AccountId: 011433970860 ContactId: 1df80e63-4fdc-49c9-bfde-d2cd092096af Channel: VOICE LanguageCode: en-US Total Conversation Duration: 127739 ms Total Talk Time (AGENT): 68912 ms Total Talk Time (CUSTOMER): 35052 ms Interruptions: 0 Overall Sentiment: AGENT=1.8, CUSTOMER=0.8 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/04/15/1df80e63-4fdc-49c9-bfde-d2cd092096af_20250415T17:02_UTC.wav -------------------------------------------- [AGENT][POSITIVE] Thanks for calling APL. This is [PII]. How may I assist you? [CUSTOMER][NEUTRAL] Hi [PII], my name is [PII] calling to check eligibility for a member, please. [AGENT][NEUTRAL] Sure, [PII], I can assist you with that. Can I have a callback number for you and that policy number? [CUSTOMER][NEUTRAL] Sure, callback number is [PII], no extension. [CUSTOMER][NEUTRAL] Policy number. [CUSTOMER][NEUTRAL] 02486188 [AGENT][NEUTRAL] And what is this member's name and date of birth? [CUSTOMER][NEUTRAL] [PII]'s date of birth [PII]. [AGENT][NEUTRAL] And you're calling to verify benefits eligibility for what place of service? [CUSTOMER][NEUTRAL] Um, for an office visit specialty. [AGENT][POSITIVE] Thank you. This member's policy has been active since. [AGENT][NEUTRAL] [PII] and it's currently active in. [AGENT][NEUTRAL] She does not have benefits for office visits? [CUSTOMER][NEUTRAL] Uh-huh. [AGENT][NEUTRAL] However, she does have the treatment received in the office files under her outpatient benefits and it's covered at $600 per calendar year, and this is not a guarantee of benefits, just a disclaimer of the policy's coverage. And when I say the treatment received in the office, meaning that say if she goes to an office, but there's treatment being performed like she get a CT scan or a pap smear or. [AGENT][NEGATIVE] Some she's being treated for something, they never be covered. Could you provide me with the spelling of your name? [CUSTOMER][NEUTRAL] Sure, it's [PII] [AGENT][POSITIVE] Thank you. [AGENT][NEUTRAL] Is there anything else that I can assist you with today? [CUSTOMER][POSITIVE] No, that was all. Thank you for your help, Sha. [AGENT][POSITIVE] You're welcome. We don't provide reference numbers, but you can use my name and today's date as a reference, [PII] and today's date. Thanks for calling APL and you have a great day. [CUSTOMER][NEUTRAL] OK. [CUSTOMER][POSITIVE] Perfect. [CUSTOMER][NEUTRAL] If you [AGENT][POSITIVE] Thanks. Goodbye. [CUSTOMER][NEUTRAL] Bye.