AccountId: 011433970860 ContactId: 54dbe189-3524-49cf-8ffd-012b2def6c90 Channel: VOICE LanguageCode: en-US Total Conversation Duration: 86970 ms Total Talk Time (AGENT): 36720 ms Total Talk Time (CUSTOMER): 38239 ms Interruptions: 0 Overall Sentiment: AGENT=1.4, CUSTOMER=0.8 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/02/10/54dbe189-3524-49cf-8ffd-012b2def6c90_20250210T16:17_UTC.wav -------------------------------------------- [AGENT][NEUTRAL] Calling APL, my name is [PII]. How may I assist you today? [CUSTOMER][NEUTRAL] Hi [PII], my name is [PII]. I'm calling to verify eligibility for one of your members. [AGENT][POSITIVE] I'd be happy to assist with eligibility today [PII], if I can get a good call back number for you. [CUSTOMER][NEUTRAL] [PII] [AGENT][NEUTRAL] And what is the policy number? [CUSTOMER][NEUTRAL] The policy number for this patient is one second it is 01719357ML7. [AGENT][NEUTRAL] Patient's name and date of birth? [CUSTOMER][NEUTRAL] [PII] date of birth is [PII]. [AGENT][POSITIVE] Thank you for that information. [CUSTOMER][NEUTRAL] Mhm. [AGENT][NEUTRAL] Please be advised the verification of coverage is not a guarantee of payment. I do show the policy is currently active. Effective date is [PII]. And are you calling for inpatient or outpatient benefits? [CUSTOMER][NEUTRAL] Um, just. [CUSTOMER][NEUTRAL] This patient was seen in the emergency room, so. [AGENT][NEUTRAL] Data service? [CUSTOMER][NEUTRAL] Date of service was yesterday [PII]. [AGENT][NEUTRAL] OK, so ER. [AGENT][NEUTRAL] That will be covered under outpatient and I'm showing the calendar year maximum is $6600. [CUSTOMER][POSITIVE] OK perfect thank you so much. [AGENT][NEUTRAL] Was there anything else I could assist with today? [CUSTOMER][NEUTRAL] That [CUSTOMER][POSITIVE] Um, no, that's it thank you. [AGENT][POSITIVE] Thank you for calling APL have a good day. [CUSTOMER][NEUTRAL] You too.