AccountId: 011433970860 ContactId: 48a72877-e3ec-4053-8705-0b377c80c323 Channel: VOICE LanguageCode: en-US Total Conversation Duration: 256640 ms Total Talk Time (AGENT): 69160 ms Total Talk Time (CUSTOMER): 103317 ms Interruptions: 0 Overall Sentiment: AGENT=1.3, CUSTOMER=1.5 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/05/28/48a72877-e3ec-4053-8705-0b377c80c323_20250528T14:43_UTC.wav -------------------------------------------- [AGENT][NEUTRAL] Thank you for calling APL. This is [PII]. How can I help you? [CUSTOMER][NEUTRAL] Hi, Ms. [PII]. My name is [PII]. I'm calling from Select Physical Therapy. [CUSTOMER][NEUTRAL] I am calling to obtain um medical benefits for occupational therapy. [AGENT][NEUTRAL] OK, happy to look at benefits. What's the patient's policy number? [CUSTOMER][NEUTRAL] Yes ma'am, um, policy number is 60801. [AGENT][NEUTRAL] OK. Uh, unfortunately, that's our payer ID, not our not the policy number. Do you see anything that says like certificates? [CUSTOMER][NEUTRAL] The [CUSTOMER][NEUTRAL] OK, so I can give you the. OK, give me one second. [CUSTOMER][NEUTRAL] Give me 1 2nd, I'm sorry. [AGENT][POSITIVE] No, no worries. [CUSTOMER][NEUTRAL] Contacting the patient. Hi, [PII]. [CUSTOMER][NEUTRAL] Hi, this is [PII] giving you a call back from for like physical therapy. So listen, I have your secondary insurance, um, company online. However, the number that you left with us is a payer ID number. Do you mind giving me the um ID number, the physical ID number? [CUSTOMER][NEUTRAL] Oh, OK. [CUSTOMER][NEUTRAL] OK, so he said that he has an inpatient number, an outpatient number, and what else was it, a group number? Hey [PII], come on. [AGENT][NEUTRAL] OK. He can give [CUSTOMER][NEUTRAL] Yes ma'am. [AGENT][NEUTRAL] He can give you the inpatient or outpatient number. We can pull him with either of those. [CUSTOMER][NEUTRAL] Mhm. [CUSTOMER][NEUTRAL] OK, um, and then give me the impatient number if you don't mind. [CUSTOMER][NEUTRAL] Uh [CUSTOMER][NEUTRAL] Oh, in hospital number, he said it is. [AGENT][POSITIVE] That's OK. Yeah, that'll work. [CUSTOMER][NEUTRAL] OK, that's fine. [CUSTOMER][NEUTRAL] OK. [CUSTOMER][NEUTRAL] Mhm. [CUSTOMER][NEUTRAL] Mhm. [CUSTOMER][NEUTRAL] Mhm. [CUSTOMER][POSITIVE] OK, perfect. Thank you very much. Mhm. [CUSTOMER][POSITIVE] And 8, OK, no problem. [CUSTOMER][POSITIVE] OK, thank you. [CUSTOMER][POSITIVE] You're welcome bye bye. OK, sorry about that. [AGENT][NEUTRAL] That's OK. [CUSTOMER][NEUTRAL] So [CUSTOMER][NEUTRAL] Um, the number he provided was 023. [AGENT][NEUTRAL] Mhm. [CUSTOMER][NEUTRAL] 46765 M as in Mary, L as in Lima 7. [AGENT][POSITIVE] All right, thank you. [AGENT][NEUTRAL] All right. And then if I can get patient's name and date of birth. [CUSTOMER][NEUTRAL] OK. [CUSTOMER][NEUTRAL] OK. Patient's date of birth is [PII] [AGENT][NEUTRAL] Thank you. All right. So, patient is active. Uh, effective date on here is [PII]. [AGENT][NEUTRAL] And I'm just checking to see. [AGENT][NEUTRAL] All right. So this patient's plan, um, under their physician covered charges under outpatient, unfortunately, physical therapy is not a covered charge. [CUSTOMER][NEUTRAL] OK. [CUSTOMER][POSITIVE] OK, perfect. [CUSTOMER][NEUTRAL] Alrighty, um, may I have a reference number for the call? [AGENT][NEUTRAL] Absolutely. Call references my name with today's date. My name is [PII], which is [PII] Last initial to my name is [PII], and then today's date. [CUSTOMER][POSITIVE] Thank you very much. You've been helpful. [AGENT][POSITIVE] You're welcome. Have a good day. [CUSTOMER][NEUTRAL] You too bye bye.