AccountId: 011433970860 ContactId: 4ab36a64-cd2e-4a49-8f40-3f0e4da4e560 Channel: VOICE LanguageCode: en-US Total Conversation Duration: 93730 ms Total Talk Time (AGENT): 45467 ms Total Talk Time (CUSTOMER): 34306 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/2025/04/23/4ab36a64-cd2e-4a49-8f40-3f0e4da4e560_20250423T14:04_UTC.wav -------------------------------------------- [AGENT][NEUTRAL] Calling APL, this is [PII]. How may I assist you? [CUSTOMER][NEUTRAL] Good morning. It's [PII] from Doctor [PII]'s office. I'm calling for benefits on a patient. [AGENT][NEUTRAL] Sure, I can assist you with that. Could you, did you say your name was [PII]? [CUSTOMER][NEUTRAL] Yes. [AGENT][POSITIVE] So I have a callback number for you and that policy number and I'll be able to assist you. [CUSTOMER][NEUTRAL] [PII]. [AGENT][NEUTRAL] What is the policy number? [CUSTOMER][NEUTRAL] The policy number is. [CUSTOMER][NEUTRAL] 02560099 ML 8. [AGENT][NEUTRAL] Thank you. And what is this member's name and date of birth? [CUSTOMER][NEUTRAL] [PII] [PII]. [AGENT][NEUTRAL] [PII], you're calling to verify benefits eligibility for outpatient services. [CUSTOMER][NEUTRAL] For office visit specialist. [AGENT][NEUTRAL] This member's policy has been active since [PII] and is currently active. [AGENT][NEUTRAL] She does not have office visit benefits. However, she does have treatment received in the office coverage which falls under her outpatient benefits of $6000 per calendar year, and this is not a guaranteed benefits, just a disclaimer of the policy's coverage. [CUSTOMER][NEUTRAL] OK. [CUSTOMER][NEUTRAL] OK perfect and how much is left? [AGENT][NEUTRAL] Is there anything else that I can assist you with? She's utilized $544 of her $6000. [CUSTOMER][POSITIVE] OK thank you have a good day. [AGENT][POSITIVE] You're welcome. Thanks for calling APL. Have a great one, [PII]. Goodbye. [CUSTOMER][NEUTRAL] You too bye bye.