AccountId: 011433970860 ContactId: 21159637-5590-4c5b-885f-c970312e0855 Channel: VOICE LanguageCode: en-US Total Conversation Duration: 253979 ms Total Talk Time (AGENT): 65741 ms Total Talk Time (CUSTOMER): 54197 ms Interruptions: 0 Overall Sentiment: AGENT=1.1, CUSTOMER=0.2 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/06/03/21159637-5590-4c5b-885f-c970312e0855_20250603T13:42_UTC.wav -------------------------------------------- [AGENT][NEUTRAL] Thank you for calling ATL. This is [PII]. How can I help you? [CUSTOMER][NEUTRAL] Hi, I'm calling from Baptist Hospital. I'm calling to get the outpatient benefits for this patient. [CUSTOMER][NEUTRAL] For a patient that I have. [AGENT][POSITIVE] I can help you with benefits. Um, can I get your name and a good callback number in case we get disconnected? [CUSTOMER][NEUTRAL] My name is [PII]. Last name initial is [PII] [CUSTOMER][NEUTRAL] And [PII]. [AGENT][POSITIVE] Thank you so much. And do you have the policy number? [CUSTOMER][NEUTRAL] Yes, I do. It's 02. [CUSTOMER][NEUTRAL] 59 [CUSTOMER][NEUTRAL] 84. [CUSTOMER][NEUTRAL] 09 [CUSTOMER][NEUTRAL] ML 8. [AGENT][NEUTRAL] OK, give me just one moment while I look that up. [CUSTOMER][NEUTRAL] Yeah, it's going to be an outpatient hospital, OK? [AGENT][NEUTRAL] OK. [AGENT][NEUTRAL] And can I get you to verify the patient's name and date of birth for me, please? [CUSTOMER][NEUTRAL] [PII] [PII] [AGENT][POSITIVE] Thank you so much. [AGENT][NEUTRAL] And let me pull up what their outpatient benefits will be. [AGENT][NEUTRAL] I do wanna say that this is just a verification of benefits and not a guarantee of payment. [CUSTOMER][NEUTRAL] OK. [AGENT][NEUTRAL] It looks like he has an outpatient benefit maximum of up to $1250 per calendar year. [AGENT][NEUTRAL] With a $0 deductible per calendar year for outpatient services. [AGENT][NEUTRAL] Was there anything specific? [CUSTOMER][NEUTRAL] And how much have they used the 1250? [AGENT][NEUTRAL] OK, let me look. [CUSTOMER][NEUTRAL] Yeah, how much are they use of the 1250? [CUSTOMER][NEUTRAL] Mm. [AGENT][NEUTRAL] Looks like he's only used 200. [CUSTOMER][NEUTRAL] Alrighty, so our main thing they still have um 100,150. [AGENT][NEUTRAL] Yes. [CUSTOMER][NEUTRAL] Can I have the effective date? [AGENT][NEUTRAL] Sure. [AGENT][NEUTRAL] This policy is active with an effective date of [PII]. [CUSTOMER][NEUTRAL] [PII]. [CUSTOMER][NEUTRAL] OK, and can I have your name and um. [CUSTOMER][NEUTRAL] And the reference number for this call? [AGENT][NEUTRAL] OK, so we don't have reference numbers, but you can use my name and last initial in today's date. So [PII] and today's date. [CUSTOMER][NEUTRAL] OK, so let me see reference number. [CUSTOMER][NEUTRAL] It's [PII] 06032025. [AGENT][NEUTRAL] Yes, ma'am. [CUSTOMER][NEUTRAL] Yeah. [AGENT][NEUTRAL] Yes. [CUSTOMER][POSITIVE] Alrighty, thank you so so much. [AGENT][POSITIVE] Great, thank you for calling ATL as well.