AccountId: 011433970860 ContactId: 3389e6e0-b054-4c22-9f7f-bf5a9e96626e Channel: VOICE LanguageCode: en-US Total Conversation Duration: 103949 ms Total Talk Time (AGENT): 43512 ms Total Talk Time (CUSTOMER): 32298 ms Interruptions: 0 Overall Sentiment: AGENT=1.7, CUSTOMER=0.5 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/06/03/3389e6e0-b054-4c22-9f7f-bf5a9e96626e_20250603T17:42_UTC.wav -------------------------------------------- [AGENT][NEUTRAL] Calling APL, my name is [PII]. How can I assist you today? [CUSTOMER][NEUTRAL] Hi, hi, good afternoon. I'm calling from the doctor's office. I need to verify if a patient has coverage for a specialist office visit, please. [AGENT][POSITIVE] I'll be happy to assist with benefits today. May I have your first name, please? [CUSTOMER][NEUTRAL] [PII]. [AGENT][POSITIVE] At least if I can get a good callback number for you? [CUSTOMER][NEUTRAL] [PII] [AGENT][NEUTRAL] And what is the policy number? [CUSTOMER][NEUTRAL] I have 02456649 ML 8. [AGENT][NEUTRAL] Patient's name and date of birth? [CUSTOMER][NEUTRAL] [PII] [PII]. [AGENT][NEUTRAL] Thank you for that information. Please be advised the verification of coverage is not a guarantee of payment. I do show the policy is currently active. Effective date is [PII]. [AGENT][NEUTRAL] And I do show the outpatient per day maximum is $750. [CUSTOMER][NEUTRAL] OK, do you guys, does does the plan cover office visits for specialists? [AGENT][NEUTRAL] Um, yes, that would be covered under the outpatient. Now, it would only cover the treatment and procedures at the visit. It wouldn't include the copay. [CUSTOMER][NEUTRAL] So it does not include the copay, right? [AGENT][NEUTRAL] No, only um any treatment and procedures. [CUSTOMER][NEUTRAL] OK, what is your name? [AGENT][NEUTRAL] [PII], last initial [PII]. Was there anything else I could assist with today? [CUSTOMER][POSITIVE] No, that will be it thank you. [AGENT][POSITIVE] Thank you for calling APL you have a good day. [CUSTOMER][NEUTRAL] You too bye.