AccountId: 011433970860 ContactId: 50afbd58-3013-4f2a-9276-2abbf6667d2f Channel: VOICE LanguageCode: en-US Total Conversation Duration: 338790 ms Total Talk Time (AGENT): 92674 ms Total Talk Time (CUSTOMER): 76463 ms Interruptions: 0 Overall Sentiment: AGENT=1, CUSTOMER=0.6 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/05/01/50afbd58-3013-4f2a-9276-2abbf6667d2f_20250501T13:07_UTC.wav -------------------------------------------- [AGENT][NEUTRAL] Good morning. Thank you for calling APL. This is [PII]. May I help you? [CUSTOMER][NEUTRAL] Hi [PII], my name is [PII] I was calling to verify benefits on a patient. [AGENT][NEUTRAL] OK. Do you have a phone number I can get in case we get disconnected I can call you back. [CUSTOMER][NEUTRAL] Sure this is direct [PII]. [CUSTOMER][NEUTRAL] [PII], sorry, my mind went blank for a minute. [AGENT][NEUTRAL] Oh, that's OK. Thank you. And do you have a policy number? [CUSTOMER][NEUTRAL] D as in David 43715858 [AGENT][NEUTRAL] That's not one of our policy numbers. Do you have the social? [CUSTOMER][NEUTRAL] Oh, [CUSTOMER][NEUTRAL] [PII] [AGENT][NEUTRAL] Thank you, [PII]. Hold on one moment, please. [CUSTOMER][POSITIVE] OK, thank you. [AGENT][POSITIVE] You're welcome. [AGENT][NEUTRAL] And what's the patient's name? [CUSTOMER][NEUTRAL] It is [PII]. [AGENT][NEUTRAL] OK, hold on one moment. [CUSTOMER][POSITIVE] OK, thank you. [CUSTOMER][NEUTRAL] You know, I do. [CUSTOMER][NEUTRAL] I do have a different number on the card that has a medical ID and then a policy ID. [CUSTOMER][NEUTRAL] If that would help. [AGENT][POSITIVE] That's OK. I found it. Thank you though. [CUSTOMER][NEUTRAL] Oh, OK. [AGENT][NEUTRAL] OK, what's her date of birth? [CUSTOMER][NEUTRAL] [PII]. [AGENT][NEUTRAL] Thank you, [PII], and you were just needing benefits? [CUSTOMER][NEUTRAL] Uh-huh. [CUSTOMER][NEUTRAL] Yeah, for like office visits. I'm not sure what kind of policy this is but I was looking for like office visits. [AGENT][POSITIVE] OK, I can help you with that. The effective date is. [AGENT][NEUTRAL] [PII]. [CUSTOMER][NEUTRAL] Uh-huh. [AGENT][NEUTRAL] Any benefits given over the phones, not a guarantee of payment? [AGENT][NEUTRAL] And let me see if office visits are covered under this policy. [CUSTOMER][NEUTRAL] OK. [CUSTOMER][NEUTRAL] OK. [CUSTOMER][NEUTRAL] Mhm. [AGENT][NEUTRAL] OK, office visits are covered. [AGENT][NEUTRAL] We pay $75 per office visit. [CUSTOMER][NEUTRAL] OK. [AGENT][NEUTRAL] Hold on just a moment and I'll tell you how many maximum. [AGENT][NEUTRAL] It is [CUSTOMER][NEUTRAL] OK. [AGENT][NEUTRAL] Per year. [AGENT][NEUTRAL] It's $5 per year, $75 per person. [AGENT][NEUTRAL] So they get 5 office visits per year, $75 per office visit. [CUSTOMER][NEUTRAL] Are you able to tell how many the patient has? [CUSTOMER][NEUTRAL] Left [AGENT][NEUTRAL] Hold on. Yes, ma'am, hold on, I can tell you. [CUSTOMER][NEUTRAL] Or has used [CUSTOMER][POSITIVE] OK thank you. [AGENT][NEUTRAL] She hasn't used any for the, hold on, I'm sorry. I'm looking at the wrong one. [AGENT][NEUTRAL] She has used one for this year. [CUSTOMER][NEUTRAL] OK. [CUSTOMER][NEUTRAL] All right, does it go January, January? [AGENT][NEUTRAL] Yes, ma'am. It's calendar year. [CUSTOMER][NEUTRAL] OK. [CUSTOMER][NEUTRAL] Alright, and do you have a call reference or does it just use your name? [AGENT][NEUTRAL] We do not have call reference numbers. You can use my name in today's date. Is there anything else I can help you with? [CUSTOMER][NEUTRAL] OK. [CUSTOMER][POSITIVE] That is all thank you for your information. [AGENT][POSITIVE] Thank you, [PII], for calling APA. You have a good day. [CUSTOMER][NEUTRAL] OK. [CUSTOMER][NEUTRAL] You too bye bye. [AGENT][POSITIVE] Thank you. Bye bye. [CUSTOMER][NEUTRAL] OK.