AccountId: 011433970860 ContactId: 1a088a86-11b2-48fb-9ba3-1d46e37f7cea Channel: VOICE LanguageCode: en-US Total Conversation Duration: 189610 ms Total Talk Time (AGENT): 85558 ms Total Talk Time (CUSTOMER): 67809 ms Interruptions: 2 Overall Sentiment: AGENT=0.5, CUSTOMER=1.1 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/06/11/1a088a86-11b2-48fb-9ba3-1d46e37f7cea_20250611T20:45_UTC.wav -------------------------------------------- [AGENT][NEUTRAL] Thank you for calling APL. This is [PII]. How can I help you? [CUSTOMER][NEUTRAL] Hi [PII], this is [PII] at Serene Oral Surgery. I was needing to verify a patient's dental benefits, please. [AGENT][NEUTRAL] OK. Happy to check on benefits. What is their policy number? [CUSTOMER][NEUTRAL] 617992 [AGENT][POSITIVE] All right, thank you, let me pull that up. [AGENT][NEUTRAL] All right, and then if I can get the patient's name and date of birth? [CUSTOMER][NEUTRAL] [PII] [PII]. [AGENT][NEUTRAL] Thank you. So, patient is active. Effective date is [PII]. [CUSTOMER][NEUTRAL] OK. [AGENT][NEUTRAL] Then if you need a fax back we can send that too for the breakdown or. [CUSTOMER][NEUTRAL] Um, [CUSTOMER][NEUTRAL] Oh. [CUSTOMER][POSITIVE] Yeah, that'll be great um, will this, will the, um. [CUSTOMER][NEUTRAL] I'm so sorry, the waiting periods or missing tooth cloths or anything that does she have any of that? [AGENT][NEUTRAL] Yeah, so that'll all be on the fax back. Let me pull this up here, um. [CUSTOMER][POSITIVE] Perfect perfect OK. [AGENT][NEUTRAL] The only thing. [AGENT][NEUTRAL] Check here. [CUSTOMER][NEUTRAL] I do know one thing that might not be on there is what the schedule does this plan use? [AGENT][NEUTRAL] Uh, let's see. [AGENT][NEUTRAL] So this actual one, this one actually pays by a fee schedule and so when we send you this it'll give you the the fee schedule on it with the procedure codes. [CUSTOMER][NEUTRAL] Oh OK OK. [AGENT][NEUTRAL] Yeah, so it's actually a fee schedule looks like that we send you on this plan. [AGENT][NEUTRAL] Um, [AGENT][NEUTRAL] The only thing it won't have, let's see, calendar year maximum is $1000 that is listed on there. They do have a calendar year deductible of $50 but I can let you know what's been used. [CUSTOMER][NEUTRAL] OK. [AGENT][NEUTRAL] Alright, it looks like they still have their $1000 left, both of them and the $50 deductible is remaining. [CUSTOMER][POSITIVE] Perfect. [AGENT][NEUTRAL] And then if you just want to give me a fax number, I will send this over. [CUSTOMER][NEUTRAL] Yes. [CUSTOMER][NEUTRAL] OK, it's [PII]. [AGENT][NEUTRAL] OK, [PII]. [CUSTOMER][NEUTRAL] Mhm and does the doctor have to be in network or just go by the fee? [AGENT][NEUTRAL] Yeah, I just go by the fee schedule yeah there's no network required. [CUSTOMER][NEUTRAL] Please schedule. [CUSTOMER][POSITIVE] OK, thank you so much. [AGENT][POSITIVE] You're welcome. Have a good day. [CUSTOMER][NEUTRAL] You too sir bye bye. [AGENT][NEUTRAL] Uh bye bye.