AccountId: 011433970860 ContactId: 347c230b-7506-4a76-a4c0-5bb8d0541ab2 Channel: VOICE LanguageCode: en-US Total Conversation Duration: 176639 ms Total Talk Time (AGENT): 59045 ms Total Talk Time (CUSTOMER): 56711 ms Interruptions: 0 Overall Sentiment: AGENT=1.2, CUSTOMER=0.6 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/05/09/347c230b-7506-4a76-a4c0-5bb8d0541ab2_20250509T17:24_UTC.wav -------------------------------------------- [AGENT][POSITIVE] Thanks for calling APL. This is [PII]. How can I help you? [CUSTOMER][NEUTRAL] Hello, I'm calling to verify eligibility for a patient. [AGENT][NEUTRAL] OK, I can help you with eligibility. Can I get your name and a good callback number? [CUSTOMER][NEUTRAL] My name is [PII] Callback number is [PII]. [AGENT][NEUTRAL] OK, and [PII], do you have, uh, what provider's office are you with? [CUSTOMER][NEUTRAL] Lily Camp Medical Center. [AGENT][POSITIVE] OK, thank you. [AGENT][NEUTRAL] OK, and do you have the policy number of that patient? [CUSTOMER][NEUTRAL] I do. It is 02446268. [AGENT][POSITIVE] OK, thank you. [AGENT][NEUTRAL] And patient name and date of birth? [CUSTOMER][NEUTRAL] It is [PII]. Date of birth is [PII]. [CUSTOMER][NEUTRAL] Mhm [CUSTOMER][POSITIVE] Oh thank you. [AGENT][NEUTRAL] Uh, looks like our policy is effective [PII]. [AGENT][NEUTRAL] Let's see. [CUSTOMER][NEUTRAL] Uh. [AGENT][NEUTRAL] Uh, what type of benefits are you needing? [CUSTOMER][NEUTRAL] Medical. [AGENT][NEUTRAL] Is it for like an office visit or? [CUSTOMER][NEUTRAL] Yeah. [AGENT][NEUTRAL] OK. [AGENT][NEUTRAL] Let me get her policy pulled up. [AGENT][NEUTRAL] And this is not a guarantee of payment, it's a basic outline of the plan. [AGENT][NEUTRAL] Oh. [CUSTOMER][NEUTRAL] Mhm. [CUSTOMER][NEUTRAL] Also, she has two different coverages, so I wanted to see if you guys were primary, second, or secondary. [AGENT][NEUTRAL] Um, this is a supplemental policy, so it would be. [AGENT][NEUTRAL] Like a secondary supplemental policy. [CUSTOMER][NEUTRAL] Oh, OK. [AGENT][NEUTRAL] Uh, it looks like, let's see what she has. [AGENT][NEUTRAL] Physician's office. [AGENT][NEUTRAL] Uh, it looks like she has a physician's office benefit, uh, payable, maximum payable $50. [AGENT][NEUTRAL] And that's 2 visits per year. [CUSTOMER][NEUTRAL] OK. [CUSTOMER][NEUTRAL] OK. [CUSTOMER][NEUTRAL] Alrighty, uh, can I get a call reference number? [AGENT][NEUTRAL] That's my name, [PII], first initial to last name, [PII], and today's date. [CUSTOMER][POSITIVE] Alrighty thank you ma'am. [AGENT][POSITIVE] OK, thank you for calling APL. I hope you have a good day. [CUSTOMER][NEUTRAL] You too. [AGENT][POSITIVE] Thank you. Bye-bye