AccountId: 011433970860 ContactId: 223825c5-3d1b-442c-9ad5-bcb4367e685a Channel: VOICE LanguageCode: en-US Total Conversation Duration: 138339 ms Total Talk Time (AGENT): 69518 ms Total Talk Time (CUSTOMER): 36039 ms Interruptions: 0 Overall Sentiment: AGENT=1.4, CUSTOMER=1.1 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/02/06/223825c5-3d1b-442c-9ad5-bcb4367e685a_20250206T21:31_UTC.wav -------------------------------------------- [AGENT][POSITIVE] Thank you for calling APL this is [PII] how may I help you? [CUSTOMER][NEUTRAL] Uh, yes, I'm calling to verify the gap coverage, please. [AGENT][POSITIVE] OK, I can help you with benefits. Can I please get your name and your callback number? [CUSTOMER][NEUTRAL] [PII] [PII]. [AGENT][NEUTRAL] Thank you Ms. [PII] and then what is the name of your facility? [CUSTOMER][NEUTRAL] That is South Miami Hospital. [AGENT][NEUTRAL] OK, thank you. And then what is the patient's name? [CUSTOMER][NEUTRAL] [PII]. [AGENT][NEUTRAL] OK, and what is [PII]'s date of birth? [CUSTOMER][NEUTRAL] That would be [PII]. [AGENT][NEUTRAL] And the policy number, please? [CUSTOMER][NEUTRAL] Um, let me see, is 01960138 M as in Mary, L as in Larry, the number 8. [AGENT][NEUTRAL] OK, let me look that up. [AGENT][NEUTRAL] OK, I do show that [PII] does have an active policy. The effective date of the policy is [PII]. [AGENT][NEUTRAL] And this is just to verify coverage is not a guarantee of payment. This is a supplemental insurance policy. It's billed secondary to the primary. It's a gap insurance that helps with deductible, co-pay, and co-insurance. [AGENT][NEUTRAL] And they have an infant amount per calendar year of $2500 and an outpatient benefit amount of $1500 per calendar year. [CUSTOMER][NEUTRAL] You said that's per calendar year? [AGENT][NEUTRAL] Yes, ma'am. [CUSTOMER][NEUTRAL] OK. [CUSTOMER][NEUTRAL] All right, I think that'll be it. [AGENT][NEUTRAL] OK. [CUSTOMER][POSITIVE] It's all the information that I needed. [CUSTOMER][POSITIVE] Thank you so much for your help. [AGENT][POSITIVE] OK, well, you're very welcome Miss [PII]. You have a good day and an APL bye bye ma'am. [CUSTOMER][NEUTRAL] You too. [CUSTOMER][NEUTRAL] Bye bye.