AccountId: 011433970860 ContactId: d0341b8c-42d0-4931-a336-249d57c47d8b Channel: VOICE LanguageCode: en-US Total Conversation Duration: 361190 ms Total Talk Time (AGENT): 154923 ms Total Talk Time (CUSTOMER): 151859 ms Interruptions: 3 Overall Sentiment: AGENT=1.4, CUSTOMER=0.8 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/04/09/d0341b8c-42d0-4931-a336-249d57c47d8b_20250409T12:03_UTC.wav -------------------------------------------- [AGENT][POSITIVE] Good morning. Thank you for calling APL. This is [PII]. How can I help you? [CUSTOMER][NEUTRAL] Hi [PII], my name's [PII] and I'm calling from Advance ENT. I'm trying to verify coverage and eligibility for a patient's plan. [AGENT][NEUTRAL] OK [PII], so you're needing to verify eligibility and benefit information, is that correct? [CUSTOMER][NEUTRAL] OK. [CUSTOMER][NEUTRAL] Yes ma'am. [AGENT][POSITIVE] Yes, ma'am. I can help you with those things. And [PII], what is a callback number for you, please? [CUSTOMER][NEUTRAL] It is [PII]. [AGENT][POSITIVE] Thank you. [CUSTOMER][NEUTRAL] And then my extension is [PII]. [AGENT][NEUTRAL] OK, thank you and [PII], what is the member's policy number please? [CUSTOMER][NEUTRAL] It is D47695024. [AGENT][NEUTRAL] OK, thank you, but [PII], that is not an APO policy number. That is not. [CUSTOMER][NEUTRAL] Yeah. [CUSTOMER][NEUTRAL] Yeah [AGENT][NEUTRAL] 90 degree benefit number. [AGENT][NEUTRAL] So there's also have policies with APL, but there would be a different policy number. [AGENT][NEUTRAL] On their ID card for APO. [CUSTOMER][NEUTRAL] Um. [CUSTOMER][NEUTRAL] See [CUSTOMER][NEUTRAL] That's the only thing it's showing me on the card. It's showing it's a multi plan card and then it says it's the employee ID only on here. [AGENT][NEUTRAL] So that's for 90, and does it say IMA or 90 degree benefits? [CUSTOMER][NEUTRAL] So you like [CUSTOMER][NEUTRAL] On the back of the card it does and then on the front it says search pharmacy and medical. [AGENT][NEUTRAL] OK. Now, do you, is your patient the policy holder, the subscriber? [CUSTOMER][NEUTRAL] Uh yes. [AGENT][NEUTRAL] Do you happen to have the full social? Some of these members have dual coverage with APL and 90 degree benefits, but not all of them. [AGENT][NEUTRAL] I could try and look. [CUSTOMER][NEUTRAL] Um, [AGENT][NEUTRAL] To see if they have a policy with us. [CUSTOMER][NEUTRAL] I do have this. [CUSTOMER][NEUTRAL] OK, I do have a social. [AGENT][NEUTRAL] OK, one moment then. All right. Go ahead. I'm ready. [CUSTOMER][NEUTRAL] Um, which is [CUSTOMER][NEUTRAL] OK [CUSTOMER][NEUTRAL] Sorry, [PII]. [AGENT][NEUTRAL] Mm, that's OK. [AGENT][NEUTRAL] Uh-huh. [CUSTOMER][NEUTRAL] [PII] [AGENT][NEUTRAL] Uh-huh. [AGENT][NEUTRAL] OK, thank you. So give me one moment please to see if I can locate a member with that information and I wanna just repeat that back to you. [PII]. [CUSTOMER][NEUTRAL] OK. [CUSTOMER][NEUTRAL] OK. [CUSTOMER][NEUTRAL] Yeah [AGENT][NEUTRAL] And [PII]. [CUSTOMER][NEUTRAL] Yes. [CUSTOMER][NEUTRAL] Yes. [AGENT][NEUTRAL] OK, so I'm not able to pull anything up in our system here at APO with that information. Now when you called in [PII], did you call an [PII] phone number? [CUSTOMER][NEUTRAL] Let [CUSTOMER][NEUTRAL] Yeah. [AGENT][NEUTRAL] OK, so depending on the option that you select when you call that number as to where it will take you, option one would be for 90 degree benefits. [CUSTOMER][NEUTRAL] OK. [CUSTOMER][NEUTRAL] Mhm. [CUSTOMER][NEUTRAL] Yeah. [AGENT][NEUTRAL] For that D number. Now I'll be happy to connect you over, but if for any reason we were to get disconnected, just call that same number back and select option one. [CUSTOMER][NEUTRAL] Mhm. [CUSTOMER][NEUTRAL] Yeah [CUSTOMER][NEUTRAL] OK. [AGENT][NEUTRAL] All right. Well, is there anything else that I can help you with before I transfer? [CUSTOMER][NEUTRAL] No ma'am. [AGENT][POSITIVE] OK, well then thank you very much for calling APL and I hope you have a great day. [CUSTOMER][POSITIVE] Thank you you as well. [AGENT][POSITIVE] Yes, ma'am. Thank you too. So one moment, [PII], and I'll be back. [CUSTOMER][POSITIVE] Thank you for calling IMA and thank you for calling 90 Degree. [CUSTOMER][NEUTRAL] Thank you for calling APL. Your call may be monitored for quality assurance. Para espanol rave. If you know your party's extension, you may dial it now. If you are a medical or dental provider, press [PII]. For verification of benefits, questions about your claim or medical bill, or if you need a. [AGENT][NEUTRAL] What? [CUSTOMER][NEUTRAL] Thank you for calling IMA, a 90 Degree Benefits Company, the administrator for benefits in a card members. [CUSTOMER][NEUTRAL] Our office hours are [PII] Monday through Thursday and [PII] on Fridays. If you've reached this message, our offices are currently closed. [CUSTOMER][POSITIVE] Thank [AGENT][NEUTRAL] OK, [PII], this is still [PII] and the recording says that they do not open until [PII]. [CUSTOMER][NEUTRAL] OK. [CUSTOMER][NEUTRAL] Uh, is that, um, [AGENT][NEUTRAL] So it is the central time like we so it's [PII] here. It's [PII] here. [CUSTOMER][NEUTRAL] OK, I just wanted to check. [CUSTOMER][POSITIVE] All right, well thank you very much for at least assisting me. [AGENT][NEUTRAL] Hi, yes, ma'am. I'm on Central time and apparently they are too. OK. You are certainly welcome. So again, just that same number and option one. [CUSTOMER][POSITIVE] All right, thank you. [AGENT][POSITIVE] OK. All right. Well, have a wonderful. [CUSTOMER][NEUTRAL] All right. [CUSTOMER][NEUTRAL] You as well. [AGENT][POSITIVE] Wonderful day and thank you again for calling APO. Yes ma'am, thanks. [AGENT][NEUTRAL] Bye bye. [CUSTOMER][POSITIVE] Thank you bye.