AccountId: 011433970860 ContactId: 0c3ca535-1afb-4695-b3d3-b5ab3da5d984 Channel: VOICE LanguageCode: en-US Total Conversation Duration: 765140 ms Total Talk Time (AGENT): 203736 ms Total Talk Time (CUSTOMER): 358588 ms Interruptions: 4 Overall Sentiment: AGENT=-0.3, CUSTOMER=0.3 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/04/23/0c3ca535-1afb-4695-b3d3-b5ab3da5d984_20250423T16:53_UTC.wav -------------------------------------------- [CUSTOMER][NEUTRAL] OK [AGENT][POSITIVE] Thanks for calling ATL. [CUSTOMER][NEUTRAL] I'm. [CUSTOMER][NEUTRAL] Hello? [AGENT][NEUTRAL] Hello. [CUSTOMER][NEUTRAL] This is [PII]. I'm calling for dental office looking. [AGENT][NEUTRAL] Hello, can I help you? [AGENT][NEUTRAL] What was your name? [CUSTOMER][NEUTRAL] I'm calling for dental. My name is [PII]. [AGENT][NEUTRAL] Yeah. [CUSTOMER][NEUTRAL] What's [CUSTOMER][NEUTRAL] Hello? [AGENT][NEUTRAL] Yes, can you hear me? [CUSTOMER][NEUTRAL] Yeah, yeah. [AGENT][NEUTRAL] You have a good callback number? [CUSTOMER][NEUTRAL] [PII]. [AGENT][NEUTRAL] The policy number of the patient? [CUSTOMER][NEUTRAL] I have no policy number. I have already [CUSTOMER][NEUTRAL] Uh, policy certificate number. [AGENT][NEUTRAL] OK, what is that? [CUSTOMER][NEUTRAL] It's 02474928. [CUSTOMER][NEUTRAL] Yeah [AGENT][NEUTRAL] And patient name and date of birth? [CUSTOMER][NEUTRAL] I [CUSTOMER][NEUTRAL] My name is uh [PII]. Date of birth is [PII]. [CUSTOMER][NEUTRAL] Yeah [CUSTOMER][NEUTRAL] Uh [CUSTOMER][NEUTRAL] And [AGENT][NEUTRAL] I show the policies effective [PII] currently active, no term date? [CUSTOMER][NEUTRAL] Mhm. [AGENT][NEUTRAL] Again fact a fact fact that has all the benefits you need that or are you needing to go over it over the phone? [CUSTOMER][NEUTRAL] 1 2nd, 34. [CUSTOMER][NEUTRAL] I have full break breakdown. Uh, is the provider is the in-net or out network? [AGENT][NEUTRAL] Uh, they have a network. It's [PII]. They can use that network. We don't know who's in network with them. I can give you their number. [CUSTOMER][NEUTRAL] Yeah [CUSTOMER][NEUTRAL] that [CUSTOMER][NEUTRAL] I [CUSTOMER][NEUTRAL] One second. I official is Carrington. [AGENT][NEUTRAL] The network is Carrington. [CUSTOMER][NEUTRAL] Carrington. And what is the fee? [AGENT][NEUTRAL] Yes. [AGENT][NEUTRAL] I, I'm sorry? [CUSTOMER][NEUTRAL] What is the fee schedule? [AGENT][NEUTRAL] The pay schedule? [CUSTOMER][NEUTRAL] Yes. [AGENT][NEUTRAL] Just based on what's reasonable and customary. [CUSTOMER][NEUTRAL] What [AGENT][NEUTRAL] The schedules based, yes, the schedules based on what's reasonable and customary. [CUSTOMER][NEUTRAL] Hello. [CUSTOMER][NEUTRAL] OK, based on customary. [CUSTOMER][NEUTRAL] Usually customary. [CUSTOMER][NEUTRAL] One second. [CUSTOMER][NEUTRAL] The yearly. [CUSTOMER][NEUTRAL] Yeah [CUSTOMER][NEUTRAL] Customary, one second. [CUSTOMER][NEUTRAL] That [CUSTOMER][POSITIVE] It's correct the usually custom. [AGENT][NEUTRAL] Yeah, it's usual and customary. [CUSTOMER][NEUTRAL] Hello. [CUSTOMER][NEUTRAL] OK, and is the calendar policy fiscal year? [AGENT][NEUTRAL] The calendar year policy. [CUSTOMER][NEUTRAL] Yeah [AGENT][NEUTRAL] Not a guarantee of payment based outline. [CUSTOMER][NEUTRAL] OK, how much I max? [AGENT][NEUTRAL] How much have they met? [CUSTOMER][NEUTRAL] Is that how much I need maximum and remaining amount? [CUSTOMER][NEUTRAL] Hello? [CUSTOMER][NEGATIVE] Your voice is breaking, breaking down. [AGENT][NEUTRAL] I, I wasn't talking. [CUSTOMER][NEUTRAL] I know. [AGENT][NEUTRAL] Can you hear me? [CUSTOMER][NEUTRAL] How much I need maximum and yes, how much I need maximum demanding amount? [AGENT][NEUTRAL] I'm, I'm checking. [AGENT][NEUTRAL] I'm checking. Hold on one moment. [CUSTOMER][NEUTRAL] OK. [CUSTOMER][NEUTRAL] It [CUSTOMER][NEUTRAL] Yeah [CUSTOMER][NEUTRAL] Yeah [AGENT][NEUTRAL] Um, they haven't used any of their calendar year max of 500. [CUSTOMER][NEUTRAL] 500, only 500. [AGENT][NEUTRAL] Yes. [CUSTOMER][NEUTRAL] OK. How the remaining amount? [AGENT][NEUTRAL] They have not used anything. They have the full 500. [CUSTOMER][NEUTRAL] OK, and deductible? [AGENT][NEUTRAL] 50. [CUSTOMER][NEUTRAL] 50, OK. Nothing has been used. [CUSTOMER][NEUTRAL] It's correct or nothing has been used. Which frequency applies to deductible basic major and preventive. [AGENT][POSITIVE] Correct, yes. [CUSTOMER][NEUTRAL] Yeah. [AGENT][NEUTRAL] I'm sorry, what did you say? [CUSTOMER][NEUTRAL] Which frequency applies to deductible basic measure and preventive. [AGENT][NEGATIVE] There's no major coverage. [AGENT][NEUTRAL] Radiographs, FMX expenses, basic and basic restorative, those all apply to uh the $50 deductible. [CUSTOMER][NEUTRAL] I want basic and preventive is correct? [AGENT][NEUTRAL] Some preventative services don't apply. [CUSTOMER][NEUTRAL] Hello. [CUSTOMER][POSITIVE] Uh, no, apply only for the basic. OK. Thank you so much. [CUSTOMER][NEUTRAL] And what is the group name and group number? [AGENT][NEUTRAL] Let me check. Hold on one moment. [CUSTOMER][POSITIVE] Yes, sure, take your time. [AGENT][NEUTRAL] 70052 is the group number. Group name is Oxford Global Resources. [CUSTOMER][NEUTRAL] 700 [CUSTOMER][NEUTRAL] One second. Is the 7001? [AGENT][NEUTRAL] 70052. [CUSTOMER][NEUTRAL] Mhm. [CUSTOMER][NEUTRAL] Can you spell out name is the group number group name? [AGENT][NEUTRAL] Uh, it's Oxford, O as in Oscar, X as in X-ray, F as in Foxtrot, O as in Oscar, R as in Romeo. [AGENT][NEUTRAL] D as in Delta. [AGENT][NEUTRAL] Global [AGENT][NEUTRAL] G as in Golf, L as in Lima, O as in Oscar, B as in Bravo, A as in Alpha, L as in Lima. [CUSTOMER][NEUTRAL] Mm. [AGENT][NEUTRAL] Resources [AGENT][NEUTRAL] R as in Romeo, E as in Echo, S as in Sierra, O as in Oscar. [CUSTOMER][NEUTRAL] Oh [CUSTOMER][NEUTRAL] Oxford 17. [CUSTOMER][NEUTRAL] One second is the Oxford Hall, is it correct? [AGENT][NEUTRAL] Oxford Global Resources. [CUSTOMER][NEUTRAL] I [CUSTOMER][NEUTRAL] OK. Oxford Global Resources. [CUSTOMER][NEUTRAL] Oxford. Is that O for Oscar, O for X for X-ray, P for Paul, O for Oscar, R for India, R for Romeo, D for Delta, is it correct? Oxford. [AGENT][NEUTRAL] Yes. [CUSTOMER][NEUTRAL] OK, for resources. [CUSTOMER][NEUTRAL] My name's [CUSTOMER][NEUTRAL] One second, and. [CUSTOMER][NEUTRAL] Which is is global. [CUSTOMER][POSITIVE] Correct. OK. Thank you so much. [AGENT][NEUTRAL] Yes. [CUSTOMER][NEUTRAL] Can you one more time. Can you please spell out one more time? [CUSTOMER][NEUTRAL] Yeah [AGENT][NEUTRAL] You say spell it out? [CUSTOMER][NEUTRAL] Yeah. [AGENT][NEUTRAL] [PII]. [AGENT][NEUTRAL] Global [CUSTOMER][NEUTRAL] Mhm. [AGENT][NEUTRAL] [PII]a. [CUSTOMER][NEUTRAL] Yeah [CUSTOMER][NEUTRAL] Mm [CUSTOMER][NEUTRAL] OK. [AGENT][NEUTRAL] [PII]. [CUSTOMER][NEUTRAL] Oxford [PII]. [CUSTOMER][POSITIVE] Thank you so much. [CUSTOMER][NEUTRAL] And uh any history for this patient? [AGENT][NEUTRAL] History, via the coast? [CUSTOMER][NEUTRAL] And to participation? [AGENT][NEUTRAL] Sorry? [CUSTOMER][NEUTRAL] Any history for this patient? [AGENT][NEUTRAL] Any history? Is that what you said? [CUSTOMER][NEUTRAL] Uh [CUSTOMER][NEUTRAL] On. [AGENT][NEUTRAL] You say history? [AGENT][NEUTRAL] Hello? [CUSTOMER][NEUTRAL] What [CUSTOMER][NEUTRAL] Yes, what I need to put. [AGENT][NEGATIVE] And you're breaking up. [CUSTOMER][NEUTRAL] Yeah. [CUSTOMER][NEUTRAL] Hello. [CUSTOMER][NEUTRAL] Yeah. [CUSTOMER][NEUTRAL] It. [AGENT][NEGATIVE] You you're breaking up. [CUSTOMER][NEUTRAL] Yeah. [AGENT][NEUTRAL] You there? [CUSTOMER][NEUTRAL] Really. [CUSTOMER][NEUTRAL] Yes, I, uh, any issue for this patient? [AGENT][NEUTRAL] Any history? Are you saying history? [CUSTOMER][NEUTRAL] Yes. [AGENT][NEUTRAL] OK, I need the codes. What history are you referring to? I'll need the codes to check history. [CUSTOMER][NEUTRAL] Yes [CUSTOMER][NEUTRAL] 015001. [CUSTOMER][NEUTRAL] OK, is, I have, uh, one more, uh, is there any waiting period then missing people? [AGENT][NEUTRAL] Um, let me check. [CUSTOMER][NEUTRAL] Mhm. [CUSTOMER][NEUTRAL] The American or one patient my customers. [AGENT][NEGATIVE] There's no, there's no. [CUSTOMER][NEUTRAL] No, with what, uh, you see that and get that OK so. [AGENT][NEUTRAL] I'm sorry, you're [AGENT][NEGATIVE] There's no, there's no. [AGENT][NEUTRAL] Hello. [CUSTOMER][NEUTRAL] Yes, is there any waiting period and missing? [AGENT][NEUTRAL] There's no waiting period, there is a missing tooth clause. [CUSTOMER][NEUTRAL] OK, and brown or bed she did. [CUSTOMER][NEUTRAL] Yeah. [CUSTOMER][POSITIVE] OK, thank you so much. And uh is it I have some code needs some frequency and percentage. [AGENT][NEUTRAL] You have codes, is that what you said? [CUSTOMER][NEUTRAL] Yes, [PII] BB 0274111420613512 talented 33304341. [CUSTOMER][NEUTRAL] 4109171407210722021506750151106010605960569944 and 7953. [AGENT][NEUTRAL] OK, I can fax over that information to you. Do you have a good fax number? [CUSTOMER][NEUTRAL] Um [CUSTOMER][POSITIVE] Yeah, sure. Thank you so much. [CUSTOMER][NEUTRAL] All the history for the insects, is correct? [AGENT][NEUTRAL] Sure [AGENT][NEUTRAL] Sorry? [CUSTOMER][NEUTRAL] And. [CUSTOMER][NEUTRAL] All you are considering taxes, correct? [AGENT][NEUTRAL] I can't, I'm, I'm sorry, I can't understand what you're saying. [CUSTOMER][NEUTRAL] Fax number is [PII]. [AGENT][NEUTRAL] OK, [PII]? [CUSTOMER][NEUTRAL] Yeah. [AGENT][NEUTRAL] OK, I'll fax that over. [CUSTOMER][NEUTRAL] All the benefits and taxes, correct? [AGENT][NEUTRAL] Yes. [CUSTOMER][POSITIVE] Thank you so much. And please give me a reference number in your name. [AGENT][NEUTRAL] My name is [PII], and today's date is the reference number. My name and today's date. [CUSTOMER][NEUTRAL] Yeah. [CUSTOMER][NEUTRAL] OK. [CUSTOMER][POSITIVE] OK, thank you so much. [CUSTOMER][NEUTRAL] So [CUSTOMER][NEUTRAL] Yeah [CUSTOMER][NEUTRAL] OK.