AccountId: 011433970860 ContactId: 5b007ff6-f196-4838-807c-aa014cffe7cc Channel: VOICE LanguageCode: en-US Total Conversation Duration: 254539 ms Total Talk Time (AGENT): 96424 ms Total Talk Time (CUSTOMER): 110605 ms Interruptions: 3 Overall Sentiment: AGENT=0.5, CUSTOMER=0.2 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/03/03/5b007ff6-f196-4838-807c-aa014cffe7cc_20250303T16:34_UTC.wav -------------------------------------------- [AGENT][POSITIVE] Good morning. Thanks for calling APL. This is speaking. May I help you? [CUSTOMER][NEUTRAL] Hi, my name is [PII] calling for dental benefits. [AGENT][NEUTRAL] OK, I can verify benefits for you. And [PII], what is the policy number, please? [CUSTOMER][NEUTRAL] 021-94838. [AGENT][POSITIVE] OK, thank you. Give me one moment. [AGENT][NEUTRAL] And do you have a callback number in case the call drops? [CUSTOMER][NEUTRAL] Yes, [PII] direct line. [AGENT][NEUTRAL] OK. [AGENT][NEUTRAL] And you said, what is the first three digits? I apologize. [CUSTOMER][NEUTRAL] Oh, MAR uh sorry is it. [AGENT][NEUTRAL] No, no. What is the first digits of the callback number? [CUSTOMER][NEUTRAL] OK [PII]. [AGENT][NEUTRAL] OK. [AGENT][NEUTRAL] Let's see, and [PII], do you have a callback number in case the call drops? [AGENT][NEUTRAL] Oh, you gave that to me, sorry, verify the patient's name, date of birth. I apologize. [CUSTOMER][NEUTRAL] Yes, 6, I, I gave it to you. [CUSTOMER][NEUTRAL] Uh, it's OK. Uh, name is [PII] and date of birth is. [CUSTOMER][NEUTRAL] [PII]. [AGENT][NEUTRAL] OK, uh, showing his effective date is [PII]. He is active on the policy, and now you just need a general breakdown of benefits or I can send you a fax back. [CUSTOMER][NEUTRAL] So [CUSTOMER][NEUTRAL] I have specific information only for this patient. [AGENT][NEUTRAL] OK. [CUSTOMER][NEUTRAL] OK, what is the annual maxim screening for this patient? [AGENT][NEUTRAL] Say that again. [CUSTOMER][NEUTRAL] Annual max remaining. [AGENT][NEUTRAL] Oh, remaining, give me one moment. [CUSTOMER][NEUTRAL] Yes. [AGENT][NEUTRAL] Uh, let's see, um, well, not a guarantee of payment, just verification coverage. I show the patient has remaining of their benefit of $1,243.80. [CUSTOMER][NEUTRAL] 83 cents 1,243 and 83 cents. It is used and or remaining. [AGENT][NEUTRAL] That is the amount remaining for this year. [CUSTOMER][NEUTRAL] OK, remaining amount. [CUSTOMER][NEUTRAL] Just a moment. Let me confirm. Uh, actually I got the information before that $512.40 was used, so it doesn't match what is the huge amount can you? [AGENT][NEUTRAL] Mhm. [CUSTOMER][NEUTRAL] Let [AGENT][NEUTRAL] Uh show so far they've used $256.20. [CUSTOMER][NEUTRAL] Just please hold on a moment. Can you do that? Just a moment. [AGENT][NEUTRAL] Uh-huh. [CUSTOMER][NEUTRAL] $256.20. [AGENT][NEUTRAL] Yes, that's the amount that the uh patron has used for this year. Mhm. [CUSTOMER][NEUTRAL] And the remaining is [CUSTOMER][NEUTRAL] And the remaining is 1243.83. [AGENT][NEUTRAL] 80. [CUSTOMER][NEUTRAL] I got that. [CUSTOMER][NEUTRAL] And deductible has been met or not? [AGENT][NEUTRAL] A deductible has been met for the year. [CUSTOMER][NEUTRAL] OK, and any claim pending? [CUSTOMER][NEUTRAL] For this patient. [AGENT][NEUTRAL] I'm sorry, is there what? [CUSTOMER][NEUTRAL] Any claim pending for this patient that is in process. [AGENT][NEUTRAL] Uh, not that I'm showing. [CUSTOMER][NEUTRAL] OK, got that and your name is, can you repeat that? [AGENT][NEUTRAL] Sure, it's [PII]. [CUSTOMER][NEUTRAL] Uh, OK, and what is the reference number for this call? [AGENT][NEUTRAL] Uh, we don't give reference numbers, but you may use my name in today's date if you like. [CUSTOMER][NEUTRAL] OK, uh, for the last time, can you spell your name? [AGENT][NEUTRAL] [PII]. [CUSTOMER][NEUTRAL] OK [CUSTOMER][POSITIVE] OK, OK, OK, OK, got that. That will be all then. Thank you so much for the information. Have a great day. [AGENT][POSITIVE] Alright, you're welcome. Thank you for calling APL. Bye. [CUSTOMER][NEUTRAL] Bye bye.