AccountId: 011433970860 ContactId: 2541d17d-1a40-48f0-8e0d-c582c9b0e505 Channel: VOICE LanguageCode: en-US Total Conversation Duration: 144679 ms Total Talk Time (AGENT): 48268 ms Total Talk Time (CUSTOMER): 35868 ms Interruptions: 0 Overall Sentiment: AGENT=1.2, CUSTOMER=0.8 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/04/24/2541d17d-1a40-48f0-8e0d-c582c9b0e505_20250424T14:58_UTC.wav -------------------------------------------- [AGENT][POSITIVE] Thanks for calling APL. This is [PII]. How can I help you? [CUSTOMER][NEUTRAL] Uh, good morning, ma'am. My name is [PII]. I'm calling from Valley Baptist Outpatient Labs, and I have a patient that I need to verify eligibility and benefits, please. [AGENT][NEUTRAL] OK, [PII], I can help you with eligibility and benefits. Do you have a good callback number, please? [CUSTOMER][NEUTRAL] [PII]. [AGENT][NEUTRAL] OK, thank you. And policy number of the patient? [CUSTOMER][NEUTRAL] It is 01868824. [AGENT][NEUTRAL] And what was that patient name and date of birth? [CUSTOMER][NEUTRAL] [PII] [PII]. [AGENT][POSITIVE] Thank you [AGENT][NEUTRAL] I show the policy is effective [PII]. It's currently active. [AGENT][NEUTRAL] And was that for outpatient benefits? [CUSTOMER][NEUTRAL] It was she was in the ER but they didn't clear that account so I'm following up on the insurance verification. [AGENT][NEUTRAL] OK. [AGENT][NEUTRAL] Mm. [AGENT][NEUTRAL] So are you needing claim status or just the benefits? [CUSTOMER][POSITIVE] Just the benefits. [AGENT][POSITIVE] OK, perfect. [AGENT][NEUTRAL] that pulled up, one moment. [CUSTOMER][NEUTRAL] Hm. [AGENT][NEUTRAL] OK, so they have a $2550 per covered person per calendar year maximum payout. [CUSTOMER][NEUTRAL] OK. [AGENT][NEUTRAL] Um, so this is a secondary policy it will pick up after the primary processes the claim, um, any potential deductible co-insurance, co-pay, and not a guarantee of payment, just a basic outline of our policy. [CUSTOMER][NEUTRAL] OK [CUSTOMER][NEUTRAL] Was that all for her? [AGENT][NEUTRAL] Yes, uh-huh. [CUSTOMER][NEUTRAL] OK, uh, Ms. [PII], is there a reference number for our call? [AGENT][NEUTRAL] That's just my name and today's date. [CUSTOMER][POSITIVE] OK perfect thank you so much. [AGENT][POSITIVE] Thank you for calling APL. Have a great day. [CUSTOMER][NEUTRAL] You too bye bye.