AccountId: 011433970860 ContactId: 5c09609f-afaa-4fe6-ade9-c042e5ba1637 Channel: VOICE LanguageCode: en-US Total Conversation Duration: 101360 ms Total Talk Time (AGENT): 45108 ms Total Talk Time (CUSTOMER): 40562 ms Interruptions: 0 Overall Sentiment: AGENT=0, CUSTOMER=0.4 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/06/10/5c09609f-afaa-4fe6-ade9-c042e5ba1637_20250610T16:51_UTC.wav -------------------------------------------- [AGENT][NEUTRAL] APL. This is [PII]. How can I help you? [CUSTOMER][NEUTRAL] Hi, this is [PII] and I'm calling from a provider's office for medical benefits on a patient. [AGENT][NEUTRAL] OK, I'm happy to check on benefits today, [PII]. Do we have the patient's policy number? [CUSTOMER][NEUTRAL] Yes, it's um 02597292. [AGENT][NEUTRAL] Thank you. And for documentation, can I get a good callback number? [CUSTOMER][NEUTRAL] [PII] [AGENT][NEUTRAL] And patient's name and date of birth? [CUSTOMER][NEUTRAL] [PII] [PII]. [AGENT][NEUTRAL] Thank you. So patient is active. Effective date on here is [PII]. We are the members secondary insurance, so this is gonna cover deductible, co-pay, co-insurance, the primary does not. [CUSTOMER][NEUTRAL] OK, and, and, um, is there like a specific coverage that I need to note down or? [AGENT][NEUTRAL] Um, is it for outpatient services inpatient? [CUSTOMER][NEUTRAL] Just that is covered. [CUSTOMER][NEUTRAL] Radilogy. [CUSTOMER][NEUTRAL] Yeah, no, for, um, outpatient radiology down in an office setting. [AGENT][NEUTRAL] OK, one moment. [AGENT][NEUTRAL] So their outpatient benefit max on this is gonna be $6000 and that's for the calendar year. [CUSTOMER][NEUTRAL] Maybe like one [AGENT][NEGATIVE] It doesn't look like they've used anything thus far. [CUSTOMER][NEUTRAL] OK and [CUSTOMER][POSITIVE] OK, I was that. Thank you, [PII]. Thank you. That'll be all. Thanks so much. [AGENT][POSITIVE] You're, you're welcome. Have a good day. [CUSTOMER][NEUTRAL] You too bye. [AGENT][NEUTRAL] Right