AccountId: 011433970860 ContactId: dce1873e-e8b8-43fe-9a2f-dcc6308ef448 Channel: VOICE LanguageCode: en-US Total Conversation Duration: 355170 ms Total Talk Time (AGENT): 92200 ms Total Talk Time (CUSTOMER): 112289 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/2025/03/27/dce1873e-e8b8-43fe-9a2f-dcc6308ef448_20250327T16:39_UTC.wav -------------------------------------------- [AGENT][NEUTRAL] Calling APL, my name is [PII]. How can I assist you today? [AGENT][NEUTRAL] Hello. [CUSTOMER][NEUTRAL] Hi, this is [PII]. [AGENT][NEUTRAL] Hello [PII]. [CUSTOMER][NEUTRAL] Hi. [CUSTOMER][NEUTRAL] Did you hear my voice? [AGENT][NEUTRAL] Can I help [AGENT][NEUTRAL] Yeah, I can hear you. Can I help you? [CUSTOMER][NEUTRAL] Yes [CUSTOMER][NEUTRAL] Yeah. [CUSTOMER][NEUTRAL] I'm from provider office and I would like to have eligibility information for a patient. [AGENT][POSITIVE] I'd be happy to assist with eligibility today, [PII], if I can get a good call back number. [AGENT][NEUTRAL] Yeah. [CUSTOMER][NEUTRAL] Yeah, my, yeah my callback number is [PII]. [CUSTOMER][NEUTRAL] [PII] [AGENT][NEUTRAL] And what is the policy number? [AGENT][NEUTRAL] May I have the policy number, please? [AGENT][NEUTRAL] Hello. [CUSTOMER][NEUTRAL] Yeah, yeah. Hello? [AGENT][NEUTRAL] May I have the policy number, please? [CUSTOMER][NEUTRAL] Yeah, the policy number is [CUSTOMER][NEUTRAL] 01659538 M as in Mike L as in Lima 7 has a number. [AGENT][NEUTRAL] Patient's name and date of birth? [CUSTOMER][NEUTRAL] It [CUSTOMER][NEUTRAL] Yeah. [CUSTOMER][NEUTRAL] The patient's first name is [PII] and the last name is [PII]. And the date of birth of the patient is [CUSTOMER][NEUTRAL] [PII]. [AGENT][NEUTRAL] I'm sorry, can I have the policy number again, please? Because that's not matching what I have. [CUSTOMER][NEUTRAL] Yeah. [CUSTOMER][NEUTRAL] It's 01. [CUSTOMER][NEUTRAL] 65 [CUSTOMER][NEUTRAL] 95 [CUSTOMER][NEUTRAL] 38 [CUSTOMER][NEUTRAL] [PII]. [CUSTOMER][NEUTRAL] 7 last number ends with 7. [AGENT][NEUTRAL] Thank you for that information. Please be advised the verification of coverage is not a guarantee of payment. I do show the policy is currently active. Effective date is [PII]. And are you calling for inpatient or outpatient benefits? [CUSTOMER][NEUTRAL] Sorry, could you repeat me? [AGENT][NEUTRAL] Are you calling for inpatient or outpatient benefits? [CUSTOMER][NEUTRAL] I [CUSTOMER][NEUTRAL] Yeah, it's inpatient [AGENT][NEUTRAL] And what is the date of service? [CUSTOMER][NEUTRAL] Oh [CUSTOMER][NEUTRAL] Uh, yeah, the date of service is [PII]. [AGENT][NEUTRAL] I'm not sure we have that on file. [CUSTOMER][NEUTRAL] OK. [CUSTOMER][NEUTRAL] Would you tell me the effective date for me? [AGENT][NEUTRAL] Effective date is [PII]. [CUSTOMER][NEUTRAL] [PII], right? [CUSTOMER][NEUTRAL] Is there any group number or name for this patient? [AGENT][NEUTRAL] One moment. [AGENT][NEUTRAL] Group number is 15493. [CUSTOMER][NEUTRAL] 154. [AGENT][NEUTRAL] 93 [CUSTOMER][NEUTRAL] 93 [CUSTOMER][NEUTRAL] Yeah, 15493, right? [AGENT][POSITIVE] That's correct. [CUSTOMER][NEUTRAL] Yeah. [CUSTOMER][NEUTRAL] Uh, is there any group name? [AGENT][NEUTRAL] City of [PII]. [CUSTOMER][NEUTRAL] Sorry? [AGENT][NEUTRAL] City of [PII]. [CUSTOMER][NEUTRAL] Mhm [CUSTOMER][NEUTRAL] CD [AGENT][NEUTRAL] City of [PII]. [CUSTOMER][NEUTRAL] OK. [CUSTOMER][NEUTRAL] Uh, is there any claim mailing address for this person? [AGENT][NEUTRAL] Address is [PII]. [CUSTOMER][NEUTRAL] OK, could you verify me? [CUSTOMER][NEUTRAL] Yeah. [AGENT][NEUTRAL] And that's in [PII]? [CUSTOMER][NEUTRAL] Yeah [CUSTOMER][NEUTRAL] Yeah, OK. [CUSTOMER][NEUTRAL] Could you know uh. [CUSTOMER][NEUTRAL] Could you tell me your name please? [AGENT][NEUTRAL] It's [PII] [AGENT][NEUTRAL] Last initial is [PII]. [CUSTOMER][NEUTRAL] [PII], could you [CUSTOMER][NEUTRAL] Could you spell it for me? [AGENT][NEUTRAL] [PII] [CUSTOMER][NEUTRAL] Yeah. [CUSTOMER][NEUTRAL] Yeah. [CUSTOMER][NEUTRAL] Mhm. [CUSTOMER][NEUTRAL] Uh, [PII], right? [AGENT][NEUTRAL] Yes. [CUSTOMER][NEUTRAL] Yeah. [CUSTOMER][NEUTRAL] And last is your flight, right? [AGENT][NEUTRAL] S as in Sam. [CUSTOMER][NEUTRAL] Yeah. [CUSTOMER][NEUTRAL] May I know the call reference number? [AGENT][NEUTRAL] Reference is just my name [PII] last [PII] [PII], and the date and time of the call. Was there anything else I could assist with today? [CUSTOMER][POSITIVE] Yeah, yeah, no thanks. Have a nice day. Thank you for assisting me. Have a nice day, [PII]. [AGENT][POSITIVE] Thank you for calling APL. Have a good day. [CUSTOMER][NEUTRAL] But. [CUSTOMER][NEUTRAL] Mm [CUSTOMER][POSITIVE] Same to you thank you so much. [AGENT][NEUTRAL] Alright.