AccountId: 011433970860 ContactId: bc6b8362-6f66-4cd8-bed2-1408ff4fb393 Channel: VOICE LanguageCode: en-US Total Conversation Duration: 278480 ms Total Talk Time (AGENT): 85201 ms Total Talk Time (CUSTOMER): 71700 ms Interruptions: 0 Overall Sentiment: AGENT=1, CUSTOMER=0 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/06/03/bc6b8362-6f66-4cd8-bed2-1408ff4fb393_20250603T21:08_UTC.wav -------------------------------------------- [AGENT][POSITIVE] Thank you for calling APL. [AGENT][NEUTRAL] This is [PII]. May I help you? [CUSTOMER][NEUTRAL] Hello, can you hear me? [AGENT][POSITIVE] Thank you for calling. This is [PII]. How may I help you? [CUSTOMER][NEUTRAL] Hi [PII], this is [PII] here calling you from the office of a spine and Pain Center. [CUSTOMER][NEUTRAL] I'm looking for the the information for the member. [AGENT][POSITIVE] I'm doing good. [AGENT][NEUTRAL] OK, [PII], I can help you um are you looking for claim benefit information? [AGENT][NEUTRAL] Hello, [PII], can you hear me? [CUSTOMER][NEUTRAL] Yeah, I can hear you. Can you hear me now? [AGENT][NEUTRAL] I think you [AGENT][NEUTRAL] Yes, I carry on note. 00, OK. [CUSTOMER][NEGATIVE] The line is breaking up. [AGENT][NEUTRAL] Thank you [PII], and what is your callback number, sir? [CUSTOMER][NEUTRAL] Mhm. [CUSTOMER][NEUTRAL] It's, yeah, it's [PII]. [CUSTOMER][NEUTRAL] [PII], sorry, [PII]. [AGENT][POSITIVE] Thank [AGENT][NEUTRAL] [PII]. OK, thank you. And um what is the patient's name, date of birth, and policy number? [CUSTOMER][NEUTRAL] Patient name is [PII] and [CUSTOMER][NEUTRAL] Music. [CUSTOMER][NEUTRAL] The date of birth of the member is [PII]. [CUSTOMER][NEUTRAL] [PII]. [CUSTOMER][NEUTRAL] OK [AGENT][NEUTRAL] OK. [AGENT][NEUTRAL] OK [AGENT][NEUTRAL] And what is Ms. [PII]'s policy number? [CUSTOMER][NEUTRAL] The policy number for Ms. [PII] is [CUSTOMER][NEUTRAL] 0 [CUSTOMER][NEUTRAL] 01071095 [AGENT][NEUTRAL] OK, let me look her up real quick. [CUSTOMER][NEUTRAL] Mhm. [AGENT][NEUTRAL] OK and how can I help you today? Did you need claim information or benefit information? [CUSTOMER][NEUTRAL] Yes, the benefit information looking for the eligibility for the member. [AGENT][NEUTRAL] OK. [AGENT][NEUTRAL] I can give you eligibility. Um, Ms. [PII] does have an active policy. The effective date of her policy is [PII], and she is current. [CUSTOMER][NEUTRAL] Uh, you said [PII]? [AGENT][NEUTRAL] Yes, sir. [CUSTOMER][NEUTRAL] OK. And uh it's still active, right? [AGENT][NEUTRAL] Yes, sir. [CUSTOMER][NEUTRAL] OK. Just be on line. [CUSTOMER][NEUTRAL] Uh, like, uh, you're active as a secondary or the primary for member? [AGENT][NEUTRAL] Were the secondary. [CUSTOMER][NEUTRAL] As in secondary. [AGENT][NEUTRAL] Yes sir. [CUSTOMER][NEUTRAL] OK. [CUSTOMER][NEUTRAL] And uh is this like who's the primary may I know? [AGENT][NEUTRAL] I don't have the primary. [CUSTOMER][NEUTRAL] You don't have the primary. OK, and. [AGENT][NEUTRAL] No. [CUSTOMER][NEUTRAL] You don't have, uh, like, is this a medical supplement plan? [AGENT][NEUTRAL] No, this is a standalone policy through APL. [CUSTOMER][NEUTRAL] You know, [CUSTOMER][NEUTRAL] Standalone PPO plan. [CUSTOMER][NEUTRAL] OK. [AGENT][NEUTRAL] It's not PPO. [AGENT][NEUTRAL] It's through APL. [CUSTOMER][NEUTRAL] If you, OK. [CUSTOMER][NEUTRAL] Just a sec. [AGENT][NEUTRAL] Yes, sir. [CUSTOMER][POSITIVE] OK, thank you so much for the information, [PII], and have a good day. Take care. Bye-bye. [AGENT][POSITIVE] You have a wonderful day too thank you for calling APL bye bye sir. [CUSTOMER][NEUTRAL] Right.