AccountId: 011433970860 ContactId: d75c1c24-239c-48e6-aef9-b51632d12773 Channel: VOICE LanguageCode: en-US Total Conversation Duration: 708799 ms Total Talk Time (AGENT): 67387 ms Total Talk Time (CUSTOMER): 156377 ms Interruptions: 0 Overall Sentiment: AGENT=0.4, CUSTOMER=0.2 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/01/06/d75c1c24-239c-48e6-aef9-b51632d12773_20250106T20:27_UTC.wav -------------------------------------------- [AGENT][NEUTRAL] Thank you for calling APL. This is [PII]. How may I help you? [CUSTOMER][NEUTRAL] Hi [PII]. This is [PII] from Saint Joseph Hospital in [PII]. I need to verify hospital benefits, please. [AGENT][NEUTRAL] Sure I can help you, [PII]. What's the policy number? [CUSTOMER][NEUTRAL] Policy number 02371703. [AGENT][NEUTRAL] OK, a good phone number in case we're disconnected? [CUSTOMER][NEUTRAL] [PII] [AGENT][NEUTRAL] [PII]. [CUSTOMER][NEUTRAL] [PII] [AGENT][NEUTRAL] And what's the patient's um name and date of birth? [CUSTOMER][NEUTRAL] Last name [PII], first name [PII]. Date of birth [PII]. [AGENT][NEUTRAL] This policy is administered by Web TPA. It's a different company. Um, let me give you their phone number and then I can also get you transferred over. [CUSTOMER][NEUTRAL] OK. [AGENT][NEUTRAL] [PII]. [AGENT][NEUTRAL] [PII]. [AGENT][NEUTRAL] [PII]. [AGENT][NEUTRAL] And give me just a moment I'll get you connected. Did you have any other questions before we get you transferred? [CUSTOMER][NEUTRAL] Uh, do you know if they, uh, what, uh, PPO network do they use? [AGENT][NEUTRAL] That's a question for them when I connect you. [CUSTOMER][NEUTRAL] OK, what's the name of that company? [AGENT][NEUTRAL] Webb, TPA. [CUSTOMER][NEUTRAL] WeFDPA OK. [AGENT][POSITIVE] One moment please. Thank you for calling APL. Have a good day and give me a second, right? [CUSTOMER][NEUTRAL] Hello, and please listen carefully as our menu options may have changed. Calls are recorded for quality assurance. [CUSTOMER][NEUTRAL] Are you or someone in your household [PII] of age or older? Press 1 for yes. If you or someone in your household is [PII] of age or older. [CUSTOMER][NEUTRAL] Welcome to Web TPA, the administrator for the limited benefit health insurance program underwritten by American Public Life Insurance Company. If this is an emergency, please hang up and dial [PII]. [CUSTOMER][NEUTRAL] If you are a member calling about your premium billing or need to make changes to your account such as an address change, add or drop a dependent, or wish to modify your coverage in any way, please call American Public Life at [PII]. If you are a physician. [CUSTOMER][NEUTRAL] Please note, your call may be monitored or recorded for quality assurance. The information provided during this call is only a description of benefits and is not a guarantee of payment. Benefits are based upon eligibility at the time services are rendered and all plan provisions. [CUSTOMER][NEUTRAL] Um [CUSTOMER][NEUTRAL] Yeah [CUSTOMER][NEUTRAL] Uh [CUSTOMER][NEUTRAL] Mhm. [CUSTOMER][NEUTRAL] Um [CUSTOMER][NEUTRAL] Uh [CUSTOMER][NEUTRAL] And [CUSTOMER][NEUTRAL] Yeah [CUSTOMER][NEUTRAL] Uh. [CUSTOMER][NEUTRAL] Yeah [CUSTOMER][NEUTRAL] OK. [CUSTOMER][NEUTRAL] Uh [CUSTOMER][NEUTRAL] OK [CUSTOMER][NEUTRAL] Uh [CUSTOMER][NEUTRAL] Um [AGENT][NEUTRAL] Right, I'm still holding for a representative to pick up. [CUSTOMER][NEUTRAL] Alright [CUSTOMER][NEUTRAL] Yeah. [CUSTOMER][NEUTRAL] Yeah [AGENT][POSITIVE] And thank you for holding. [CUSTOMER][NEUTRAL] Yeah. [CUSTOMER][NEUTRAL] uh [CUSTOMER][NEUTRAL] Yeah [CUSTOMER][NEUTRAL] I [CUSTOMER][NEUTRAL] Right [CUSTOMER][NEUTRAL] Yeah [CUSTOMER][NEUTRAL] Uh [CUSTOMER][NEUTRAL] Um [CUSTOMER][NEUTRAL] Yeah [CUSTOMER][NEUTRAL] OK [AGENT][NEUTRAL] Right, do you wanna continue to hold? [CUSTOMER][NEUTRAL] Uh [CUSTOMER][NEUTRAL] Yeah. [AGENT][NEUTRAL] OK. [CUSTOMER][NEUTRAL] OK. [CUSTOMER][NEUTRAL] Yeah. [CUSTOMER][NEUTRAL] Um [CUSTOMER][NEUTRAL] OK [CUSTOMER][NEUTRAL] Um [CUSTOMER][NEUTRAL] Uh [CUSTOMER][NEUTRAL] Um. [CUSTOMER][NEUTRAL] OK [CUSTOMER][NEUTRAL] Yeah [CUSTOMER][NEUTRAL] Yeah. [CUSTOMER][NEUTRAL] Yeah [CUSTOMER][NEUTRAL] Um [CUSTOMER][NEUTRAL] Uh [CUSTOMER][NEUTRAL] Uh [CUSTOMER][NEUTRAL] Um [CUSTOMER][NEUTRAL] Uh [CUSTOMER][NEUTRAL] And [CUSTOMER][POSITIVE] Thank you for calling customer service. My name is [PII]. How may we assist you today? [AGENT][NEUTRAL] Hi [PII], this is [PII] with American Public Life. Um, I have a provider on the phone speaking with [PII]. He's wanting to verify eligibility and outpatient benefits. Let me know when you're ready for the policy number. [CUSTOMER][NEUTRAL] Uh huh. [CUSTOMER][NEUTRAL] OK. [CUSTOMER][NEUTRAL] Actually, yeah, well. [CUSTOMER][NEUTRAL] I just rebooted one second, yeah, OK, go ahead. [AGENT][NEUTRAL] OK, it's 0023. [AGENT][NEUTRAL] 71703. [CUSTOMER][NEUTRAL] OK. [CUSTOMER][NEUTRAL] Is that on [PII]? [AGENT][NEUTRAL] Yes, ma'am. [CUSTOMER][POSITIVE] Correct. He's, he's a patient. [AGENT][NEUTRAL] Uh, [PII] is the. [CUSTOMER][NEUTRAL] He was in it, yeah, he was in the get that call over, OK. [AGENT][NEUTRAL] OK, I'm gonna transfer the call, [PII], give me one moment. [CUSTOMER][NEUTRAL] Yeah, he, he wasn't. [CUSTOMER][POSITIVE] Thank you. Mhm