AccountId: 011433970860 ContactId: 56c690a4-c694-438c-a40f-b7e3f401bd18 Channel: VOICE LanguageCode: en-US Total Conversation Duration: 162350 ms Total Talk Time (AGENT): 69563 ms Total Talk Time (CUSTOMER): 51339 ms Interruptions: 0 Overall Sentiment: AGENT=1.3, CUSTOMER=3.5 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/02/12/56c690a4-c694-438c-a40f-b7e3f401bd18_20250212T19:11_UTC.wav -------------------------------------------- [AGENT][POSITIVE] Good afternoon. Thank you for calling APL. My name is [PII]. How may I help you? [CUSTOMER][NEUTRAL] Hi yes ma'am. I just have a patient who I'm trying to verify some benefits for. [AGENT][POSITIVE] OK, well, I can help you with the benefits. May I have your name and a good contact number in case we're disconnected? [CUSTOMER][NEUTRAL] [PII] [PII] no extension? [AGENT][NEUTRAL] Thank you for that. And may I have the member's policy number? [CUSTOMER][NEUTRAL] That'll be 01909510. [AGENT][NEUTRAL] 01909510. [CUSTOMER][NEUTRAL] Yes ma'am. [AGENT][NEUTRAL] And can you verify the member's first and last name and date of birth? [CUSTOMER][NEUTRAL] [PII], [PII]. [AGENT][NEUTRAL] Thank you for that. And all the information provided is a verification of benefits, not a guarantee of payment. And I am showing the policy is active, it's been effective since [PII]. And what questions did you have in reference to the policy? [CUSTOMER][POSITIVE] Awesome, um, can you tell me what he has in terms of remaining maximum and, um, deductible? [AGENT][NEUTRAL] OK, hold on one moment. [CUSTOMER][NEUTRAL] Good, thank you for calling Carolina Weeks Family Dental. Doctor's office. How may I help you? [CUSTOMER][POSITIVE] Good. [CUSTOMER][NEUTRAL] Yes. [AGENT][NEUTRAL] Hold on one moment. [PII]. [CUSTOMER][POSITIVE] No, you're fine take your time. [CUSTOMER][NEUTRAL] What [AGENT][NEUTRAL] OK, so so far [PII] has used um $199. He has $1,301 left of the $1500 max. [AGENT][NEUTRAL] And he has not yet met the deductible. [CUSTOMER][POSITIVE] Perfect. And um can I verify for code 2392 it's a resin composite what that is covered under? [AGENT][NEUTRAL] 2392. Hold on one moment. [CUSTOMER][POSITIVE] Yeah fine take your time. [AGENT][NEUTRAL] It's under basic restorative at 80%. [CUSTOMER][POSITIVE] OK perfect that will be all that I need for today if I can get your name again and the reference number. [AGENT][NEUTRAL] Sure, so my name is [PII] First initial to my last name is [PII], and there's no call reference number, but you can use my name in today's date. [CUSTOMER][POSITIVE] Awesome thank you so much and I appreciate the help. [AGENT][POSITIVE] You're very welcome, [PII] and thanks for calling APL. Bye bye. [CUSTOMER][POSITIVE] Thank you bye.