AccountId: 011433970860 ContactId: 5fea5c04-ece8-4442-b3d4-771bda48d9cf Channel: VOICE LanguageCode: en-US Total Conversation Duration: 614679 ms Total Talk Time (AGENT): 124882 ms Total Talk Time (CUSTOMER): 125070 ms Interruptions: 2 Overall Sentiment: AGENT=0.5, CUSTOMER=0.6 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/05/16/5fea5c04-ece8-4442-b3d4-771bda48d9cf_20250516T14:34_UTC.wav -------------------------------------------- [AGENT][NEUTRAL] Thank you for calling ATL. This is [PII]. How can I help you? [CUSTOMER][NEUTRAL] Hi [PII], I'm calling from Brighton Dental Orthodontics. I'm trying to verify dental benefits for a patient. [CUSTOMER][NEUTRAL] today was the. [AGENT][NEUTRAL] Brighton Orthodontics. Sure. Can I get your name? [CUSTOMER][NEUTRAL] [PII]. [AGENT][POSITIVE] And a good callback number in case we get disconnected? [CUSTOMER][NEUTRAL] [PII]. [CUSTOMER][NEUTRAL] Well. [AGENT][POSITIVE] OK, thank you so much. And do you have the policy number? [CUSTOMER][NEUTRAL] I have 02623588. [AGENT][NEUTRAL] Right. [AGENT][NEUTRAL] One moment, and you need, did you want the fax back? [CUSTOMER][NEUTRAL] Um, can you give me a verbal and then if anything, yeah, also a fax back, and then can you verify if my dog is this Carrington or what what plan is this because. [AGENT][NEUTRAL] Sure. [AGENT][NEUTRAL] Sure, um, [AGENT][NEUTRAL] Um, let me look. What is the patient's first and last name and date of birth? [CUSTOMER][NEUTRAL] Yeah [CUSTOMER][NEUTRAL] Mhm. [CUSTOMER][NEUTRAL] [PII] [PII]. [CUSTOMER][NEUTRAL] Yeah. [AGENT][NEUTRAL] You said [PII]? [CUSTOMER][NEUTRAL] Well [CUSTOMER][POSITIVE] Correct. [CUSTOMER][NEUTRAL] Yeah [AGENT][NEUTRAL] I do not have that birthday. [AGENT][NEUTRAL] Or, and what is his name? [CUSTOMER][NEUTRAL] Mm let's try another patient, [PII] let's try. [AGENT][NEUTRAL] Yeah, that's not, that's not the birthday that we have. [CUSTOMER][NEUTRAL] OK, let's try [PII]. [CUSTOMER][NEUTRAL] [PII]. [AGENT][NEUTRAL] OK. [AGENT][POSITIVE] OK, that one will work. [CUSTOMER][NEUTRAL] They have to remember to injury they have to upset it up. [CUSTOMER][NEUTRAL] If you don't wanna live [CUSTOMER][NEUTRAL] Yeah [AGENT][NEUTRAL] OK. [CUSTOMER][POSITIVE] Yeah they give you more like. [CUSTOMER][POSITIVE] You know and you like it. [AGENT][NEUTRAL] I don't believe it's [PII]. Give me one moment. [CUSTOMER][NEUTRAL] Mhm. [CUSTOMER][NEUTRAL] Yeah. [CUSTOMER][POSITIVE] Bye, thank you. Mhm. [AGENT][NEUTRAL] Let me pull up this particular one for you. [CUSTOMER][NEUTRAL] We [AGENT][NEUTRAL] OK. [AGENT][NEUTRAL] Sorry, one moment while I try to pull that up. [CUSTOMER][NEUTRAL] Mhm. [CUSTOMER][NEUTRAL] It's [AGENT][NEGATIVE] Computer's going just a little slow. [CUSTOMER][NEUTRAL] Mm. [AGENT][NEUTRAL] Give me just a second. Um, my computer's going just a little slow, so give me one second. I'll see if someone else can pull it up for me real quick. OK. [CUSTOMER][NEUTRAL] That's fine mhm. [CUSTOMER][NEUTRAL] Mhm. [AGENT][NEUTRAL] Alright, I have someone pulling it up for me real quick because my computer is going a little slow. [CUSTOMER][NEUTRAL] That's fine. [AGENT][NEUTRAL] Right [CUSTOMER][NEUTRAL] Ma'am. [AGENT][NEUTRAL] Yes, ma'am. [CUSTOMER][NEUTRAL] Were you able to find it? [AGENT][POSITIVE] Yes, ma'am. I just wanted to make sure that I got the right one. [CUSTOMER][NEUTRAL] OK. [AGENT][NEUTRAL] And then do you have the do you have particular codes you would like me to look at? [AGENT][NEUTRAL] Procedure codes. [AGENT][NEUTRAL] Hello. [CUSTOMER][NEUTRAL] Yes ma'am, I needed to know what uh fee schedule my provider is gonna be following. [CUSTOMER][NEUTRAL] You want to go right now? [AGENT][NEUTRAL] OK. [CUSTOMER][NEUTRAL] for [AGENT][NEUTRAL] These are flat rates, it is not percentages. [CUSTOMER][NEUTRAL] Yeah [CUSTOMER][NEUTRAL] OK [CUSTOMER][NEUTRAL] Is it a discount plan? [CUSTOMER][NEUTRAL] It [AGENT][NEGATIVE] It is not a discount plan. [AGENT][NEUTRAL] Oh, let me see. [AGENT][NEUTRAL] So this would have a $750 calendar year maximum with a $50 deductible. [AGENT][NEUTRAL] 1000 up to $150 per family. [CUSTOMER][NEUTRAL] Yeah. [AGENT][NEUTRAL] And this is a verification of benefits and not necessarily a guarantee of payment. [AGENT][NEUTRAL] But this would have [CUSTOMER][NEUTRAL] Yeah [AGENT][NEUTRAL] Uh, preventative expenses 80 or 100% allowable radiographs FMX expenses 80% allowable. [AGENT][NEUTRAL] Basic expenses, 80% of allowable and basic restorative expenses at 80% allowable. [CUSTOMER][NEUTRAL] Can you send me a fax back, please? [AGENT][POSITIVE] Yes ma'am, what's a good fax number? [CUSTOMER][NEUTRAL] [PII]. [AGENT][NEUTRAL] I have [PII]. [CUSTOMER][NEUTRAL] [PII]. [CUSTOMER][NEUTRAL] [PII], yes. [AGENT][NEUTRAL] [PII]. OK. [AGENT][NEUTRAL] Alright, I will get that to you in just a moment, OK? [CUSTOMER][POSITIVE] Thank you mhm. [AGENT][NEUTRAL] Alright, and is there anything else I can help you with? [CUSTOMER][NEUTRAL] That'll be yeah. [AGENT][POSITIVE] Alright, thank you so much for calling APL and have a great day. [CUSTOMER][NEUTRAL] Bye bye.