AccountId: 011433970860 ContactId: e69fad48-2842-41df-a44e-095d2398c7ea Channel: VOICE LanguageCode: en-US Total Conversation Duration: 279290 ms Total Talk Time (AGENT): 140461 ms Total Talk Time (CUSTOMER): 91767 ms Interruptions: 2 Overall Sentiment: AGENT=2.1, CUSTOMER=2.4 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/01/02/e69fad48-2842-41df-a44e-095d2398c7ea_20250102T13:52_UTC.wav -------------------------------------------- [AGENT][POSITIVE] Good morning. Thank you for calling APL. My name is [PII]. How may I help you? [CUSTOMER][NEUTRAL] Hi [PII], my name is [PII] calling from the Wellness Connection, and I was just calling to see if this patient has any chiropractic benefits on their plan. [AGENT][POSITIVE] Well, [PII], it would be a pleasure to help you with those chiropractic, I can't say it, benefits. [AGENT][NEUTRAL] What is a good callback number? [CUSTOMER][POSITIVE] Perfect. Thank you. [CUSTOMER][NEUTRAL] It is [PII]. [AGENT][NEUTRAL] Thank you. And what is the patient's name and date of birth? [CUSTOMER][NEUTRAL] His name is [PII]. Last name is [PII], and his date of birth is [PII]. [AGENT][NEUTRAL] Thank you. And what is the policy number? [CUSTOMER][NEUTRAL] Policy number is. [CUSTOMER][NEUTRAL] 02543807 [AGENT][NEUTRAL] Thank you. And the patient's name and date of birth? I'm sorry, we've already done that. [PII], yeah, got him. I do apologize. I went out of order, but I wrote everything down so I wouldn't have to ask you again. [CUSTOMER][NEUTRAL] Yes. [CUSTOMER][NEUTRAL] That's OK. [CUSTOMER][NEUTRAL] [PII] in [PII], we, we'll give a pass. [AGENT][POSITIVE] Oh, yes, thank you. I appreciate that, [PII]. [CUSTOMER][NEUTRAL] Mhm. [CUSTOMER][POSITIVE] Of course, absolutely. [AGENT][NEUTRAL] Let, let me check on something to see if he's even eligible. [AGENT][NEUTRAL] Now, it looks like. [AGENT][NEUTRAL] Let me check. I apologize. I'm having to check for eligibility first. [CUSTOMER][POSITIVE] That's all right. [AGENT][NEUTRAL] Do you mind if I put you on a brief hold so that I can verify that eligibility before we look at chiropractic benefits? [CUSTOMER][POSITIVE] Not a problem. [AGENT][POSITIVE] All right, thank you. I appreciate it. One moment please. [CUSTOMER][NEUTRAL] Transferring. [CUSTOMER][NEUTRAL] Thank you for calling APL. This is [PII]. How may I help you? [AGENT][POSITIVE] Hi, [PII]. Happy New Year. This is [PII]. Can, can you help me check eligibility on a patient? [CUSTOMER][POSITIVE] Happy New Year. [CUSTOMER][NEUTRAL] Um, I'm not quite sure how that works. [AGENT][NEUTRAL] Yes. [AGENT][NEUTRAL] I mean, just to see if the policy is in fact going to lapse or if it's active. [CUSTOMER][NEUTRAL] Oh, all right. OK, got it. [AGENT][NEUTRAL] Policy number is 254. [AGENT][NEUTRAL] 3807. [CUSTOMER][NEUTRAL] Mhm. [AGENT][NEUTRAL] I have a provider on the line uh for eligibility for part two. I see the featured lapsed date of [PII], but when I go to PLBFT, there's no termination. [AGENT][NEUTRAL] D [AGENT][NEUTRAL] I see for future lab date. [CUSTOMER][NEUTRAL] OK, so, [CUSTOMER][NEUTRAL] Yes, the [CUSTOMER][NEUTRAL] Yes, once the policy gets paid out, um, it will lapse effective [PII] and that's when the lapse date is gonna be applied into PIPFT. [AGENT][NEUTRAL] Got you. OK, thank you. So uh that's all I needed. I just need to verify that it was in fact will be turned on [PII]. [CUSTOMER][NEUTRAL] Mhm. [CUSTOMER][NEUTRAL] All right. [AGENT][NEUTRAL] No benefits available. Thank you so much. [CUSTOMER][NEUTRAL] Mhm. [AGENT][POSITIVE] I appreciate it. [CUSTOMER][POSITIVE] You're welcome. Have a good one. [AGENT][POSITIVE] I hope you do too, [PII]. Thank you. Bye-bye. [CUSTOMER][POSITIVE] Thank you. [AGENT][NEUTRAL] [PII], thank you for your patience. So actually the policy will not provide benefits after data service 121. It's [CUSTOMER][POSITIVE] Yes, no problem. [CUSTOMER][NEUTRAL] OK, so it's no longer active. [AGENT][POSITIVE] That's correct. [CUSTOMER][NEUTRAL] OK. [CUSTOMER][POSITIVE] All right. Well, that is what I needed to know. [AGENT][POSITIVE] Well, it's been such a pleasure to assist you, and I did check to see if they had any other coverage with us, and, and they do not. But thank you for calling APL. It's a pleasure to assist you with that eligibility for [PII], and I hope you have a wonderful day and I hope this is the best new year ever. [CUSTOMER][NEUTRAL] OK. [CUSTOMER][POSITIVE] Thank you. [AGENT][NEUTRAL] We're gonna claim it. [CUSTOMER][POSITIVE] Oh, thank you so much. You as well. [AGENT][POSITIVE] Thank you, [PII]. Take care. [CUSTOMER][POSITIVE] Take care. Bye-bye. [AGENT][NEUTRAL] Bye-bye.