AccountId: 011433970860 ContactId: 43ecf13e-097f-42ee-9ed5-97578e60dc46 Channel: VOICE LanguageCode: en-US Total Conversation Duration: 171389 ms Total Talk Time (AGENT): 77124 ms Total Talk Time (CUSTOMER): 47333 ms Interruptions: 0 Overall Sentiment: AGENT=0.9, CUSTOMER=1 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/05/15/43ecf13e-097f-42ee-9ed5-97578e60dc46_20250515T18:03_UTC.wav -------------------------------------------- [AGENT][NEUTRAL] Thank you for calling APL. This is. How may I help you? [CUSTOMER][NEUTRAL] Hi, I was calling because I have a patient I need to get benefits for. [AGENT][NEUTRAL] OK, I can help you with benefits. May I please get your name and your callback number and the name of the facility you're calling from? [CUSTOMER][NEUTRAL] Yes, my name is [PII] [CUSTOMER][NEUTRAL] Callback number is [PII]. [CUSTOMER][NEUTRAL] I'm calling from [PII]. [AGENT][POSITIVE] OK, Ms. [PII]. Thank you so much for [AGENT][NEUTRAL] Giving me that information. May I please get the patient's name, date of birth, and policy number? [CUSTOMER][NEUTRAL] Yes, patient is [PII]. [CUSTOMER][NEUTRAL] Date of birth is [PII]. [CUSTOMER][NEUTRAL] ID number is 02519524. [AGENT][NEUTRAL] OK, let me pull in that policy real quick. [CUSTOMER][NEUTRAL] OK. [AGENT][NEUTRAL] OK, I do show that Ms. [PII] does have an active policy with us. Her effective date of the policy is [PII]. [AGENT][NEUTRAL] And this is to verify her benefits. It's not a guarantee of payment. She has a supplemental insurance policy that's billed secondary to the primary. It helps with deductible, co-pay and co-insurance. She has an inpatient benefit amount of $4050 and then she also has an outpatient benefit amount of $2,025. [CUSTOMER][NEUTRAL] OK. [CUSTOMER][NEUTRAL] And um since it's a sub-policy to her primary insurance, will it require authorization? [AGENT][NEUTRAL] No, ma'am. [CUSTOMER][NEUTRAL] All right, and I think that's all that I needed. Is there like a rep to bring you for the call though? [AGENT][NEUTRAL] Yes, you can use my name [PII] and today's date. [CUSTOMER][POSITIVE] All right, and I think that's all that I needed. [AGENT][POSITIVE] OK, well, I hope you have a wonderful day, Ms. [PII], and thank you so much for calling APL. [CUSTOMER][POSITIVE] Thank you. You too. [AGENT][NEUTRAL] Bye-bye, ma'am. [CUSTOMER][NEUTRAL] Bye bye.