AccountId: 011433970860 ContactId: 4a970653-87de-4259-ab39-5a7e8235904d Channel: VOICE LanguageCode: en-US Total Conversation Duration: 138940 ms Total Talk Time (AGENT): 70519 ms Total Talk Time (CUSTOMER): 49339 ms Interruptions: 1 Overall Sentiment: AGENT=1.5, CUSTOMER=0.9 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/03/25/4a970653-87de-4259-ab39-5a7e8235904d_20250325T12:51_UTC.wav -------------------------------------------- [AGENT][POSITIVE] Thanks for calling APL. This is [PII]. How may I assist you? [CUSTOMER][NEUTRAL] Hey, this is [PII] calling from Live Dental. I was calling to verify eligibility and benefits for a patient. [AGENT][NEUTRAL] Sure, [PII], I can assist you with that. Can I have a callback number for you and that policy number? [CUSTOMER][NEUTRAL] Um, callback number is [PII]. [CUSTOMER][NEUTRAL] Policy number is 02594532. [AGENT][NEUTRAL] And what is this member's name and date of birth? [CUSTOMER][NEUTRAL] [PII]. Date of birth is [CUSTOMER][NEUTRAL] [PII]. [AGENT][NEUTRAL] Thank you, [PII]. You're calling to verify benefits and eligibility. This member's policy became effective [PII] and is currently active. [CUSTOMER][NEUTRAL] Yes. [CUSTOMER][NEUTRAL] Is there a waiting period or anything? [AGENT][NEUTRAL] She has a maximum benefit amount? [AGENT][NEUTRAL] No, there is no waiting period. She has a maximum benefit amount of $500 per calendar year with a $50 deductible per insured up to $150 per family that does not apply to preventative services. And this is not a guarantee of benefits, just a disclaimer of the policy's coverage. The policy covers preventative at 100 and basic at 80. No major endopperoprosthesis or oral surgery is covered under the policy. [CUSTOMER][NEUTRAL] OK [CUSTOMER][NEUTRAL] OK. [AGENT][NEUTRAL] And it's very limited and I can see your schedule if you like by fax. [CUSTOMER][NEUTRAL] Alright, I'm sorry, you're breaking up a little bit. Could you, did you tell me that the deductible does not apply to preventative? [AGENT][NEUTRAL] Yes, that is correct, and I can send you a dental schedule by fax if you would like. [CUSTOMER][NEUTRAL] Yes, yes, please fax number is um [PII]. [AGENT][NEUTRAL] I have [PII]. [CUSTOMER][NEUTRAL] Yes. [AGENT][NEUTRAL] She has no history on file and she has not utilized any of her benefits for [PII]. [CUSTOMER][NEUTRAL] OK. [CUSTOMER][POSITIVE] Alright, thank you, I appreciate it. [AGENT][POSITIVE] You're welcome, [PII]. Thanks for calling APL and you have a great day and I'm sending this fax over to you now. [CUSTOMER][POSITIVE] OK great thank you bye bye. [AGENT][POSITIVE] You're welcome. Bye bye.