AccountId: 011433970860 ContactId: 0ac0878b-9ff3-4cf9-b385-98553e565264 Channel: VOICE LanguageCode: en-US Total Conversation Duration: 142630 ms Total Talk Time (AGENT): 70108 ms Total Talk Time (CUSTOMER): 44291 ms Interruptions: 0 Overall Sentiment: AGENT=0.4, CUSTOMER=1.4 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/05/27/0ac0878b-9ff3-4cf9-b385-98553e565264_20250527T14:53_UTC.wav -------------------------------------------- [AGENT][NEUTRAL] Thank you for calling ATL. This is [PII]. How can I help you? [CUSTOMER][NEUTRAL] I'm sorry, what is your name? [AGENT][NEUTRAL] [PII] [CUSTOMER][NEUTRAL] Hi, my name is [PII] and I'm calling for eligibility and benefits on a patient. [AGENT][NEUTRAL] OK, I can take eligibility and benefits for you. You said your name was [PII]? [CUSTOMER][NEUTRAL] Yes. [AGENT][NEUTRAL] OK, can I get a good call back number from you first in case we're disconnected? [CUSTOMER][NEUTRAL] Yes, it's [PII]. [CUSTOMER][NEUTRAL] [PII]. [CUSTOMER][NEUTRAL] [PII]. [AGENT][NEUTRAL] OK, thank you, and then do you have the policy number? [CUSTOMER][NEUTRAL] So what she gave me is 01227700. [AGENT][NEUTRAL] OK thank you one moment. [CUSTOMER][NEUTRAL] Oh, [PII]'s on the phone. [AGENT][NEUTRAL] And what was the name and date of birth for this number? [CUSTOMER][NEUTRAL] [PII] [PII]. [AGENT][NEUTRAL] OK, thank you for verifying that. So this policy is active. Effective date was [PII], and this is a secondary medical policy, so it is designed to help with co-pay, deductible and co-insurance after major medical pays, and we're reading to uh look at inpatient or outpatient benefits for this number. [CUSTOMER][NEUTRAL] Hello? [CUSTOMER][NEUTRAL] go back [CUSTOMER][NEUTRAL] I already did it. [CUSTOMER][NEUTRAL] Um, I don't know the outpatient. [AGENT][NEUTRAL] Outpatient, OK, and of course I will let you know verification of coverage is not a guarantee of payment for claims. The outpatient benefit is $500 per calendar year. If you'll give me one moment, I'll see if any of that has been used. [CUSTOMER][NEUTRAL] I didn't think so [CUSTOMER][NEUTRAL] OK. [AGENT][NEUTRAL] OK, so none has been used so far this year. [CUSTOMER][POSITIVE] OK, perfect. Alright, no problem. [AGENT][NEUTRAL] Alright, was there anything else I can help you with? [CUSTOMER][POSITIVE] Thank you so much for your help. Yes, can I have a reference? [AGENT][NEUTRAL] That would be my first name, last initial, and today's date, um, so my last initial is A. [CUSTOMER][POSITIVE] OK, thank you so much have a great day. [AGENT][POSITIVE] Alright, of course, thanks for calling HL you too bye bye. [CUSTOMER][NEUTRAL] Bye bye.