AccountId: 011433970860 ContactId: f5d8a049-b3c5-4b1a-ba6d-35784631e98a Channel: VOICE LanguageCode: en-US Total Conversation Duration: 160339 ms Total Talk Time (AGENT): 84175 ms Total Talk Time (CUSTOMER): 40238 ms Interruptions: 0 Overall Sentiment: AGENT=0.9, CUSTOMER=1 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/05/29/f5d8a049-b3c5-4b1a-ba6d-35784631e98a_20250529T18:57_UTC.wav -------------------------------------------- [AGENT][POSITIVE] Good afternoon. Thank you for calling APL. My name is [PII]. How may I help you? [CUSTOMER][NEUTRAL] Yes, I was trying to check on coverage for a patient and see what the effective and term date was and the claims mailing address. [AGENT][NEUTRAL] OK, well, I can help you with the eligibility and the claims mailing address. May I have your name and a good contact number in case we're disconnected? [CUSTOMER][NEUTRAL] It's [PII], and my phone number is [PII]. [AGENT][NEUTRAL] Thank you. And then may I have the member's policy number? [CUSTOMER][NEUTRAL] It's 02477821. [AGENT][NEUTRAL] Thank you, hold on one moment. [CUSTOMER][NEUTRAL] Mhm. [AGENT][NEUTRAL] And can you verify the member's first and last name and date of birth? [CUSTOMER][NEUTRAL] [PII] [PII]. [AGENT][NEUTRAL] Thank you for that and all the information provided is a verification of benefits, not a guarantee of payment. And this is for the medical policy, correct? [CUSTOMER][POSITIVE] Yes, that's right. [AGENT][NEUTRAL] OK, so I'm showing the policy is no longer active. Um, it was effective from [PII], and there was no um other medical policy with us after that. [CUSTOMER][NEUTRAL] OK. [AGENT][NEUTRAL] And then [CUSTOMER][NEUTRAL] And mhm. [AGENT][NEUTRAL] Oh, I'm sorry, um, and then our claims mailing address is um [PII]. [CUSTOMER][NEUTRAL] Oh go ahead. [CUSTOMER][NEUTRAL] Mhm. [AGENT][NEUTRAL] I'm sorry. Hold on one moment. [CUSTOMER][NEUTRAL] Mhm. [AGENT][NEUTRAL] I'm glad I double checked. It's [PII]. [AGENT][NEUTRAL] [PII] [AGENT][NEUTRAL] [PII]. [CUSTOMER][NEUTRAL] [PII], mhm. [AGENT][NEUTRAL] The zip code is [PII]. [AGENT][NEUTRAL] And there's a payer ID as well if you need it. [CUSTOMER][POSITIVE] Yes please. [AGENT][NEUTRAL] It's 64556. [CUSTOMER][NEUTRAL] And what's the time limit to file claims? [AGENT][NEUTRAL] Um, there's no timely filing as long as the policy was active on the data service, you can file at any time. [CUSTOMER][NEUTRAL] OK. [CUSTOMER][NEUTRAL] Alright, and I'm sorry, what was your name? [AGENT][NEUTRAL] My name is [PII]. [CUSTOMER][NEUTRAL] Alright. [AGENT][NEUTRAL] Alright, then was [CUSTOMER][POSITIVE] Alright I appreciate your help. [AGENT][POSITIVE] You're very welcome. Was there anything else I can help you with today? [CUSTOMER][NEUTRAL] No, that's it. [AGENT][POSITIVE] Alright, thanks for calling APL. I hope you have a good day. [AGENT][NEUTRAL] Bye bye. [CUSTOMER][POSITIVE] Thank you you too bye bye.