AccountId: 011433970860 ContactId: 45b95584-12bc-4214-8871-845be78e96c7 Channel: VOICE LanguageCode: en-US Total Conversation Duration: 188529 ms Total Talk Time (AGENT): 78078 ms Total Talk Time (CUSTOMER): 86217 ms Interruptions: 0 Overall Sentiment: AGENT=1.7, CUSTOMER=3.4 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/05/08/45b95584-12bc-4214-8871-845be78e96c7_20250508T17:58_UTC.wav -------------------------------------------- [AGENT][NEUTRAL] Thank you for calling APL. This is [PII]. How may I help you? [CUSTOMER][NEUTRAL] Hi. Good afternoon, [PII]. I was wondering if you could assist me in verifying if a patient currently has uh an account with APL. [AGENT][NEUTRAL] Yes ma'am, I can um verify eligibility for you. Can I please get your name and your callback number and the name of the facility you're calling from? [CUSTOMER][NEUTRAL] Sure. My name is [PII]. Last name [PII]. My callback number is [PII], and I'm calling on behalf of West Kendal Baptist Hospital. [AGENT][NEUTRAL] OK, thank you, Ms. [PII]. And then what is the patient's name, date of birth, and policy number? [CUSTOMER][NEUTRAL] Mhm. [CUSTOMER][NEUTRAL] The patient's name is [PII]. Date of birth [PII], and the policy number that I have here on file is 01611790, the letter M, the letter L, and the number 8. [AGENT][NEUTRAL] OK, let me look up [PII]'s policy real quick. I do show that he does have an active policy. The effective date of the policy is [PII], and it's current. [CUSTOMER][NEUTRAL] Mhm. [CUSTOMER][NEUTRAL] OK. [PII]. Perfect. Would you be able to tell me, [PII], if with this policy that he has, um, if there's like an outpatient annual amount that is used to assist with any co-payments? [AGENT][NEUTRAL] Yes ma'am, and this is just to verify his benefits. It's not a guarantee of payment. He does have an outpatient calendar year benefit amount of $1500 to go towards deductible, co-pay, or co-insurance. [CUSTOMER][NEUTRAL] Mhm. [CUSTOMER][POSITIVE] OK perfect. Has he used any of it as of today? [AGENT][NEUTRAL] Let me check for you real quick. [AGENT][NEUTRAL] He has used. [AGENT][NEUTRAL] $566.13. [CUSTOMER][POSITIVE] OK, perfect. Thank you so much, [PII]. I really appreciate all of your help. Um, may I please have the, may I please have the first letter to your last name as well as the reference number for this call? [AGENT][POSITIVE] You're so very welcome. [AGENT][NEUTRAL] Yes, ma'am. My last name letter is [PII] and you can use my name and today's date for your reference. [CUSTOMER][POSITIVE] Perfect thank you so much. I really do appreciate all of your help. [AGENT][POSITIVE] You're very welcome, Ms. [PII]. Is that everything I can help you with before we go? [CUSTOMER][POSITIVE] Yes, you've answered all of my questions. [AGENT][POSITIVE] OK, well you have a wonderful day and thank you for calling APL ma'am. [CUSTOMER][POSITIVE] You as well. Thank you so much. Bye-bye. [AGENT][NEUTRAL] Bye-bye. [AGENT][POSITIVE] You're welcome.