AccountId: 011433970860 ContactId: 1e3389f5-b0e3-469e-a6dc-9e2dccf2e21d Channel: VOICE LanguageCode: en-US Total Conversation Duration: 180479 ms Total Talk Time (AGENT): 95929 ms Total Talk Time (CUSTOMER): 92175 ms Interruptions: 4 Overall Sentiment: AGENT=1.9, CUSTOMER=1 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/02/24/1e3389f5-b0e3-469e-a6dc-9e2dccf2e21d_20250224T13:51_UTC.wav -------------------------------------------- [AGENT][POSITIVE] Good morning. Thank you for calling APL. My name is [PII]. How may I help you? [CUSTOMER][NEUTRAL] Hi, good morning. My name is [PII]. I'm calling from Vist Hospital. I'm calling in regards to, um, get the benefits for patients. [AGENT][POSITIVE] No, it would be my pleasure to assist you. And I'm sorry, do you mind spelling your name for documentation? [CUSTOMER][NEUTRAL] Um [CUSTOMER][NEUTRAL] [PII] [AGENT][POSITIVE] Thank you, [PII], and a good callback number, please. [CUSTOMER][NEUTRAL] [PII] [CUSTOMER][NEUTRAL] Yeah [AGENT][NEUTRAL] Thank you, [PII]. And what is the policy number? [CUSTOMER][NEUTRAL] And [CUSTOMER][NEUTRAL] The policy number is 0249678726496. [AGENT][NEUTRAL] And that is not an APL policy number. [CUSTOMER][NEUTRAL] I [CUSTOMER][NEUTRAL] Uh, that's the number that I have. [AGENT][NEUTRAL] OK, let's do a name search. What is the patient's last name? [CUSTOMER][NEUTRAL] [PII] [AGENT][NEUTRAL] And first name? [CUSTOMER][NEUTRAL] Um [PII]. [CUSTOMER][NEUTRAL] Oh, I put the numbers together. There's too many numbers. [AGENT][NEUTRAL] I've got it, I've got his policy located. What is [PII]'s data service? [CUSTOMER][NEUTRAL] OK, sorry. [CUSTOMER][NEUTRAL] Today. [AGENT][NEUTRAL] I mean, I'm sorry, what's his date of birth? You know I'm doing it. [CUSTOMER][NEUTRAL] Um. [AGENT][NEUTRAL] Happy Monday didn't. [CUSTOMER][POSITIVE] Happy Monday is [PII]. [AGENT][NEUTRAL] OK [AGENT][POSITIVE] All right, thank you. [CUSTOMER][NEUTRAL] Yeah. [AGENT][NEUTRAL] And I understand you're needing eligibility and benefits for [PII]. [CUSTOMER][NEUTRAL] Yes, for outpatient. [AGENT][NEUTRAL] OK, I can help you with that. So his policy number is 249-67887. [CUSTOMER][NEUTRAL] Yes [AGENT][NEUTRAL] All right. [AGENT][NEUTRAL] And his policy is active as of [PII]. [CUSTOMER][NEUTRAL] I don't know. [AGENT][NEUTRAL] And this is a secondary policy to his primary insurance. [CUSTOMER][NEUTRAL] Mhm. [AGENT][NEUTRAL] And he has outpatient benefit up to $4000 per calendar year. Now that is a verification of coverage, not a guarantee of payment. [CUSTOMER][NEUTRAL] OK, and um he, how much does he have remaining? [AGENT][NEUTRAL] And you [CUSTOMER][NEUTRAL] I want to get you [AGENT][NEUTRAL] I'm checking that. [CUSTOMER][NEUTRAL] Some [AGENT][POSITIVE] As of right now, he has that full benefit remaining for 2025. [CUSTOMER][NEUTRAL] What yeah. [CUSTOMER][POSITIVE] OK perfect thank you and can I have your name? [AGENT][POSITIVE] It's my pleasure to. [AGENT][NEUTRAL] My name is [PII]. [CUSTOMER][POSITIVE] That is great. [CUSTOMER][NEUTRAL] OK. [AGENT][POSITIVE] And it's been a pleasure to assist you with those benefits. Anything else I can help you with today? [CUSTOMER][POSITIVE] Thank you very much and yes if you have a reference number for the call. [AGENT][NEUTRAL] Reference number is my name and today's date. [CUSTOMER][POSITIVE] OK perfect thank you have a good day. [AGENT][POSITIVE] I hope you have a wonderful day as well, [PII]. Thank you for calling APL. Take care. [CUSTOMER][NEUTRAL] Bye [CUSTOMER][NEUTRAL] OK bye. [AGENT][NEUTRAL] Bye bye.