AccountId: 011433970860 ContactId: c9a1b3fc-0369-4a30-b328-995a586aa26b Channel: VOICE LanguageCode: en-US Total Conversation Duration: 323720 ms Total Talk Time (AGENT): 121503 ms Total Talk Time (CUSTOMER): 138002 ms Interruptions: 1 Overall Sentiment: AGENT=0.7, CUSTOMER=0.8 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/01/21/c9a1b3fc-0369-4a30-b328-995a586aa26b_20250121T15:03_UTC.wav -------------------------------------------- [AGENT][NEUTRAL] Thank you for calling APL. This is [PII]. How can I help you? [CUSTOMER][NEUTRAL] Hi, good morning. My name is [PII]. I'm calling from South Miami Hospital here in [PII]. I'm just calling for the eligibility for the number. This is for the GA medical plan. [AGENT][NEUTRAL] OK, and I'm so sorry, did you say your name is [PII]? [CUSTOMER][NEUTRAL] Yes. [AGENT][POSITIVE] Thank you and may I also have your call back number if we are disconnected? [CUSTOMER][NEUTRAL] [PII] [AGENT][NEUTRAL] Thank you [PII], and what is the policy number? [CUSTOMER][NEUTRAL] 02137617 ML 8. [AGENT][NEUTRAL] Thank you very much, verify the patient's name and date of birth. [CUSTOMER][NEUTRAL] OK. [PII], born on [PII]. [AGENT][POSITIVE] Thank you very much for the information and you're calling for eligibility and benefits, is that correct for both? [CUSTOMER][NEUTRAL] Just the eligibility because the member already has their primary insurance. [AGENT][NEUTRAL] OK, I can help you with eligibility. Now this particular policy shows that it termed as of [PII] with an effective date of [PII]. [CUSTOMER][NEUTRAL] OK, so when I'm sorry, when the term? [AGENT][NEUTRAL] It turned as of [PII]. [CUSTOMER][NEUTRAL] Oh wow, that's crazy because they were seen on January they came on [PII]. 0, so they their insurance term before their date of service. [AGENT][NEUTRAL] Um, I can check to see if there's an active policy. Moment please. One, but as far as the policy number you provided me, it has already termed. One moment, [PII]. [CUSTOMER][NEUTRAL] OK. [AGENT][NEUTRAL] OK, so the member does have an active policy. Let me provide you with that policy number when you're ready. [CUSTOMER][NEUTRAL] OK. So, OK, so, OK, what is their new so what is, what is their new policy number? [AGENT][NEUTRAL] Again [AGENT][NEUTRAL] 2456672 ML 8. [CUSTOMER][NEUTRAL] Oh, I'm sorry, 245672, OK. [AGENT][NEUTRAL] No, no, that was 2456672. [CUSTOMER][NEUTRAL] OK [CUSTOMER][NEUTRAL] OK, 456-722, uh-huh. [AGENT][POSITIVE] No, no, I'm sorry. [AGENT][NEUTRAL] It is 2456672. [CUSTOMER][NEUTRAL] OK. [AGENT][NEUTRAL] OK, and the policy shows effective as of. [CUSTOMER][NEUTRAL] Anything else that? [AGENT][NEUTRAL] ML 8 [CUSTOMER][NEUTRAL] OK. ML 8, OK. [AGENT][NEUTRAL] The policy shows effective as of [PII] and it shows active. [CUSTOMER][POSITIVE] Oh, OK. OK. So, OK, so they, they have an updated policy. OK, perfect. [CUSTOMER][NEUTRAL] OK, thank you and then is there any is there any group name for her? [AGENT][NEUTRAL] Yes. [AGENT][POSITIVE] You're welcome. [AGENT][NEUTRAL] Yes, one moment. [CUSTOMER][POSITIVE] Thank you. [AGENT][NEUTRAL] Yeah, the group, you're welcome. The group name shows South Florida Center for Padontics. [CUSTOMER][NEUTRAL] South Florida. Well, I'm sorry, what was after that? [AGENT][NEUTRAL] Center. [AGENT][NEUTRAL] For paradontics. [CUSTOMER][NEUTRAL] 00, she's a, OK, she's a doctor. [CUSTOMER][NEGATIVE] Perro P I spellerrodontist? [AGENT][NEUTRAL] It is [PII] I. [AGENT][NEUTRAL] O D like David, [PII] T I C S. [AGENT][NEUTRAL] Hm. [CUSTOMER][NEUTRAL] I you said ISTS? [AGENT][NEUTRAL] Now let me spell that for you. That is PE. [CUSTOMER][NEUTRAL] OK. [AGENT][NEUTRAL] [PII] E [PII] O D. [AGENT][NEUTRAL] O N T I C S. [CUSTOMER][POSITIVE] ICS OK. [CUSTOMER][POSITIVE] TICS, OK Carontic. OK. Perfect. [CUSTOMER][NEUTRAL] And so and and then this policy started [PII]. [AGENT][NEUTRAL] OK. [AGENT][NEUTRAL] Yes. [CUSTOMER][NEGATIVE] That's uh I can't believe she gave her, I can't believe she gave the wrong one. [AGENT][NEUTRAL] She probably did not know, so that's. [CUSTOMER][NEUTRAL] OK, because it'll be. [CUSTOMER][NEUTRAL] Yeah, because the other one termed 11 jeez, oh, so this is the most current one. OK, perfect. And your name is [PII] and then and then your name and today's date. OK, let me see, let me see if I have any other questions. [AGENT][NEUTRAL] Yeah. [AGENT][NEUTRAL] OK. [CUSTOMER][NEUTRAL] Um, [CUSTOMER][NEUTRAL] new policy number, let me see. [CUSTOMER][POSITIVE] OK. Um, OK, perfect. I think. [CUSTOMER][POSITIVE] I think we should be, I think we should be all set. Thanks for everything, [PII] have a great day. [AGENT][POSITIVE] You as well, [PII], thank you for calling AL. Take care bye. [CUSTOMER][NEUTRAL] Bye bye.