AccountId: 011433970860 ContactId: 0737f44d-e5de-4dc8-ba4d-7d3501a220c4 Channel: VOICE LanguageCode: en-US Total Conversation Duration: 100680 ms Total Talk Time (AGENT): 40583 ms Total Talk Time (CUSTOMER): 42027 ms Interruptions: 0 Overall Sentiment: AGENT=0.9, CUSTOMER=1.8 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/01/29/0737f44d-e5de-4dc8-ba4d-7d3501a220c4_20250129T20:24_UTC.wav -------------------------------------------- [AGENT][NEUTRAL] Calling APL, my name is [PII]. How may I assist you today? [CUSTOMER][POSITIVE] Uh, yes, thank you, [PII]. I'm calling to get eligibility and benefits for a patient. [AGENT][POSITIVE] I'd be happy to assist with benefits and eligibility. May I have your first name please? [CUSTOMER][NEUTRAL] Uh, sure, [PII]. [AGENT][NEUTRAL] And [PII], if I can get a good callback number for you? [CUSTOMER][NEUTRAL] [PII]. [AGENT][NEUTRAL] And what is the policy number? [CUSTOMER][NEUTRAL] We have 01545902. [AGENT][NEUTRAL] Patient's name and date of birth. [CUSTOMER][NEUTRAL] [PII]. [CUSTOMER][NEUTRAL] His date of birth is. [CUSTOMER][NEUTRAL] Uh, [PII]. [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] Mhm. [CUSTOMER][NEUTRAL] Mhm. [CUSTOMER][NEUTRAL] Oh [CUSTOMER][NEUTRAL] Outpatient benefits for the hospital. [AGENT][NEUTRAL] Alright, I do show for outpatient, the calendar year maximum is $1250. [CUSTOMER][NEUTRAL] OK. [CUSTOMER][NEUTRAL] And uh has the patient used any? [AGENT][NEUTRAL] Not so far this year, no. [CUSTOMER][NEUTRAL] Not so far, OK. [CUSTOMER][POSITIVE] All right, perfect. So 1250 per calendar year. All right, [PII], thank you so much. Can I have the initial of your last name? [AGENT][NEUTRAL] It's [PII]. Was there anything else I could assist with today? [CUSTOMER][POSITIVE] No, that will be all for now thank you I appreciate it. [AGENT][POSITIVE] Thank you for calling APL. You have a good day. [CUSTOMER][POSITIVE] Thank you you too bye bye now. [AGENT][NEUTRAL] Right.