AccountId: 011433970860 ContactId: 35a99476-ad13-4ca4-8e3e-d95a21f7276c Channel: VOICE LanguageCode: en-US Total Conversation Duration: 153869 ms Total Talk Time (AGENT): 72639 ms Total Talk Time (CUSTOMER): 61575 ms Interruptions: 0 Overall Sentiment: AGENT=0.9, CUSTOMER=2.1 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/05/06/35a99476-ad13-4ca4-8e3e-d95a21f7276c_20250506T13:16_UTC.wav -------------------------------------------- [AGENT][NEUTRAL] Thank you for calling American Public Life. This is [PII]. How may I help you? [CUSTOMER][NEUTRAL] Hi, good morning. My name is [PII]. I'm calling from a physician office to verify patients benefits. [AGENT][NEUTRAL] I can verify benefits. May I have a policy number? [CUSTOMER][NEUTRAL] Sure it's 01611692 ML 8. [AGENT][POSITIVE] Thank you. May I have a good callback number for you? [CUSTOMER][NEUTRAL] [PII]. [AGENT][NEUTRAL] Thank you. May I have the patient's name and date of birth? [CUSTOMER][NEUTRAL] Uh [PII], uh, [PII]. [AGENT][NEUTRAL] Thank you for verifying that information. Please be advised that verification of coverage does not guarantee the payment of a claim. This plan is effective [PII] and it is active. [AGENT][NEUTRAL] Which benefit can I provide for you? [CUSTOMER][NEUTRAL] Alright, I would like to verify outpatient benefits like um ultrasounds done in office, surgical procedure or office specific called. [AGENT][NEUTRAL] Outpatient calendar year lasts 1500. [AGENT][NEUTRAL] And there is no office visit benefit. The treatment in the office falls under the outpatient calendar year of 1500. [CUSTOMER][POSITIVE] Perfect and not office visit a cover. [AGENT][POSITIVE] Correct. [CUSTOMER][POSITIVE] Good, perfect thank you um do you know if for inpatient would be the cinema? [AGENT][NEUTRAL] Let's see, the inpatient allows. [AGENT][NEUTRAL] 2500. [CUSTOMER][NEUTRAL] Yeah [CUSTOMER][NEUTRAL] Has she made anything for her $1500 for her out um outpatient services? [AGENT][NEUTRAL] One moment. [CUSTOMER][NEUTRAL] Mhm. [AGENT][NEUTRAL] She has used. [AGENT][NEUTRAL] $79.77 towards her $1500 for outpatient. [CUSTOMER][NEUTRAL] There you go. [AGENT][NEUTRAL] No inpatient has been used. [CUSTOMER][POSITIVE] Perfect thank you so much that would be all. May I have please a reference number? [AGENT][NEUTRAL] Yes, it will be my name which is [PII] Last initial is [PII] along with today's date. [CUSTOMER][NEUTRAL] I [CUSTOMER][POSITIVE] Thank you so much [PII] have a wonderful day. [AGENT][POSITIVE] You're so welcome and thank you for calling American Public Life. Have a great day. Bye-bye. [CUSTOMER][POSITIVE] Thank you, thank you.