AccountId: 011433970860 ContactId: 08c1335a-4cc1-4bbf-b4f7-7a1e6adb014d Channel: VOICE LanguageCode: en-US Total Conversation Duration: 162729 ms Total Talk Time (AGENT): 72934 ms Total Talk Time (CUSTOMER): 68288 ms Interruptions: 0 Overall Sentiment: AGENT=0.6, CUSTOMER=0.8 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/03/26/08c1335a-4cc1-4bbf-b4f7-7a1e6adb014d_20250326T15:53_UTC.wav -------------------------------------------- [AGENT][NEUTRAL] Thank you for calling American Public Life. This is [PII]. How may I help you? [CUSTOMER][NEUTRAL] Hi [PII], I'm calling to get, um, just to see if we're in network with this patient, um, gap insurance. [AGENT][NEUTRAL] There is no network you can utilize any provider. [CUSTOMER][NEUTRAL] OK. [AGENT][NEUTRAL] Would you like for me to verify benefits? [CUSTOMER][NEUTRAL] Um, yes, of course, if you can. [AGENT][NEUTRAL] May I have your, yes, may I have your name and the policy number? [CUSTOMER][NEUTRAL] Yes, my name is [PII], and then the policy number for the patient. [CUSTOMER][NEUTRAL] I have a group number if that's fine. [AGENT][NEUTRAL] OK. [CUSTOMER][NEUTRAL] It's 14,640. [AGENT][NEUTRAL] [PII], may I have a good callback number for you? [CUSTOMER][NEUTRAL] It's [PII]. [AGENT][POSITIVE] Thank you. [AGENT][NEUTRAL] And I need the patient's name and date of birth. [CUSTOMER][NEUTRAL] OK, patient's name is [PII]. Date of birth [PII]. [AGENT][NEUTRAL] And how are you spelling the last name? [CUSTOMER][NEUTRAL] [PII] [AGENT][NEUTRAL] OK. [AGENT][NEUTRAL] Thank you for verifying that information. Please be advised that verification of coverage does not guarantee the payment of a claim. So the policy number will be 0193. [CUSTOMER][POSITIVE] Thank you. [CUSTOMER][NEUTRAL] OK. [AGENT][NEUTRAL] 552 5 [CUSTOMER][NEUTRAL] So like [AGENT][NEUTRAL] This, this policy is effective [PII] and it is active. [CUSTOMER][NEUTRAL] OK. [CUSTOMER][NEUTRAL] OK. [AGENT][NEUTRAL] And which benefit can I provide for you? [CUSTOMER][NEUTRAL] Um, I just wanted to see if they have like a copay if anything. [AGENT][NEUTRAL] This plan will [CUSTOMER][NEUTRAL] For a co-insurance. [AGENT][NEUTRAL] It will pick up the copays, the co-insurance, and or deductibles up to the benefit amount. Yes, ma'am. This is their secondary plan. [CUSTOMER][NEUTRAL] OK. [CUSTOMER][NEUTRAL] OK. [CUSTOMER][NEUTRAL] OK, perfect, thank you so much. I just needed to see if we were um if they were like in network of the effective date. um, do you think I could have a reference number for this call? [AGENT][NEUTRAL] Yes, it will be my name which is [PII] Last initial is [PII] along with today's date. [CUSTOMER][NEUTRAL] take [CUSTOMER][NEUTRAL] OK. [CUSTOMER][POSITIVE] OK, perfect, thank you so much. [AGENT][POSITIVE] [PII], you're so welcome and thank you for calling American Public Life. Have a great day. Bye-bye. [CUSTOMER][POSITIVE] Of course you too bye bye.