AccountId: 011433970860 ContactId: 592790ff-5f97-45e7-a5aa-3962f2a7673e Channel: VOICE LanguageCode: en-US Total Conversation Duration: 182320 ms Total Talk Time (AGENT): 62966 ms Total Talk Time (CUSTOMER): 67582 ms Interruptions: 0 Overall Sentiment: AGENT=2.1, CUSTOMER=1.4 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/01/24/592790ff-5f97-45e7-a5aa-3962f2a7673e_20250124T20:10_UTC.wav -------------------------------------------- [AGENT][NEUTRAL] Thank you for calling APL. This is [PII]. How can I help you? [CUSTOMER][NEUTRAL] Um, hi, yes, good morning, good afternoon. I'm calling to verify your patient's eligibility and benefits. [AGENT][POSITIVE] Alright, I'm happy to check on benefits and eligibility. What's the patient's policy number? [CUSTOMER][POSITIVE] Thank you. [CUSTOMER][NEUTRAL] Um, I have two patients. The first one is 02347828. M as in Michael, L as in Larry 8. [AGENT][POSITIVE] All right, thank you for that. One moment. [CUSTOMER][POSITIVE] Thank you. [AGENT][NEUTRAL] And if I could grab your first name and a callback number, please? [CUSTOMER][NEUTRAL] [PII] it is [PII]. [AGENT][NEUTRAL] Thank you, [PII] and then if I could get the patient's name and date of birth? [CUSTOMER][NEUTRAL] [PII] [PII]. [AGENT][POSITIVE] Thank you so much. So patient plan is active. The effective date on this is [PII]. [CUSTOMER][NEUTRAL] Um, and does it cover on specialist office visit copay? [AGENT][NEUTRAL] Let me see if it covers the office visit co-pay one second. [CUSTOMER][POSITIVE] I mean you're very excited. I see that. [AGENT][NEUTRAL] OK, so it looks like this patient's plan is going to cover treatment in a physician's office. However, it does not cover the office visit fee. [CUSTOMER][NEUTRAL] OK, so like the copay just for regular offices it doesn't. [AGENT][POSITIVE] Correct. [CUSTOMER][NEUTRAL] OK. [CUSTOMER][NEUTRAL] OK [CUSTOMER][POSITIVE] Perfect and I have one more patient. [AGENT][NEUTRAL] OK, what's that one, that policy? [CUSTOMER][NEUTRAL] It is 0 actually it's this uh I think they're family because it's the same policy number um this one is for [PII] 5675. [AGENT][NEUTRAL] Oh. [AGENT][NEUTRAL] OK. [AGENT][NEUTRAL] OK, yeah, so all the information would be the same as far as effective date, yeah, hm. [CUSTOMER][NEUTRAL] It's the same. [CUSTOMER][NEUTRAL] And the same as doesn't cover copay. [AGENT][POSITIVE] Correct, yeah. [CUSTOMER][NEUTRAL] Perfect then can I get a reference number? [AGENT][NEUTRAL] Absolutely call references my name with my last initial and then today's date. My name again is [PII], last initial to my name is [PII]. [CUSTOMER][POSITIVE] Thank you so much for your help. [AGENT][POSITIVE] You're welcome. Have a good one. [CUSTOMER][NEUTRAL] You too bye bye.