AccountId: 011433970860 ContactId: 155f600d-05dd-4107-beaf-5d8d086f2733 Channel: VOICE LanguageCode: en-US Total Conversation Duration: 196699 ms Total Talk Time (AGENT): 53999 ms Total Talk Time (CUSTOMER): 43809 ms Interruptions: 0 Overall Sentiment: AGENT=0.8, CUSTOMER=0.8 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/03/21/155f600d-05dd-4107-beaf-5d8d086f2733_20250321T20:15_UTC.wav -------------------------------------------- [AGENT][NEUTRAL] Thank you for calling APL. This is [PII]. How can I help you? [CUSTOMER][NEUTRAL] Hi, yes, I'm calling to verify benefits uh for a patient, please. [AGENT][NEUTRAL] OK, and what is your name and a good callback number? [CUSTOMER][NEUTRAL] Yes, my name is [PII], [PII]. Direct line. [AGENT][POSITIVE] OK, thank you. [CUSTOMER][NEUTRAL] You're welcome. And I'm sorry, can I have your name? [AGENT][NEUTRAL] [PII]. [CUSTOMER][POSITIVE] OK thank you. [AGENT][NEUTRAL] And [PII], um, I can verify benefits. Do you have the policy number of the patient? [CUSTOMER][NEUTRAL] Yes, 02456536. Ae Cuevas. [AGENT][NEUTRAL] And do you have the patient's date of birth? [CUSTOMER][NEUTRAL] Uh, [PII]. [AGENT][POSITIVE] OK, thank you. [AGENT][NEUTRAL] OK, this is not a guarantee of paying [AGENT][NEUTRAL] And just a basic outline of the policy. The patient is active and effective [PII]. [AGENT][NEUTRAL] Are you needing outpatient benefits? [CUSTOMER][NEUTRAL] Um, yes, patient is coming for an MRI underdiagnostic Hospital outpatient facility in [PII]. [AGENT][NEUTRAL] OK. [AGENT][NEUTRAL] And let me get the benefits pulled up. Hold on one moment. [CUSTOMER][NEUTRAL] Hm. [AGENT][NEUTRAL] Um, so they have an outpatient calendar year maximum of $6350. [CUSTOMER][NEUTRAL] OK, 6350, OK. [AGENT][NEUTRAL] Uh, yes, 6050, um, let's see, um. [CUSTOMER][NEUTRAL] Have they use any? [AGENT][NEUTRAL] Uh, it looks like they've just used $55. [CUSTOMER][NEUTRAL] OK, OK. OK, so still have available. All right, perfect. Let me have your uh call reference number. [AGENT][NEUTRAL] Um, the call reference number is just my first name, [PII]. [AGENT][NEUTRAL] Last initial or first initial, my last name which is [PII] and today's date. [CUSTOMER][POSITIVE] OK, perfect. Thank you so much. [AGENT][POSITIVE] OK, thanks for calling APL. Have a good day. [CUSTOMER][NEUTRAL] You too bye bye