On the patient or benefits if they have both? [AGENT][NEUTRAL] OK. [AGENT][NEUTRAL] OK, [PII], do you have a phone number I can get in case we get disconnected, I can call you back? [CUSTOMER][NEUTRAL] Yes, it's [PII]. [CUSTOMER][NEUTRAL] [PII] [PII]. [AGENT][NEUTRAL] And do you have the policy number? [CUSTOMER][NEUTRAL] Yes, it is 019798. [CUSTOMER][NEUTRAL] 83. [AGENT][NEUTRAL] Thank you, [PII]. Hold on one moment, please. [CUSTOMER][POSITIVE] You're welcome. OK. [AGENT][NEUTRAL] What was the patient's name? [CUSTOMER][NEUTRAL] Um, [PII]. [AGENT][NEUTRAL] And her date of birth? [CUSTOMER][NEUTRAL] OK, let me get that for you. [CUSTOMER][NEUTRAL] It is [PII]. [AGENT][POSITIVE] Thank you, [PII], and you were just needing benefits. [CUSTOMER][NEUTRAL] Yeah [CUSTOMER][NEUTRAL] Yes. Mhm. [AGENT][NEUTRAL] OK, I can help you with that. Is it for outpatient inpatient or doctor's office? [CUSTOMER][NEUTRAL] Doctor's office. And I need to know, um, you said your name is [PII]? [AGENT][NEUTRAL] [PII] [CUSTOMER][NEUTRAL] Oh, sorry. [CUSTOMER][NEUTRAL] Oh, I was way off. OK, [PII], I'm so sorry. Um, is this the only insurance of the patient? Is it considered primary? [AGENT][NEUTRAL] No, ma'am. This is a secondary policy. [CUSTOMER][NEUTRAL] Oh, but it and it's still active? [AGENT][NEUTRAL] Yes, ma'am. [CUSTOMER][NEUTRAL] OK, because I don't show a primary here so let me go ahead and and get the um. [AGENT][POSITIVE] She, she would have to have a primary to have this one. [CUSTOMER][NEUTRAL] OK, so I think I'm seeing, I think I'm seeing what it can be. It's on the miscellaneous, it didn't pull in, so I'm gonna have to call on this one here as well. OK, OK, [PII], I mean, [PII], so, um, you said it's active? [AGENT][NEUTRAL] It is active and I can give you those benefits. Um, is it for the actual? [CUSTOMER][NEUTRAL] Uh, no, I just need to know. [AGENT][NEUTRAL] OK, go ahead. [CUSTOMER][NEUTRAL] No, I just need to know since she has, since um she has primary, I just need to know if this has been um active and that's all because it's a secondary insurance. It's like a supplemental plan. [AGENT][NEUTRAL] Yes, ma'am. It coordinates with our. [CUSTOMER][NEUTRAL] Oh. [CUSTOMER][NEUTRAL] OK, so let me just put that active, active, um. [CUSTOMER][NEUTRAL] So plan. [CUSTOMER][NEUTRAL] OK. [CUSTOMER][NEUTRAL] OK [PII] I just need um the first initial of your last name. [AGENT][NEUTRAL] [PII]. [CUSTOMER][POSITIVE] OK, and this has been effective on from since when that's all I need and then reference number. [AGENT][NEUTRAL] So [AGENT][NEUTRAL] 12 1 of 20. [CUSTOMER][NEUTRAL] OK. [CUSTOMER][NEUTRAL] OK. [AGENT][NEUTRAL] Is there anything else I can help you with? [CUSTOMER][NEUTRAL] Uh, yeah, we have a claims address of, um, [PII]. [CUSTOMER][NEUTRAL] [PII]. [AGENT][POSITIVE] That is correct. [CUSTOMER][NEUTRAL] [PII], [PII]? OK. [CUSTOMER][POSITIVE] OK, that'll be it this time. I'm so sorry. It's a long day. OK. [AGENT][POSITIVE] That's OK. Thank you, [PII], for calling APL. You have a good afternoon. [CUSTOMER][NEUTRAL] Thank you. So the reference number is your name and today's date, right? [AGENT][NEUTRAL] Yes, ma'am. Mhm. [CUSTOMER][POSITIVE] OK thank you you too, um, [PII] have a wonderful afternoon bye bye. [AGENT][NEUTRAL] You too, bye-bye. [CUSTOMER][POSITIVE] Thanks, bye.