AccountId: 011433970860 ContactId: 6425acdf-6b91-4dc1-93d0-fc3380075b5a Channel: VOICE LanguageCode: en-US Total Conversation Duration: 174850 ms Total Talk Time (AGENT): 64609 ms Total Talk Time (CUSTOMER): 109580 ms Interruptions: 2 Overall Sentiment: AGENT=2.4, CUSTOMER=1.4 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/04/02/6425acdf-6b91-4dc1-93d0-fc3380075b5a_20250402T13:08_UTC.wav -------------------------------------------- [AGENT][POSITIVE] Thanks for calling APL. This is [PII]. How may I assist you? [CUSTOMER][NEUTRAL] Hey [PII], I'm calling from medical facility. I wanted to verify the uh benefits for a member. [AGENT][POSITIVE] Sure, I can assist you with that. Can I have your name and a callback number? [CUSTOMER][NEUTRAL] Uh yes, my name is [PII] Callback is [PII]. [AGENT][NEUTRAL] Thank you, [PII]. Can I have that policy number of the member that you're requesting benefits for? [CUSTOMER][NEUTRAL] Of course. [CUSTOMER][NEUTRAL] Uh, of course, uh, let's see, I have, mm, hold on, oh, I lost it. Give me one second. [AGENT][POSITIVE] Take your time. [CUSTOMER][NEUTRAL] Uh, systems because it's, uh, it's slow it's someday, Wednesday. [CUSTOMER][NEUTRAL] Let's see 01622812 M as in Mike L as in Lima and the number 8. [AGENT][POSITIVE] Thank you. Could you verify the patient's name and date of birth and I'll be able to assist you. [CUSTOMER][NEUTRAL] Of course [CUSTOMER][NEUTRAL] Uh, I have a [PII], [PII], so she might be under the policy. [AGENT][NEUTRAL] Thank you. You're calling to verify benefits and eligibility, correct? [CUSTOMER][NEUTRAL] Or death policy looks like of course. [AGENT][NEUTRAL] What is your place of service? Is it inpatient, outpatient, office visits? [CUSTOMER][NEUTRAL] Uh, yes, yes, yes. [CUSTOMER][NEUTRAL] It, it's gonna be, yeah, great question. I was about to ask, uh, answer. Uh, it's uh gonna be for outpatient hospital facility. Mhm. [AGENT][NEUTRAL] So the member's policy has been active since [PII]. [AGENT][NEUTRAL] She's currently active. She has outpatient benefits. [CUSTOMER][POSITIVE] OK, perfect. [AGENT][NEUTRAL] Of $500 per calendar day and this is not a guaranteed benefits, just a disclaimer of the policy's coverage. [CUSTOMER][NEUTRAL] OK, $5 per day, got it. [AGENT][NEUTRAL] 500 per day, yes. [CUSTOMER][NEUTRAL] Got it, and that'll be throughout the year, right? Mm. [AGENT][POSITIVE] Yes, that is correct. [CUSTOMER][NEUTRAL] Excuse me, sorry. [CUSTOMER][NEUTRAL] OK. [CUSTOMER][POSITIVE] 500 per day. Perfect. [CUSTOMER][NEUTRAL] Alright, and it said [PII] [PII] it's been, it's been active since then, right? Is that correct? To make sure I got it right. [AGENT][NEUTRAL] Yes. [CUSTOMER][POSITIVE] All right, perfect. [AGENT][POSITIVE] That's correct. [CUSTOMER][NEUTRAL] Thank you for that. So I just need those two things. Just wanna make sure I have the spelling of your name correct and then I call reference and then I'm good to go. [AGENT][NEUTRAL] Is there anything else that I can assist you with today? [AGENT][NEUTRAL] My name is [PII]. [CUSTOMER][POSITIVE] I got it right. Perfect. And then what would be the call reference, uh, for that, [PII]? [AGENT][NEUTRAL] [PII], we don't provide those. however, you can use my name in today's date as a reference. [CUSTOMER][POSITIVE] Yeah, that's perfect. Yeah, that's no worries. Just so, so I have a reference point. You're good, perfect. And then today's today's day, right? Alright, perfect, beautiful. I appreciate your help and have a thank you have a wonderful day. I appreciate your help. Thanks so much. [AGENT][NEUTRAL] OK. [AGENT][POSITIVE] Yes, that is correct. [AGENT][POSITIVE] Thank you, you do the same. Good thanks for calling APL. Goodbye. [CUSTOMER][NEUTRAL] Mhm. [CUSTOMER][POSITIVE] You got it. Bye-bye.