AccountId: 011433970860 ContactId: 481248fa-9514-409c-b28d-2760d3101ef8 Channel: VOICE LanguageCode: en-US Total Conversation Duration: 160660 ms Total Talk Time (AGENT): 66159 ms Total Talk Time (CUSTOMER): 45258 ms Interruptions: 0 Overall Sentiment: AGENT=1, CUSTOMER=0.5 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/06/23/481248fa-9514-409c-b28d-2760d3101ef8_20250623T20:01_UTC.wav -------------------------------------------- [AGENT][NEUTRAL] Good afternoon. Thank you for calling APL. This is [PII]. May I help you? [CUSTOMER][NEUTRAL] Yes, I'm needing to check, uh, verify eligibility and see if a procedure is covered. [AGENT][NEUTRAL] OK, I can verify benefits and eligibility for you and your name is? [CUSTOMER][NEUTRAL] [PII]. [AGENT][NEUTRAL] And Ms. [PII], what is the policy number, please? [CUSTOMER][NEUTRAL] It is 02439682. [AGENT][NEUTRAL] OK, thank you. And do you have a callback number in case the call drops? [CUSTOMER][NEUTRAL] It's [PII]. [AGENT][NEUTRAL] OK, and the patient's name, date of birth? [CUSTOMER][NEUTRAL] Is [PII]. Date of birth is [PII]. [AGENT][NEUTRAL] OK, I'm showing his effective date is [PII]. Policy is active. And what benefits are needing? [CUSTOMER][NEUTRAL] Uh, I am needing uh outpatient. [CUSTOMER][NEUTRAL] And I have a CPT code if you need that. [AGENT][NEUTRAL] OK. [CUSTOMER][NEUTRAL] It is 74176. [AGENT][NEUTRAL] One moment. [AGENT][NEUTRAL] OK, uh, not a guarantee of payment, just a verification of coverage. Uh, the patient has a diagnostic benefit. It pays up to $250 once per calendar year. [CUSTOMER][NEUTRAL] Mhm. [AGENT][NEUTRAL] Let's see. [CUSTOMER][NEUTRAL] And has he met that yet? [AGENT][NEUTRAL] He hasn't, so it is still showing still have been available. [CUSTOMER][NEUTRAL] OK. [AGENT][NEUTRAL] OK, and is there anything else, Ms. [PII], I can assist you with today? [CUSTOMER][NEUTRAL] No, can I get a reference number please? [AGENT][NEUTRAL] Uh, you may use my name in today's date if you like. [CUSTOMER][NEUTRAL] OK. [CUSTOMER][NEUTRAL] And what was your name again? [AGENT][NEUTRAL] Uh, it's [PII] last initial [PII] [CUSTOMER][POSITIVE] OK, I appreciate it. [AGENT][POSITIVE] Alright, you're welcome thanks for calling mhm. [CUSTOMER][NEUTRAL] Oh, I don't. [CUSTOMER][NEUTRAL] I don't suppose an authorization is required for this, right? [AGENT][NEUTRAL] No, it's not. [CUSTOMER][NEUTRAL] OK, OK. [AGENT][POSITIVE] OK, thank you. [CUSTOMER][POSITIVE] Just make sure alright thank you. [AGENT][POSITIVE] Yes, ma'am. Thanks for calling APL. Have a great day. [CUSTOMER][NEUTRAL] You too bye. [AGENT][NEUTRAL] Bye.