AccountId: 011433970860 ContactId: 27003a52-f89c-4c89-98b7-52e17d93b5d8 Channel: VOICE LanguageCode: en-US Total Conversation Duration: 207699 ms Total Talk Time (AGENT): 97249 ms Total Talk Time (CUSTOMER): 84017 ms Interruptions: 5 Overall Sentiment: AGENT=1, CUSTOMER=0.4 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/03/26/27003a52-f89c-4c89-98b7-52e17d93b5d8_20250326T16:28_UTC.wav -------------------------------------------- [AGENT][NEUTRAL] Thank you for calling APL. This is [PII]. How may I help you? [CUSTOMER][NEUTRAL] Hi [PII], my name is [PII]. I'm calling from a provider's office to get benefits for a patient. [CUSTOMER][NEUTRAL] Yeah [AGENT][POSITIVE] OK, I can help you with benefits for patients. Can I please get your callback number just in case the call gets disconnected? [CUSTOMER][NEUTRAL] Yes, [PII]. [AGENT][NEUTRAL] Thank you and then what is the name of the facility you're calling from? [CUSTOMER][NEUTRAL] Santa Lucia Surgical Center. [AGENT][NEUTRAL] OK and what's the patient's name, date of birth, and policy number? [CUSTOMER][NEUTRAL] Policy is 02497632. [CUSTOMER][NEUTRAL] Uh, they, uh, patient's name [PII]. [CUSTOMER][NEUTRAL] [PII]. [AGENT][POSITIVE] Thank you. And then can you please um. [AGENT][NEUTRAL] Oh, I'm sorry, you gave me the policy number. I apologize. I did write that down. [AGENT][POSITIVE] Sorry about that. Let me pull up the policy. [CUSTOMER][NEUTRAL] It's OK, it's uh. [AGENT][NEUTRAL] OK, um. [AGENT][NEUTRAL] Oh, OK. Does she go by her middle name? [CUSTOMER][NEUTRAL] Mm [AGENT][NEUTRAL] Or he go by his mental. I'm, I'm seeing that. [CUSTOMER][NEUTRAL] Mhm. [AGENT][NEUTRAL] For this policy, 249-763-2. I'm not finding the name [PII] on this policy. [CUSTOMER][NEUTRAL] Mm mm no, I only let me see how. [AGENT][NEUTRAL] I'm only showing there is a male, um, a male that's covered on this policy. [AGENT][NEUTRAL] The policy holder. [AGENT][NEUTRAL] And then the [CUSTOMER][NEUTRAL] From [PII] [PII]. [AGENT][NEUTRAL] Birth date does not match. Mm yeah, no [PII]. [CUSTOMER][NEUTRAL] Maybe [PII]. [AGENT][NEUTRAL] No. [CUSTOMER][NEUTRAL] Uh, the [PII]. [AGENT][NEUTRAL] No, I don't see an [PII] either. [CUSTOMER][NEUTRAL] No, [PII] [AGENT][NEUTRAL] No, ma'am, I'm only showing that we have um a male member and it's an individual policy for just himself. [CUSTOMER][NEUTRAL] OK, and you have the policy 02497632. [AGENT][POSITIVE] Yes, that's correct. [CUSTOMER][NEUTRAL] 0249763 [CUSTOMER][NEUTRAL] OK, I don't know they OK, they called on. [CUSTOMER][NEUTRAL] On the [PII] and it was active. I, I don't know. OK, let me, let me find out what's going on. [AGENT][NEUTRAL] OK. All right. All right, Ms. [PII]. Is there anything else I can help you with before we go? I will tell you this, this policy, uh, did change on effective [PII]. [CUSTOMER][POSITIVE] OK, thank you. [AGENT][NEUTRAL] Uh, change to individual coverage. [CUSTOMER][NEUTRAL] Hm [AGENT][NEUTRAL] On that day [CUSTOMER][NEUTRAL] Mhm. [CUSTOMER][POSITIVE] OK, alright, let me let them know. OK, thank you so much, [PII], thank you. [AGENT][POSITIVE] OK. All right, you're very welcome. You have a wonderful day and thank you for calling APM Ms. [PII]. [CUSTOMER][NEUTRAL] OK [CUSTOMER][NEUTRAL] Mhm. [CUSTOMER][NEUTRAL] You too bye bye. [AGENT][NEUTRAL] Bye bye.