AccountId: 011433970860 ContactId: 2572e362-62b8-4b30-9335-144cad7d7ffc Channel: VOICE LanguageCode: en-US Total Conversation Duration: 118339 ms Total Talk Time (AGENT): 37947 ms Total Talk Time (CUSTOMER): 42409 ms Interruptions: 0 Overall Sentiment: AGENT=2.9, CUSTOMER=1 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/04/17/2572e362-62b8-4b30-9335-144cad7d7ffc_20250417T18:50_UTC.wav -------------------------------------------- [AGENT][NEUTRAL] Thank you for calling APL. This is [PII]. How can I help you? [CUSTOMER][NEUTRAL] Hi, good afternoon. My name is [PII]. I'm calling from Eye Surgery Associates. How are you today? [AGENT][POSITIVE] I'm good. How are you? [CUSTOMER][POSITIVE] Good thank you. I'm calling to verify eligibility and benefits for the patient uh for a specialist doctor office visit. [AGENT][POSITIVE] OK, I can help you with eligibility and benefits, [PII]. Do you have a good callback number? [CUSTOMER][NEUTRAL] [PII] [AGENT][POSITIVE] OK, thank you. [AGENT][NEUTRAL] And you have the policy number of the patient? [CUSTOMER][NEUTRAL] Yes, it is 02543839. [AGENT][NEUTRAL] And patient name and date of birth? [CUSTOMER][NEUTRAL] The patient is [PII] and her date of birth is [PII]. [AGENT][POSITIVE] OK, thank you. [CUSTOMER][NEUTRAL] Yeah. [AGENT][NEUTRAL] OK, this is not a guarantee of payment. It's a basic outline of the policy. I show the policy is effective [PII]. It's currently active. [CUSTOMER][NEUTRAL] Mhm. [AGENT][NEUTRAL] And let me pull up her policy. [CUSTOMER][NEUTRAL] OK. [AGENT][NEUTRAL] Uh, it looks like she has a $500 per covered person per calendar day benefit for outpatient services. So it won't actually cover the office visit. [CUSTOMER][POSITIVE] Oh, it will cover, right? Yes. Perfect. OK then, thank you so much. Have a great day. [AGENT][POSITIVE] OK, thank you for calling APL you as well. [CUSTOMER][NEUTRAL] Mhm bye bye.