AccountId: 011433970860 ContactId: 41933adc-2793-44b4-9fd5-7f9c2e4ca39a Channel: VOICE LanguageCode: en-US Total Conversation Duration: 242610 ms Total Talk Time (AGENT): 79107 ms Total Talk Time (CUSTOMER): 72306 ms Interruptions: 0 Overall Sentiment: AGENT=0.5, CUSTOMER=0.4 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/03/19/41933adc-2793-44b4-9fd5-7f9c2e4ca39a_20250319T14:22_UTC.wav -------------------------------------------- [AGENT][NEUTRAL] Calling ATL, my name is [PII]. How can I assist you today? [CUSTOMER][NEUTRAL] Hi, my name is [PII]. I am calling from provider office looking dental benefit. [AGENT][POSITIVE] I'd be happy to assist with dental benefits today, [PII], if I can get a good call back number for you. [CUSTOMER][POSITIVE] Thank you. [CUSTOMER][NEUTRAL] Yes, uh, call back number is [PII]. [AGENT][NEUTRAL] And what is the policy number? [CUSTOMER][NEUTRAL] Yes, policy number is 02408546. [AGENT][NEUTRAL] OK, and. [AGENT][NEUTRAL] Patient's name and date of birth? [CUSTOMER][NEUTRAL] Yes, patient name is [PII] and date of birth is [PII]. [AGENT][NEUTRAL] Thank you for that information. Please be advised a verification of coverage is not a guarantee of payment. [AGENT][NEUTRAL] I do show the policy is currently active. Effective date is [PII]. And are you calling, um, do you need a fax back breakdown of the benefits? [CUSTOMER][NEUTRAL] Yes, uh tell me the dental maximum family deductible. [AGENT][NEUTRAL] OK, I'm showing the calendar year maximum is $1500 the deductible is $50 and this is an individual policy. [CUSTOMER][NEUTRAL] OK. And how much is patient dental maximum and an individual? [AGENT][NEUTRAL] I'm sorry, repeat that. [CUSTOMER][NEUTRAL] Yes. How much use patient dental maximum? [AGENT][NEUTRAL] How much has he used? [CUSTOMER][NEUTRAL] Yes. [AGENT][NEUTRAL] Oh, OK, um. [CUSTOMER][NEUTRAL] OK well you can see something. [CUSTOMER][NEUTRAL] I got it. [AGENT][NEUTRAL] OK, one moment, let me add this up. [CUSTOMER][NEUTRAL] Oh. [AGENT][NEUTRAL] Oh, he's actually maxed out for the year. [CUSTOMER][NEUTRAL] You [AGENT][NEUTRAL] Yeah, he's maxed out. He's used the entire 1500 for the year. [CUSTOMER][NEUTRAL] OK. [CUSTOMER][NEUTRAL] OK and. [CUSTOMER][NEUTRAL] Corona trip per city. [AGENT][NEUTRAL] I'm sorry, what was that? [CUSTOMER][NEUTRAL] Yes, uh, Crown pay on sea data prep. [AGENT][NEUTRAL] Well, the [AGENT][NEUTRAL] Under normal circumstances it would be seat date but I'm not showing they have any benefits left for the year. They've maxed out their $1500 for the year, but if you still need the information then that's fine. I can give it to you, but I just wanted you to be aware that they are maxed out. [CUSTOMER][NEUTRAL] OK. [CUSTOMER][NEUTRAL] Oh [CUSTOMER][NEUTRAL] OK. [CUSTOMER][NEUTRAL] And [CUSTOMER][NEUTRAL] Can you send me the faxed copy of dental benefits. [AGENT][NEUTRAL] OK, what's that fax number? [CUSTOMER][NEUTRAL] [PII]. [AGENT][NEUTRAL] [PII] [CUSTOMER][NEUTRAL] Yes, [PII]. [AGENT][NEUTRAL] Alright, you should receive that fax in the next 10 minutes. Was there anything else I could assist with today? [CUSTOMER][POSITIVE] Yes, no, thank you. [AGENT][POSITIVE] Thank you for calling APL you have a good day.