AccountId: 011433970860 ContactId: 126f8476-c75f-4ca8-8645-9e71981d4f10 Channel: VOICE LanguageCode: en-US Total Conversation Duration: 189020 ms Total Talk Time (AGENT): 86928 ms Total Talk Time (CUSTOMER): 59670 ms Interruptions: 0 Overall Sentiment: AGENT=1.2, CUSTOMER=1.1 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/04/01/126f8476-c75f-4ca8-8645-9e71981d4f10_20250401T18:00_UTC.wav -------------------------------------------- [AGENT][POSITIVE] Good afternoon. Thank you for calling APL. This is [PII]. How may I assist you? [CUSTOMER][NEUTRAL] This [CUSTOMER][NEUTRAL] Hi [PII], this is [PII] from Baptist Outpatient Services, and I was calling to, um, get benefits on a patient please. [AGENT][NEUTRAL] Mhm. [AGENT][POSITIVE] Sure, I can assist you with benefits and may I have a callback number just in case we get disconnected? [CUSTOMER][NEUTRAL] [PII]. [AGENT][POSITIVE] Perfect, thank you, Ms. [PII]. And may I have a uh the patient's policy number? [CUSTOMER][NEUTRAL] The policy number I got here is 60801. [AGENT][NEUTRAL] That is the payer ID, um, do you have the copy of the card? [CUSTOMER][NEUTRAL] No. [AGENT][NEUTRAL] No, um. [CUSTOMER][NEUTRAL] I will give you the name and the last. [AGENT][NEUTRAL] OK, um, let me do a name search, bear with me. [AGENT][NEUTRAL] Let's see. What is the spelling of the last name? [CUSTOMER][NEUTRAL] [PII]. [AGENT][NEUTRAL] OK, and what's the spelling of the first name? [CUSTOMER][NEUTRAL] [PII] [AGENT][NEUTRAL] OK, OK. [CUSTOMER][NEUTRAL] And her date of birth is [PII]. [AGENT][NEUTRAL] OK. [AGENT][POSITIVE] OK, perfect. Thank you. OK, and you need outpatient benefits, correct? [CUSTOMER][NEUTRAL] Yes, the patient is coming to have a pelvic transvaginal ultrasound. What is the policy number? [AGENT][NEUTRAL] OK, the policy number is 0246. [AGENT][NEUTRAL] 663 4. [AGENT][NEUTRAL] You need me to repeat it? [CUSTOMER][NEUTRAL] OK. No, that, that's fine. And the group number? [AGENT][NEUTRAL] OK. [AGENT][NEUTRAL] Um, let me get that one moment. [AGENT][NEUTRAL] The group number is 15493. [CUSTOMER][NEUTRAL] 15493 or 13? [AGENT][NEUTRAL] Yes, 15493. [CUSTOMER][POSITIVE] OK, thank you. [AGENT][NEUTRAL] And the effective date is [PII]. [CUSTOMER][NEUTRAL] I [CUSTOMER][NEUTRAL] Yes. [AGENT][NEUTRAL] OK, and this is not a guarantee of payment, just a verification of coverage and that's just a disclaimer. And we have an outpatient maximum of 7900 per covered person per calendar year. [CUSTOMER][NEUTRAL] Does she have that available? [AGENT][NEUTRAL] Um, let me see if she has you benefits. Let's see. [AGENT][NEUTRAL] As of today, she has not used her benefits. She still have the full amount available. [CUSTOMER][POSITIVE] Wonderful. Well, thank you so much, so that's all I needed. Have a great day. [AGENT][POSITIVE] Yeah, you as well. Have a good afternoon. Thank you for calling APL. Bye-bye. [CUSTOMER][POSITIVE] Thank you bye.