AccountId: 011433970860 ContactId: dffe672f-5c41-4653-ac1b-cced39f63e9a Channel: VOICE LanguageCode: en-US Total Conversation Duration: 575960 ms Total Talk Time (AGENT): 155021 ms Total Talk Time (CUSTOMER): 301756 ms Interruptions: 2 Overall Sentiment: AGENT=1.8, CUSTOMER=1 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/01/21/dffe672f-5c41-4653-ac1b-cced39f63e9a_20250121T14:01_UTC.wav -------------------------------------------- [AGENT][NEUTRAL] Thank you for calling American Public Life. This is [PII]. How may I help you? [CUSTOMER][NEUTRAL] Hi [PII]. My name is [PII]. I'm calling from provider's office to check on member eligibility. [AGENT][NEUTRAL] I can verify eligibility. May I have a policy number? [CUSTOMER][NEUTRAL] Sure, I have the policy number as 60801. [AGENT][NEUTRAL] I do apologize, that is our payer ID number. [CUSTOMER][NEUTRAL] Oh I'm so sorry for that morning, but I only have this ID number. If you don't mind, could you please search with member's first name and last name? [AGENT][NEUTRAL] Yes, one moment. [CUSTOMER][NEUTRAL] Yeah [AGENT][NEUTRAL] Can you spell the first and last name? [CUSTOMER][NEUTRAL] Sure, my first name is spelled [PII]. [CUSTOMER][NEUTRAL] And uh the last name, it spells [PII]. [AGENT][NEUTRAL] And may I have a date of birth? [CUSTOMER][NEUTRAL] Date of birth will be [PII]. [AGENT][NEUTRAL] And may I have a good callback number for you? [CUSTOMER][NEUTRAL] Callback number will be [PII] with an extension [PII]. [AGENT][POSITIVE] Thank you, one moment. [CUSTOMER][NEUTRAL] Sure. [AGENT][NEUTRAL] And this name is not coming up in our system. Do you by chance have the group number or social security number? [CUSTOMER][NEUTRAL] OK. [CUSTOMER][NEUTRAL] 01 moment. I need to check that. Just give me a moment. [CUSTOMER][NEGATIVE] Unfortunately I don't have either the members uh group number or their uh social security number. [AGENT][NEUTRAL] OK, cause I'm not bringing her up by a name search. [CUSTOMER][NEUTRAL] OK, sure. Uh, so what you're saying is, uh, uh, with name and date of birth, search no member was found, right? [AGENT][POSITIVE] That is correct. [CUSTOMER][POSITIVE] Thank you so much for that and uh is the reference number for our call? [AGENT][NEUTRAL] It will be my name, which is [PII] Last initial is [PII] along with today's date. [CUSTOMER][POSITIVE] Thank you so much for that and the thing is I do have 4 more to check for eligibility. Could you please also help me with them? [AGENT][NEUTRAL] May I have the policy number? [CUSTOMER][NEUTRAL] Sure. For the next member, I have their policy number as 01. [CUSTOMER][NEUTRAL] One moment. I'm gonna repeat it. 01978707. M as in Mike, L as in Lima, number 7. [AGENT][POSITIVE] Thank you, one moment. [CUSTOMER][NEUTRAL] Mhm. [AGENT][NEUTRAL] Patient's name and date of birth? [CUSTOMER][NEUTRAL] I [CUSTOMER][NEUTRAL] Member first name is [PII] and the last name is [PII], with the date of birth of [PII]. [AGENT][NEUTRAL] Thank you for verifying that information. Let me get this pulled up. [CUSTOMER][NEUTRAL] And [AGENT][NEUTRAL] It looks like this plan termed on [PII], there is no active policy on file. [CUSTOMER][POSITIVE] Thank you so much for that. And if you don't mind, could you please uh provide me with the effective date as well? [AGENT][NEUTRAL] [PII]. [CUSTOMER][NEUTRAL] [PII] and uh [CUSTOMER][NEUTRAL] Termed on [PII], right? [AGENT][POSITIVE] That is correct. [CUSTOMER][POSITIVE] Thank you so much for that and uh just give me a moment let me get the next member's details. [AGENT][NEUTRAL] OK, one moment. [CUSTOMER][NEUTRAL] Sure. [CUSTOMER][NEUTRAL] I [CUSTOMER][NEUTRAL] Yeah [CUSTOMER][NEUTRAL] Yeah. [CUSTOMER][NEUTRAL] Yeah [CUSTOMER][NEUTRAL] OK. [CUSTOMER][NEUTRAL] OK. [CUSTOMER][NEUTRAL] I. [AGENT][POSITIVE] OK, I'm ready when you are. [CUSTOMER][NEUTRAL] Member ID will be 02473024 M as in Mike, L as in Lima number 7. [AGENT][NEUTRAL] Patient's name and date of birth? [CUSTOMER][NEUTRAL] Patient's first name is [PII], and the last name is spelled [PII] with the date of birth of [PII]. [AGENT][POSITIVE] Thank you for verifying that information. This plan is effective for [PII] and it is active. [CUSTOMER][POSITIVE] Thank you so much for that and it's a policy, right? [AGENT][NEUTRAL] I'm sorry? [CUSTOMER][NEUTRAL] It's a gap policy, right? [AGENT][POSITIVE] Yes, that is correct. [CUSTOMER][NEUTRAL] And could you please provide me with the member's group number? [AGENT][NEUTRAL] Yes, it would be. [AGENT][NEUTRAL] 231 43. [CUSTOMER][NEUTRAL] Yeah [CUSTOMER][NEUTRAL] Thank you and uh may I know the uh mailing address? [AGENT][NEUTRAL] Yes, it is [PII]. [AGENT][NEUTRAL] [PII]. [CUSTOMER][NEUTRAL] [PII]. [AGENT][NEUTRAL] And that's [PII]. [CUSTOMER][NEUTRAL] Yeah. [AGENT][NEUTRAL] 73124-8950. [CUSTOMER][POSITIVE] Thank you so much for that. And uh one last question regarding this number. May I know whether [PII] is a subscriber or a dependent in the plan? [AGENT][NEUTRAL] Dependent [CUSTOMER][NEUTRAL] And subscribe and subscriber's name will be [PII], right? [AGENT][POSITIVE] That is correct. [CUSTOMER][POSITIVE] Thank you so much for that. And uh just give me a moment, let me get the next member's details. [AGENT][NEUTRAL] OK. [CUSTOMER][NEUTRAL] OK. [CUSTOMER][NEUTRAL] OK, shall I provide the next member's details if you're ready? [AGENT][POSITIVE] Sure. I'm ready. [CUSTOMER][NEUTRAL] I have the ID number for this number as 923912. [CUSTOMER][NEUTRAL] Oh. [CUSTOMER][NEUTRAL] Yeah. [AGENT][NEUTRAL] Patient's name and date of birth? [CUSTOMER][NEUTRAL] And the first name is [PII] and the last name is [PII]. [CUSTOMER][NEUTRAL] With the date of birth of [PII]. [AGENT][POSITIVE] Thank you. [AGENT][NEUTRAL] Let's see, looks like this plan was effective [PII]. It turned [PII]. There is no active policy on file. [CUSTOMER][NEUTRAL] Uh, if you don't mind, uh, could you please repeat the termination date? [AGENT][NEUTRAL] [PII]. [CUSTOMER][POSITIVE] Thank you so much for that and the member plan is no longer active, right? [AGENT][POSITIVE] That is correct. [CUSTOMER][POSITIVE] Thank you so much and uh just give me a moment let me get the last member's details. [AGENT][NEUTRAL] OK, one moment. [CUSTOMER][NEUTRAL] Yeah. [CUSTOMER][NEUTRAL] I [CUSTOMER][NEUTRAL] Oh [CUSTOMER][NEUTRAL] OK, just let me know when you're ready for the member ID. [AGENT][NEUTRAL] OK, one moment. [CUSTOMER][NEUTRAL] OK [AGENT][NEUTRAL] OK. [CUSTOMER][NEUTRAL] Yeah [CUSTOMER][NEUTRAL] Member ID will be 02451543 M as in Mike L as in Lima 8. [AGENT][NEUTRAL] Thank you. Patient's name and date of birth? [CUSTOMER][NEUTRAL] And the first name is [PII] and the last name is [PII] with the date of birth of [PII]. [AGENT][POSITIVE] Thank you. [AGENT][POSITIVE] Thank you. Policy is effective [PII] and it is active. [CUSTOMER][NEUTRAL] B [CUSTOMER][POSITIVE] Thank you so much and uh this is also a gap policy, right? [AGENT][POSITIVE] That is correct. [CUSTOMER][NEUTRAL] And could you please provide me with the member's group number? [AGENT][NEUTRAL] Yes. [AGENT][NEUTRAL] 17776. [CUSTOMER][POSITIVE] And thank you so much and the member [PII] is the primary subscriber of the plan, right? [AGENT][POSITIVE] That is correct. [CUSTOMER][NEUTRAL] I [CUSTOMER][POSITIVE] Thank you so much for the confirmation, [PII], and uh that's all for today. Have a great day and stay safe. [AGENT][POSITIVE] No, you're so welcome and thank you for calling American Public Life. Have a great day. Bye-bye. [CUSTOMER][POSITIVE] Mhm thank you bye.