AccountId: 011433970860 ContactId: 1771f378-f30d-4057-af5e-be7d463c2541 Channel: VOICE LanguageCode: en-US Total Conversation Duration: 171839 ms Total Talk Time (AGENT): 63786 ms Total Talk Time (CUSTOMER): 60495 ms Interruptions: 0 Overall Sentiment: AGENT=0, CUSTOMER=1.1 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/04/07/1771f378-f30d-4057-af5e-be7d463c2541_20250407T13:24_UTC.wav -------------------------------------------- [AGENT][NEUTRAL] Thank you for calling APL. This is [PII]. How can I help you? [CUSTOMER][NEUTRAL] Hi [PII], my name is [PII]. I'm calling because I'm needing um to verify uh availability for patients gap insurance. [AGENT][NEUTRAL] OK, um, what is your callback number please [PII]? [CUSTOMER][NEUTRAL] It's gonna be [PII]. [AGENT][NEUTRAL] OK and and what is that policy number please? [CUSTOMER][NEUTRAL] It's going to be one. [CUSTOMER][NEUTRAL] I'm sorry, 0161844 M as in Mary, L as in Larry 8. [AGENT][NEUTRAL] OK. [AGENT][NEUTRAL] OK. [AGENT][NEUTRAL] If you could repeat that for me please, the number I missed her. [CUSTOMER][NEUTRAL] Sure, it's 01611844 M as in Mary, L as in Larry, and the number 8. [AGENT][NEUTRAL] Thank you very much, and verify the patient's name and date of birth. [CUSTOMER][NEUTRAL] Uh, the patient's name is going to be [PII]. Date of birth is [PII]. [AGENT][NEUTRAL] Thank you and you're calling to verify eligibility for this member, is that correct? [CUSTOMER][NEUTRAL] Yes I am. [AGENT][NEUTRAL] OK, thank you. I can help you with that. She shows effective as of [PII] and this policy shows active. [CUSTOMER][NEUTRAL] OK, can you let us know if she's used any of her gap this year so far? [AGENT][NEUTRAL] OK, let me check that for you. Yes, I can check that for you. One moment. [AGENT][NEUTRAL] Yes, currently she has used $490.65 so that again that's $490.65 has been used for this year. [CUSTOMER][NEUTRAL] OK, and her amount is 1500 you said? [AGENT][NEUTRAL] Oh, I didn't say that, but I can get you what the benefits are. One moment, please. [CUSTOMER][NEUTRAL] OK. [AGENT][NEUTRAL] OK, um, please note verification of benefits provided. That's not guarantee payment. She does have a $1500 calendar year max, and of that she has used $490.65. [CUSTOMER][NEUTRAL] OK perfect and this is a calendar year January through December? [AGENT][NEUTRAL] This is a calendar year policy. [CUSTOMER][POSITIVE] OK perfect. [CUSTOMER][POSITIVE] OK, I'll go ahead and um let her know then. Thank you. You have a great day. [AGENT][NEUTRAL] OK [AGENT][NEUTRAL] OK.