AccountId: 011433970860 ContactId: 43d0aaaa-9db1-433e-a619-f43d5b2cd032 Channel: VOICE LanguageCode: en-US Total Conversation Duration: 328589 ms Total Talk Time (AGENT): 154627 ms Total Talk Time (CUSTOMER): 68052 ms Interruptions: 0 Overall Sentiment: AGENT=1.2, CUSTOMER=0 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/03/25/43d0aaaa-9db1-433e-a619-f43d5b2cd032_20250325T16:15_UTC.wav -------------------------------------------- [AGENT][POSITIVE] Good morning thank you for calling APL. My name is [PII]. How may I help you? [CUSTOMER][NEUTRAL] Hi, I just need to verify um eligibility for a patient. [AGENT][NEUTRAL] I can help you with that eligibility. May I ask your name? [CUSTOMER][NEUTRAL] [PII] [AGENT][POSITIVE] Thank you, [PII] and a good call back number? [CUSTOMER][NEUTRAL] [PII] no extension. [AGENT][NEUTRAL] Thank you. And the policy number for the patient, please? [CUSTOMER][NEUTRAL] 736825 [AGENT][NEUTRAL] Thank you, [PII]. And what is the patient's name and date of birth? [CUSTOMER][NEUTRAL] [PII] [PII]. [AGENT][NEUTRAL] All right, thank you. And this is for dental eligibility? [CUSTOMER][NEUTRAL] Yes. [AGENT][NEUTRAL] All right, [PII], I can help you with that. I am showing that [PII]'s policy is active. The effective date is [PII]. Anything else I can help you with today? [CUSTOMER][NEUTRAL] OK. [CUSTOMER][NEUTRAL] Um, can I get the history and benefits faxed to me? [AGENT][NEUTRAL] Now, the history, we don't have a, a fax back for the history. I can fax you a breakdown. [CUSTOMER][NEUTRAL] OK. [CUSTOMER][NEUTRAL] OK, can I get the breakdown and then can I just ask you some um history questions? [AGENT][POSITIVE] Absolutely. Let me get that breakdown ready for you. Hang on just a second, and this is the Carrington fee schedule option B. [CUSTOMER][NEUTRAL] OK [AGENT][NEUTRAL] It it just takes me just a minute. [AGENT][POSITIVE] And then I'll be happy to assist you with that history. [CUSTOMER][NEUTRAL] OK [AGENT][NEUTRAL] Almost [CUSTOMER][NEUTRAL] OK [AGENT][NEUTRAL] What's that fax number, [PII]? [CUSTOMER][NEUTRAL] [PII] [AGENT][NEUTRAL] Just to verify that fax number I am sending this to is [PII]. [CUSTOMER][NEUTRAL] Yes. [AGENT][NEUTRAL] All right, [PII], that is on the way. [AGENT][NEUTRAL] And let's take a look at his history now. He has not used any of his benefits since [PII]. [CUSTOMER][NEUTRAL] OK. [CUSTOMER][NEUTRAL] OK [AGENT][NEUTRAL] His last [CUSTOMER][NEUTRAL] Let's see [AGENT][NEUTRAL] So, is there a specific code you're needing for history or you want me to just give you general history? [CUSTOMER][NEUTRAL] Um, I have some specific codes. It's all preventive. [AGENT][NEUTRAL] OK, what are those codes? [CUSTOMER][NEUTRAL] Um, 012. [AGENT][NEUTRAL] Mhm. [CUSTOMER][NEUTRAL] 11:10. [AGENT][NEUTRAL] Mhm. [CUSTOMER][NEUTRAL] 0210 or 0 3:30. [AGENT][NEUTRAL] Mhm. [CUSTOMER][NEUTRAL] 0274 and 0140. [AGENT][NEUTRAL] Yeah. [AGENT][NEUTRAL] OK. [AGENT][NEUTRAL] Uh, his last periodic oral evaluation is on [PII]. [CUSTOMER][NEUTRAL] OK. [AGENT][NEUTRAL] Along with the Profy, the um 01110. [CUSTOMER][NEUTRAL] OK. [AGENT][NEUTRAL] Oh, what was the next one? 0 I didn't write all the numbers down. 021. [AGENT][NEUTRAL] 02 10 maybe? [CUSTOMER][NEUTRAL] Um, 0210, yeah, 02 10 or 0 3:30. [AGENT][POSITIVE] OK, thanks. [AGENT][NEUTRAL] FMX was on 10-12 200, 10-10 2012. [CUSTOMER][NEUTRAL] OK [AGENT][NEUTRAL] And the pano is on 9-15-2020. [CUSTOMER][NEUTRAL] OK. [AGENT][NEUTRAL] Yeah. [AGENT][NEUTRAL] 00 [AGENT][NEUTRAL] OK, I didn't write the. I just wrote 2024. Was it 0240? [CUSTOMER][NEUTRAL] Um, no, 0274. [AGENT][NEUTRAL] Oh I'm so sorry. I don't know why I didn't write this down, right? [CUSTOMER][NEUTRAL] It's OK, it's OK. [CUSTOMER][NEUTRAL] It's OK. [AGENT][NEUTRAL] Uh, bite wings on 8524. [CUSTOMER][NEUTRAL] OK, and the last one was 0140. [AGENT][NEUTRAL] Mhm. [AGENT][NEUTRAL] Got you. That one I actually wrote down. [AGENT][NEUTRAL] And the 00140 was on [PII]. [CUSTOMER][NEUTRAL] OK, can I have a reference number for our call? [AGENT][NEUTRAL] Reference number is my name and today's date, and I spell my name [PII]. [CUSTOMER][NEUTRAL] OK. [AGENT][POSITIVE] And it was a pleasure to assist you with that breakdown and history. Anything else I can help you with today? [CUSTOMER][NEUTRAL] All right [CUSTOMER][NEUTRAL] Nope, that's it. [AGENT][POSITIVE] And thank you for calling APL. You have a wonderful day, [PII]. [CUSTOMER][NEUTRAL] You as well bye bye. [AGENT][POSITIVE] Thank you. Bye-bye.