AccountId: 011433970860 ContactId: 3522f885-6958-4b85-b869-e062b76474bb Channel: VOICE LanguageCode: en-US Total Conversation Duration: 284440 ms Total Talk Time (AGENT): 116947 ms Total Talk Time (CUSTOMER): 95081 ms Interruptions: 0 Overall Sentiment: AGENT=1.1, CUSTOMER=0.9 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/05/05/3522f885-6958-4b85-b869-e062b76474bb_20250505T15:25_UTC.wav -------------------------------------------- [AGENT][NEUTRAL] Thank you for calling ATL. This is [PII]. How may I help you? [CUSTOMER][NEUTRAL] Hi, my name is [PII]. I'm calling to get benefit information, um. [CUSTOMER][NEUTRAL] Because I need to see my primary care physician and I'm wondering if the labs will be covered. [AGENT][NEUTRAL] Oh [AGENT][POSITIVE] OK, I can help you with benefit information, Miss [PII]. Can I please get your callback number, ma'am? Just in case the call is dropped, I'll be able to call you right back. [CUSTOMER][NEUTRAL] Sure, [PII]. [AGENT][NEUTRAL] Thank you ma'am, and then what is your policy number? [CUSTOMER][NEUTRAL] My policy number is 02596312. [AGENT][NEUTRAL] OK, let me look that up. [AGENT][POSITIVE] Real quick. [AGENT][NEUTRAL] OK, Ms. [PII], can you please verify your date of birth for me? [CUSTOMER][NEUTRAL] [PII]. [AGENT][NEUTRAL] Thank you, ma'am. And then also I'll need for you to please verify your address, phone number and email address that we have on the policy for you. [CUSTOMER][NEUTRAL] My address is [PII]. [CUSTOMER][NEUTRAL] Um, my email address is [PII]. What else did you need? [AGENT][NEUTRAL] Your phone number that's on the policy? [CUSTOMER][NEUTRAL] Yep, [PII]. [AGENT][POSITIVE] Thank you very much I appreciate you verify your policy for me alright so let's look at your benefits real quick. [AGENT][NEUTRAL] And see what is covered for lab. [CUSTOMER][NEUTRAL] Yes, I'm gonna see my primary care physician. It is not going to be a regular wellness checkup. It is because I got some lab work back that came back abnormal, so he'll want to talk about that, and he'll probably wanna order additional blood work. [AGENT][NEUTRAL] OK. [AGENT][NEUTRAL] OK, so I'm going to pull in your complete policy and review it and see what it says about. [AGENT][NEUTRAL] Um, [AGENT][POSITIVE] Labs on it for you. [CUSTOMER][NEUTRAL] And I, I, I'm aware that it's like kind of a weird. [CUSTOMER][NEUTRAL] Very limited, probably not covered policy, but um because I'm a contractor so it's they don't really offer a lot but. [AGENT][NEUTRAL] Right. [CUSTOMER][NEUTRAL] I wanna know before going in blind. [AGENT][NEUTRAL] Yes, ma'am. [AGENT][NEUTRAL] Well, I don't blame you. I'd wanna know too. [AGENT][NEUTRAL] OK, let me see. [CUSTOMER][NEUTRAL] So I know it's probably gonna be kind of weird, but. [AGENT][NEUTRAL] OK, let me look at your outpatient benefits, OK. [AGENT][NEUTRAL] OK, so [AGENT][NEUTRAL] It doesn't specify lab work itself and this is just to verify your benefits. It's not a guarantee of payment, but you do have um. [CUSTOMER][NEUTRAL] Mhm. [AGENT][NEUTRAL] And [AGENT][NEUTRAL] Outpatient sickness writer. [AGENT][NEUTRAL] And that pays $75. [AGENT][NEUTRAL] And you get 5 visits per calendar year. [AGENT][NEUTRAL] So it can help, help with that $75. [CUSTOMER][NEUTRAL] Yeah, towards my um office visit I assume. [AGENT][NEUTRAL] Yes, ma'am. [AGENT][NEUTRAL] But I'm not showing that it covers lab labs. [CUSTOMER][NEUTRAL] OK. [CUSTOMER][NEUTRAL] OK dokey. [AGENT][NEUTRAL] OK. [CUSTOMER][POSITIVE] Alright, so that's gonna be self pay for me, got it. [AGENT][POSITIVE] OK, I'm sorry. Yes, ma'am. At least you have a good attitude about it. [CUSTOMER][NEUTRAL] No, it's not you it's, it's just. [CUSTOMER][NEUTRAL] Yeah, I mean I'm a contractor so I signed up for this I guess um. [AGENT][NEUTRAL] Yes, ma'am. [CUSTOMER][POSITIVE] OK, I appreciate your help. [AGENT][POSITIVE] You're very welcome. I'm glad that you called the APL today and I hope you have a wonderful office visit and everything works out in your favor. [CUSTOMER][POSITIVE] Thank you very much. Have a good day. Bye. [AGENT][POSITIVE] You're welcome. Bye-bye.