AccountId: 011433970860 ContactId: 602c0b94-31d1-4bbe-a1e9-2642d3d9dfb8 Channel: VOICE LanguageCode: en-US Total Conversation Duration: 241139 ms Total Talk Time (AGENT): 97442 ms Total Talk Time (CUSTOMER): 44348 ms Interruptions: 0 Overall Sentiment: AGENT=1.9, CUSTOMER=1.4 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/06/26/602c0b94-31d1-4bbe-a1e9-2642d3d9dfb8_20250626T13:45_UTC.wav -------------------------------------------- [AGENT][POSITIVE] Good morning. Thank you for calling APL. My name is [PII]. How may I help you? [CUSTOMER][NEUTRAL] Hi, good morning, [PII]. I'm calling because I need benefits on the patient, please. [AGENT][POSITIVE] OK, well, I can help you with the benefits. May I have your name and a good contact number in case we're disconnected? [CUSTOMER][NEUTRAL] Sure, my name is [PII]'s [PII] A. My phone number is [PII]. [AGENT][POSITIVE] Thank you and the member's policy number whenever you're ready. [CUSTOMER][NEUTRAL] It is 01296115 ML 8. [AGENT][NEUTRAL] Thank you, hold on one moment. [CUSTOMER][POSITIVE] Thanks [AGENT][NEUTRAL] And can you verify the member's first and last name and date of birth? [CUSTOMER][NEUTRAL] [PII] [PII] I'm sorry [PII]. [AGENT][NEUTRAL] Thank you for that and all the information provided is a verification of benefits, not a guarantee of payment and [AGENT][NEUTRAL] I'm showing the policy is active. It's been effective since [PII]. And what type of benefits did you want to go over today? [CUSTOMER][NEUTRAL] She's having an outpatient um procedure, uh, she's having a colonoscopy and an endoscopy. [AGENT][NEUTRAL] OK, hold on one moment. [AGENT][NEUTRAL] So for outpatient, the policy will pay up to $5000 per calendar year. Let me see if the policy specifies the diagnostic testing. Um, hold on one moment, OK? [CUSTOMER][POSITIVE] Thank you. [AGENT][POSITIVE] You're welcome. [CUSTOMER][NEGATIVE] You are on hold. [AGENT][NEUTRAL] What's going on with my own base? [AGENT][NEUTRAL] I'm just. [AGENT][NEUTRAL] Where is the certificate? [AGENT][NEUTRAL] Certificate. So wait a minute. Am I missing, did I miss any others? [AGENT][NEUTRAL] Yeah [AGENT][NEUTRAL] Oh. [CUSTOMER][NEGATIVE] You are on hold. [AGENT][MIXED] This one doesn't have it. OK, but I just wanna make sure. [AGENT][NEUTRAL] Hello, [PII]? [CUSTOMER][NEUTRAL] Yes, I'm here. [AGENT][NEUTRAL] Thank you so much for holding. I apologize for that wait. Um, so the policy doesn't specify diagnostic testing. So it is a total of 5000 per calendar year. Um, did you, I look to see if they, if she used any of the benefits for [PII] and she has not, so she has that full balance still. [CUSTOMER][NEUTRAL] OK [CUSTOMER][POSITIVE] Oh perfect um. [CUSTOMER][NEUTRAL] And then can I have an um a reference number for our call? [AGENT][NEUTRAL] Sure, so there's no call reference number, but you can use my name in today's date. And again, that's [PII], first initial to my last name is [PII]. [CUSTOMER][POSITIVE] OK, thank you so much and uh have a great day. [AGENT][POSITIVE] You also, thanks for calling APL. Was there anything else I can help with? [CUSTOMER][POSITIVE] Thank you bye bye. [CUSTOMER][POSITIVE] No, that's all for today thank you. [AGENT][POSITIVE] All right, you're welcome. Bye bye. [CUSTOMER][NEUTRAL] Bye bye.