AccountId: 011433970860 ContactId: af302e7c-8d4b-439d-b42a-2551e23666de Channel: VOICE LanguageCode: en-US Total Conversation Duration: 162690 ms Total Talk Time (AGENT): 55799 ms Total Talk Time (CUSTOMER): 91160 ms Interruptions: 0 Overall Sentiment: AGENT=0.9, CUSTOMER=0.5 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/01/27/af302e7c-8d4b-439d-b42a-2551e23666de_20250127T15:05_UTC.wav -------------------------------------------- [AGENT][POSITIVE] Thank you for calling APL. This is [PII]. How can I help you? [CUSTOMER][NEUTRAL] Hi, good morning, [PII]. My name is [PII]. And [PII], um, I just like to verify members eligibility if you can assist me with that, please? [AGENT][NEUTRAL] OK, [PII], can I get a good callback number? [CUSTOMER][NEUTRAL] My direct line would be area code [PII]. [CUSTOMER][NEUTRAL] [PII]. [CUSTOMER][NEUTRAL] [PII]. [AGENT][NEUTRAL] OK, thank you, [PII]. Do you have the insurance policy number? [CUSTOMER][NEUTRAL] I do, um, it's going to be. [CUSTOMER][NEUTRAL] Outpatient, um, is it 01660258 M as in Mary, L as in Lima 8? [AGENT][NEUTRAL] OK, [PII], can you confirm the insured's name and date of birth for me? [CUSTOMER][NEUTRAL] It's going to be for [PII] [PII]. [AGENT][NEUTRAL] OK, thank you and you said you're calling to check eligibility? [CUSTOMER][NEUTRAL] Please. [AGENT][NEUTRAL] OK, I can definitely take a look now it looks like um the injury was effective [PII] and currently still active. [CUSTOMER][NEUTRAL] [PII]. [CUSTOMER][NEUTRAL] And still active. [AGENT][NEUTRAL] Yes ma'am. [CUSTOMER][NEUTRAL] And um is this the primary carrier or is this a primary plan? [AGENT][NEUTRAL] Um, it looks like it's a secondary supplemental policy. [CUSTOMER][NEUTRAL] So this is a secondary coverage. [AGENT][NEUTRAL] Yes, ma'am. [CUSTOMER][NEUTRAL] Secondary coverage. [CUSTOMER][NEUTRAL] I have just one other question and then I'll be all set. Uh, and can you please uh tell me, uh, mail uh timely submission and mail mailing address please. [AGENT][NEUTRAL] OK. [AGENT][NEUTRAL] Um, there's no timely filing limit and the mailing address is [PII]. [CUSTOMER][NEUTRAL] Mhm [CUSTOMER][NEUTRAL] [PII] [AGENT][NEUTRAL] [PII]. [CUSTOMER][NEUTRAL] [PII]. [AGENT][NEUTRAL] [PII]. [CUSTOMER][NEUTRAL] [PII]. Is there an EDI number? [AGENT][NEUTRAL] 60801 [CUSTOMER][POSITIVE] Perfect, thank you, I appreciate your help. [AGENT][POSITIVE] Yes ma'am, is there anything else I can help you with today? [CUSTOMER][NEUTRAL] No, no, no, I'm all set. Oh, is there a reference number for our call, [PII]? [AGENT][NEUTRAL] It's gonna be my name [PII] with the first initial to my last name [PII] and today's date. [CUSTOMER][POSITIVE] Thank you so much. Bye bye now. [AGENT][POSITIVE] OK, well thank you for calling APO you have a great day bye bye. [CUSTOMER][NEUTRAL] You too. Bye-bye.