AccountId: 011433970860 ContactId: 3715459a-b3e0-4c32-8eac-bc00b5a2980b Channel: VOICE LanguageCode: en-US Total Conversation Duration: 124089 ms Total Talk Time (AGENT): 66908 ms Total Talk Time (CUSTOMER): 59810 ms Interruptions: 2 Overall Sentiment: AGENT=1.7, CUSTOMER=0.9 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/03/21/3715459a-b3e0-4c32-8eac-bc00b5a2980b_20250321T17:00_UTC.wav -------------------------------------------- [AGENT][POSITIVE] Good afternoon. Thank you for calling APL. My name is [PII]. How may I help you? [CUSTOMER][NEUTRAL] Right. [CUSTOMER][NEUTRAL] Hi [PII], my name is [PII]. I'm calling from the outpatient center of DA. I'm trying to find out the benefit information for a patient for outpatient. [AGENT][NEUTRAL] I can help you with those benefits. And you said your name is [PII]? [CUSTOMER][NEUTRAL] Yes, [PII] [AGENT][POSITIVE] Thank you, [PII] and a good callback number please? [CUSTOMER][NEUTRAL] [PII] [AGENT][NEUTRAL] Thank you. And what is the policy number for the patient, please? [CUSTOMER][NEUTRAL] Uh, they have 01578521 M as in Mary, L as in Larry 8. [AGENT][NEUTRAL] Thank you. And the patient's name and date of birth? [CUSTOMER][NEUTRAL] It's for [PII] or [PII]. Date of birth uh [PII]. [AGENT][POSITIVE] Alright, thank you. I can help you with benefits for [PII] or [PII]. [AGENT][NEUTRAL] I'm showing that his policy is active. [CUSTOMER][NEUTRAL] I'm [AGENT][NEUTRAL] Effective date is [PII] and you were needing outpatient benefit, correct? [CUSTOMER][NEUTRAL] No. [CUSTOMER][NEUTRAL] Yes. [AGENT][NEUTRAL] Alright, he does have outpatient coverage up to $1250. That is a per calendar year benefit. [CUSTOMER][NEUTRAL] For calendar year, OK. [AGENT][NEUTRAL] That is also a verification of coverage. Yeah, verification of coverage, not a guarantee of payment, and at this time, he has the full benefit remaining for 2024. [CUSTOMER][NEUTRAL] So it covers deductible and co-insurance up to 1250. [AGENT][POSITIVE] That's right. [CUSTOMER][NEUTRAL] All right, all right, awesome OK and um do you have a reference number? [AGENT][NEUTRAL] Reference number is my name and today's date. I spell my name [PII]. [CUSTOMER][NEUTRAL] I [AGENT][NEUTRAL] Anything else I can help you with, Tia? [CUSTOMER][POSITIVE] Uh, no, that's it, thank you so much. I appreciate your time. [AGENT][POSITIVE] My pleasure to help you with those benefits. Thank you for calling APL. Have a great weekend. [CUSTOMER][POSITIVE] Thank you you too bye bye. [AGENT][NEUTRAL] Bye-bye.