AccountId: 011433970860 ContactId: cd5e6a74-2118-48ab-ab40-4225e3500df3 Channel: VOICE LanguageCode: en-US Total Conversation Duration: 202679 ms Total Talk Time (AGENT): 92669 ms Total Talk Time (CUSTOMER): 70716 ms Interruptions: 1 Overall Sentiment: AGENT=1.6, CUSTOMER=1.5 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/05/07/cd5e6a74-2118-48ab-ab40-4225e3500df3_20250507T18:15_UTC.wav -------------------------------------------- [AGENT][NEUTRAL] Good afternoon. Thank you for calling APL. This is [PII]. How can I help you? [CUSTOMER][NEUTRAL] Hello. Good afternoon. My name is [PII] and I'm calling to check on a um on behalf of a provider. Uh, I'm trying to confirm uh if a member is eligible and active. [AGENT][NEUTRAL] OK, [PII], you're just needing to verify if a member has active coverage, is that correct? [CUSTOMER][POSITIVE] Correct, please, yeah. [AGENT][POSITIVE] Yes, I can help you with that. And what is your callback number, please? [CUSTOMER][NEUTRAL] Uh yeah, that will be [PII]. [CUSTOMER][NEUTRAL] [PII] [CUSTOMER][NEUTRAL] [PII]. [AGENT][NEUTRAL] Thank you and the member's policy number please, [PII]? [CUSTOMER][NEUTRAL] Mhm um 024. [CUSTOMER][NEUTRAL] 730. [CUSTOMER][NEUTRAL] 98. [AGENT][NEUTRAL] OK, thank you. One moment, please. [CUSTOMER][NEUTRAL] OK [AGENT][NEUTRAL] And any information that I do provide for you, [PII] would be a verification of benefits, if not a guarantee of payment. What is your patient's name, place, and date of birth? [CUSTOMER][NEUTRAL] Uh, [PII], date of birth [PII]. [AGENT][POSITIVE] Thank you. [AGENT][NEUTRAL] OK, so I do show that he is the subscriber on this, excuse me, the supplemental policy poll, and it is active. Effective date is [PII]. [CUSTOMER][NEUTRAL] Mhm. [AGENT][NEUTRAL] And because this is a supplement to his primary insurance, if you all are to be filing a claim with us on this policy, we will have to have a copy of the primary insurance company's explanation of benefits as well for review and then once we process our claim here, we do have a portal that you should be able to check claim status in for us by going to secured. [CUSTOMER][NEUTRAL] Mhm. [CUSTOMER][NEUTRAL] Mhm, OK. [AGENT][NEUTRAL] [PII]. [CUSTOMER][NEUTRAL] Sorry [CUSTOMER][NEUTRAL] Yeah [CUSTOMER][NEUTRAL] OK. [CUSTOMER][NEUTRAL] Alrighty got it um and uh just to confirm, is there a group number and a group name? [AGENT][NEUTRAL] OK. [AGENT][NEUTRAL] Yes, sir. [AGENT][NEUTRAL] The group number is 23143. [CUSTOMER][NEUTRAL] Mhm. [AGENT][NEUTRAL] The group name is Nova Southeastern University. [CUSTOMER][NEUTRAL] OK. [CUSTOMER][NEUTRAL] Got it. OK. [CUSTOMER][POSITIVE] Alrighty um well thanks so much that's all I needed to confirm uh do we have a call reference number? [AGENT][NEUTRAL] OK. [AGENT][POSITIVE] Yes, you would use my name that I gave you along with today's date. [CUSTOMER][POSITIVE] Got it. I do apologize. What was your name again? I'm sorry. [AGENT][NEUTRAL] [PII]. [CUSTOMER][POSITIVE] OK, thank you so much alrighty well thanks so much, [PII]. I appreciate it. [AGENT][POSITIVE] Well, you're welcome [PII]. Is there anything else I can help you with? Yeah, you're welcome. [AGENT][NEUTRAL] Can I [CUSTOMER][NEUTRAL] Uh [CUSTOMER][POSITIVE] That's all I needed thank you. [AGENT][POSITIVE] OK, well then, thank you for calling APL and I hope you have a great afternoon. [CUSTOMER][NEUTRAL] Mhm. [CUSTOMER][POSITIVE] Have a good day too. Thank you. Bye bye. [AGENT][POSITIVE] Thank you. Bye-bye.