AccountId: 011433970860 ContactId: 656fc9a9-49a6-4011-a397-3162ed4047be Channel: VOICE LanguageCode: en-US Total Conversation Duration: 177309 ms Total Talk Time (AGENT): 50894 ms Total Talk Time (CUSTOMER): 61958 ms Interruptions: 0 Overall Sentiment: AGENT=0.6, CUSTOMER=1.2 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/05/02/656fc9a9-49a6-4011-a397-3162ed4047be_20250502T20:47_UTC.wav -------------------------------------------- [AGENT][NEUTRAL] Thank you for calling APL. This is [PII]. How can I help you? [CUSTOMER][NEUTRAL] Oh hi, this is [PII]. I'm calling today to verify eligibility and benefits for one of our patients. [AGENT][NEUTRAL] OK, I can help you with eligibility and benefits. And did you say your name was [PII]? [CUSTOMER][POSITIVE] Yes, that's correct. [AGENT][NEUTRAL] Do you have the policy number? [CUSTOMER][NEUTRAL] Yes, the policy number is 01792107. [AGENT][NEUTRAL] OK, uh, could you repeat that? You're kind of breaking up. [CUSTOMER][NEUTRAL] Oh yeah, sure, it is 01792107. [AGENT][NEUTRAL] Do you have a good callback number in case we're disconnected? [CUSTOMER][NEUTRAL] this [CUSTOMER][NEUTRAL] Yep, my direct line is [PII]. [AGENT][NEUTRAL] OK, and the patient name and date of birth? [CUSTOMER][NEUTRAL] This is for [PII], and the date of birth is [PII]. [AGENT][NEUTRAL] OK, this is not a guarantee of payment basic outline of the policy. Policy is effective [PII]. It's currently active. [AGENT][NEUTRAL] Is this for outpatient benefits or office visit or? [CUSTOMER][NEUTRAL] Uh, this is for outpatient benefits. It's for screening mammogram and bone density. [AGENT][NEUTRAL] OK. [AGENT][NEUTRAL] OK, um, so for their policy, they have a $5000 per covered year per calendar or per covered person per calendar year maximum benefit payable. [AGENT][NEUTRAL] So this is a secondary policy. It will pick up deductible and co-insurance after Primary has processed the claim. [CUSTOMER][NEUTRAL] OK, not a problem. Understood. And by any chance do you know if they've used anything so far that $5000 as of today? [AGENT][NEGATIVE] Uh, it does not look like anything's been used. [CUSTOMER][POSITIVE] OK, not a problem. And if I can just get a reference number if there's any for the phone call, then we're good to go. [AGENT][NEUTRAL] Um, it's my name, [PII], and today's date. [CUSTOMER][NEUTRAL] OK [CUSTOMER][POSITIVE] Alright, excellent thank you so much again for your time today. [AGENT][POSITIVE] Thank you for calling APL. I hope you have a good weekend. [CUSTOMER][NEUTRAL] You too now bye bye. [AGENT][POSITIVE] Thank you. Bye-bye.