AccountId: 011433970860 ContactId: 602afad7-77dc-423e-bbbc-86661eb5b6d9 Channel: VOICE LanguageCode: en-US Total Conversation Duration: 113559 ms Total Talk Time (AGENT): 52326 ms Total Talk Time (CUSTOMER): 44571 ms Interruptions: 0 Overall Sentiment: AGENT=0.6, CUSTOMER=2.8 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/05/20/602afad7-77dc-423e-bbbc-86661eb5b6d9_20250520T20:25_UTC.wav -------------------------------------------- [AGENT][NEUTRAL] Thank you for calling APL. This is [PII]. How can I help you? [CUSTOMER][NEUTRAL] Hi, yes, my name is [PII] calling from Texas Digestive Specialist. I was calling to get benefits for patients. [AGENT][POSITIVE] All right. I'm happy to check on benefits, [PII]. What's the patient's policy number? [CUSTOMER][NEUTRAL] I have 186-878-1. [AGENT][NEUTRAL] And patient's name and date of birth. [CUSTOMER][NEUTRAL] Oh [CUSTOMER][NEUTRAL] [PII]. [CUSTOMER][NEUTRAL] And date of birth is [PII]. [AGENT][NEUTRAL] Thank you. So patient is active. Effective date is [PII]. We are the members secondary insurance, so this will cover deductible, co-pay, co-insurance, the primary does not. [CUSTOMER][NEUTRAL] OK, and is it um only for like outpatient inpatient services? [AGENT][NEUTRAL] Mhm, yeah, it would be for outpatient or inpatient. The outpatient benefit max is 2550 for the calendar year and it's the same for inpatient as well. [CUSTOMER][NEUTRAL] OK. [CUSTOMER][NEUTRAL] And do you show if she's accumulated anything for her outpatient benefits? [AGENT][NEGATIVE] It doesn't look like she's used anything thus far. [CUSTOMER][POSITIVE] Alrighty thank you so much. I'm so sorry I didn't get your name in the beginning. [AGENT][NEUTRAL] That's OK. My name is [PII], that's [PII] and then my last initial is [PII]. [CUSTOMER][POSITIVE] Thank you so much, sir. Would that um be the reference number as well for the with today's date? [AGENT][NEUTRAL] Yes, ma'am, just my name and today's date is the call reference, uh huh. [CUSTOMER][POSITIVE] Awesome thank you so much for that that's all I needed. [AGENT][POSITIVE] You're welcome. Have a great day. [CUSTOMER][POSITIVE] You too thank you bye bye