AccountId: 011433970860 ContactId: 37d250fc-2e19-4c5d-baa9-5a3d9e0b196c Channel: VOICE LanguageCode: en-US Total Conversation Duration: 195130 ms Total Talk Time (AGENT): 70352 ms Total Talk Time (CUSTOMER): 50789 ms Interruptions: 1 Overall Sentiment: AGENT=1.8, CUSTOMER=1 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/05/08/37d250fc-2e19-4c5d-baa9-5a3d9e0b196c_20250508T12:46_UTC.wav -------------------------------------------- [AGENT][POSITIVE] Good morning. Thank you for calling APL. My name is [PII]. How may I help you? [CUSTOMER][POSITIVE] Good morning. Thank you for calling ATM. [CUSTOMER][NEUTRAL] Hi, [PII], good morning. I'm calling to verify benefits on a patient that is going to have an outpatient procedure. [AGENT][POSITIVE] OK, well, I'll be more than happy to help you with the outpatient procedure benefits. May I have your name and a good contact number in case we're disconnected? [CUSTOMER][NEUTRAL] May I have your name and a good contact number in case. [CUSTOMER][NEUTRAL] My name is [PII], [PII]. [AGENT][NEUTRAL] Thank you for that. And may I have the member's policy number? [CUSTOMER][NEUTRAL] I [CUSTOMER][NEUTRAL] Yes, it is um 02061384. [AGENT][POSITIVE] Thank you. Hold on one moment. [CUSTOMER][NEUTRAL] Mhm. [AGENT][NEUTRAL] And can you verify the member's first and last name and date of birth? [CUSTOMER][NEUTRAL] Last name and date of birth? [CUSTOMER][NEUTRAL] Members's first name [PII], last name [PII]. [AGENT][NEUTRAL] And the date of birth? [CUSTOMER][NEUTRAL] [PII]. [AGENT][NEUTRAL] Thank you for that and all the information provided is a verification of benefits, not a guarantee of payment. I am showing that the policy is active. It's been effective since [PII]. [AGENT][NEUTRAL] Hold on one moment, I'm waiting for the benefits to populate. [AGENT][NEUTRAL] And I'm sorry, that's the that's the incorrect date. This policy has been active since [PII]. That was the previous. [CUSTOMER][NEUTRAL] [PII]. [AGENT][NEUTRAL] Of [PII]. [CUSTOMER][NEUTRAL] [PII] correct? OK. [AGENT][NEUTRAL] Mhm. [AGENT][NEUTRAL] Hold on one moment for the benefits they're coming up now. [CUSTOMER][NEUTRAL] Hold on [AGENT][NEUTRAL] So this policy doesn't have any outpatient coverage, um, it's only for the inpatient facility, so after admission. [CUSTOMER][NEUTRAL] Mhm [CUSTOMER][NEUTRAL] Not even for surgery? [AGENT][NEUTRAL] There's no outpatient benefits at all, only inpatient. [CUSTOMER][NEUTRAL] OK, OK. [CUSTOMER][POSITIVE] OK, perfect. May I have a reference? [AGENT][NEUTRAL] Alright, you said you was [CUSTOMER][NEUTRAL] A reference number? [AGENT][NEUTRAL] So there's no call reference number, but you can use my name in today's date. The first initial to my last name is [PII]. [CUSTOMER][NEUTRAL] So there's no [CUSTOMER][NEUTRAL] Oh [CUSTOMER][POSITIVE] Thank you, [PII], for your help today. [AGENT][POSITIVE] You're very welcome. Was there anything else I can assist you with today? [CUSTOMER][POSITIVE] No, thank you very much. [AGENT][POSITIVE] You're welcome thanks for calling APL bye bye. [CUSTOMER][NEUTRAL] Bye bye.