AccountId: 011433970860 ContactId: 5e4d6929-69ca-4ab1-96c2-560e2c641a87 Channel: VOICE LanguageCode: en-US Total Conversation Duration: 143559 ms Total Talk Time (AGENT): 54472 ms Total Talk Time (CUSTOMER): 57340 ms Interruptions: 0 Overall Sentiment: AGENT=0.4, CUSTOMER=0.9 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/05/15/5e4d6929-69ca-4ab1-96c2-560e2c641a87_20250515T15:30_UTC.wav -------------------------------------------- [AGENT][NEUTRAL] Call APL. This is [PII]. How may I assist you? [CUSTOMER][NEUTRAL] Hi [PII], my name is [PII]. I am calling to verify a patient's eligibility and find out their coverage for physical therapy. [AGENT][NEUTRAL] Sure, [PII], I can assist you with that. Can I have a callback number for you and that policy number? [CUSTOMER][NEUTRAL] Yeah, uh [PII]. [CUSTOMER][NEUTRAL] [PII] option 3. [CUSTOMER][NEUTRAL] And then the patient's ID number is 02214695. [AGENT][NEUTRAL] Could you verify that patient's name and date of birth? [CUSTOMER][NEUTRAL] [PII], um, [PII]. [AGENT][NEUTRAL] And [PII], you're calling to verify benefits and eligibility? [CUSTOMER][NEUTRAL] Yes, I wanna verify their eligibility and their physical therapy benefits. [AGENT][NEUTRAL] So let me give you the correct policy number. Let me know when you're ready for it. [CUSTOMER][POSITIVE] Absolutely. [AGENT][NEUTRAL] It's 235-0220. That's 235-0220. [AGENT][NEUTRAL] This claim, um this claim, this policy has been active since [PII] and it's currently active. [CUSTOMER][NEUTRAL] OK. [CUSTOMER][NEUTRAL] You said [PII]? [AGENT][NEUTRAL] 23. [CUSTOMER][NEUTRAL] 23, sorry. And it's active, OK. [AGENT][NEUTRAL] And this number has outpatient benefits of $3500 per calendar year. It is not a guaranteed benefits, just a disclaimer of the policy's coverage. [CUSTOMER][NEUTRAL] OK, so she has coverage up to 3500 per year for outpatient services. [AGENT][NEUTRAL] That is correct, and she's utilized $2,354.39. [CUSTOMER][NEUTRAL] 39 cents $2,354.39 met, OK. [AGENT][NEUTRAL] Is there anything else that I can assist you with today, sir? [CUSTOMER][POSITIVE] All righty. Do you [CUSTOMER][NEUTRAL] Yeah, do you do call reference numbers? [AGENT][NEUTRAL] We don't you use my name in today's date as a reference. [CUSTOMER][POSITIVE] All right, thank you so much for your help. I appreciate you have a great day. [AGENT][POSITIVE] You're welcome. Thanks for calling APA. You have a great one as well, [PII]. Goodbye. [CUSTOMER][NEUTRAL] Bye.