AccountId: 011433970860 ContactId: b007df14-1d46-46c1-a244-0ea553360914 Channel: VOICE LanguageCode: en-US Total Conversation Duration: 268899 ms Total Talk Time (AGENT): 74110 ms Total Talk Time (CUSTOMER): 58609 ms Interruptions: 0 Overall Sentiment: AGENT=0.8, CUSTOMER=0.3 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/05/07/b007df14-1d46-46c1-a244-0ea553360914_20250507T17:17_UTC.wav -------------------------------------------- [AGENT][NEUTRAL] Thank you for calling APL. This is [PII]. How may I help you? [CUSTOMER][NEUTRAL] Hi [PII]. My first name is [PII] and my last name is [PII] calling from Nicholas Children's Hospital to checking for patient eligibility and benefits. [AGENT][NEUTRAL] OK, [PII], I can help you with eligibility and benefits, sir. Um, can I please get your callback number just in case the call is disconnected? [CUSTOMER][NEUTRAL] [PII]. [AGENT][NEUTRAL] Thank you, sir. And then what is the patient's name, date of birth, and policy number? [CUSTOMER][NEUTRAL] Yeah, the policy number is 04 sorry it's 0148. [CUSTOMER][NEUTRAL] 96, M as in Mike, L as in Lima, number 7. [CUSTOMER][NEUTRAL] And the patient first name is [PII] and the last name is [PII]. [AGENT][NEUTRAL] And what is the date of birth, please? [CUSTOMER][NEUTRAL] Yeah, it's uh [PII]. [AGENT][NEUTRAL] OK, and can you repeat that policy number one more time? Our phone glitched a little bit. [CUSTOMER][NEUTRAL] Yeah, 01. [CUSTOMER][NEUTRAL] 482-796 M as in Mike Lima number 7. [AGENT][POSITIVE] Thank you very much. Let me look that policy up. [AGENT][NEUTRAL] OK, I do show that [PII] does have an active policy, and the effective date of Ms. [PII]'s policy is [PII]. [CUSTOMER][NEUTRAL] Yep. [AGENT][NEUTRAL] And the policy is current and active. [CUSTOMER][NEUTRAL] Yeah, that started in [PII] and the policy is currently active, right? [AGENT][NEUTRAL] Yes, sir. [CUSTOMER][NEUTRAL] OK. [CUSTOMER][NEUTRAL] And the policy is covered for specialist office, is it for primary insurance, right? [AGENT][NEUTRAL] Uh, let me look and see if office visits are covered under this policy. [AGENT][NEUTRAL] Let's see. [AGENT][NEUTRAL] It's gonna be just a moment while I pull it in. [CUSTOMER][NEUTRAL] Yeah. [AGENT][NEUTRAL] OK, this policy does not cover office visits. [CUSTOMER][NEUTRAL] Yeah, it's not covered, right. [AGENT][POSITIVE] Correct. [CUSTOMER][NEUTRAL] Yeah, and may I know the group number and, yeah, may I know the group number and group name? [AGENT][NEUTRAL] Yes sir, the group number is 23835. [CUSTOMER][NEUTRAL] Yeah. [AGENT][NEUTRAL] And the group name is Bowman Homestead. [CUSTOMER][NEUTRAL] OK, and may I know your call reference number today? [AGENT][NEUTRAL] Yes sir, you can use my name and today's date. [CUSTOMER][POSITIVE] OK, thank you. Thank you for the information. Have a great day. [AGENT][POSITIVE] You're very welcome. You have a wonderful day too, and thank you for calling APL [PII]. You take care.