AccountId: 011433970860 ContactId: 0fff4f0b-6448-4241-8602-6a6cf5ea6e31 Channel: VOICE LanguageCode: en-US Total Conversation Duration: 124279 ms Total Talk Time (AGENT): 65793 ms Total Talk Time (CUSTOMER): 31218 ms Interruptions: 0 Overall Sentiment: AGENT=1, CUSTOMER=1 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/02/13/0fff4f0b-6448-4241-8602-6a6cf5ea6e31_20250213T16:24_UTC.wav -------------------------------------------- [AGENT][NEUTRAL] Thank you for calling APL. This is [PII]. How may I help you? [CUSTOMER][NEUTRAL] Hi, this is [PII]. I'm calling from Prima Health. [CUSTOMER][NEUTRAL] And I want to verify business benefits and eligibility. [AGENT][NEUTRAL] OK, I can help you with um benefits and eligibility um can I please get your callback number just in case we're disconnected? [CUSTOMER][NEUTRAL] Yes, it's uh [PII]. [CUSTOMER][NEUTRAL] [PII], no extension. [AGENT][POSITIVE] Thank you. And what's the patient's name? [CUSTOMER][NEUTRAL] [PII]. Date of birth is [PII]. [AGENT][NEUTRAL] Oh thank you. And what's the patient's policy number? [CUSTOMER][NEUTRAL] 02493354 [AGENT][NEUTRAL] OK, let me look her up real quick. [AGENT][NEUTRAL] OK, I do show that [PII] does have an active policy. Her effective date is [PII]. [CUSTOMER][NEUTRAL] Uh-huh. [AGENT][NEUTRAL] And this is just to verify her coverage. It's not a guarantee of payment. She has a supplemental gap insurance policy that helps with deductible, co-pay, and co-insurance. She has an inpatient benefit amount of $6800 per calendar year, and then she also has um an outpatient calendar year benefit amount of $6800. [CUSTOMER][NEUTRAL] Uh-huh. [CUSTOMER][NEUTRAL] Uh-huh. [CUSTOMER][NEUTRAL] OK. [CUSTOMER][NEUTRAL] I need your name and the call reference number, please. [AGENT][NEUTRAL] My name is [PII] and you can use my name and today's date as the reference number. [CUSTOMER][NEUTRAL] Initial of the last name? [AGENT][NEUTRAL] A [CUSTOMER][POSITIVE] Thank you so much. [AGENT][POSITIVE] You're welcome you have a good day and thanks for calling APL. [CUSTOMER][POSITIVE] Thank you too.