AccountId: 011433970860 ContactId: 65ca93ac-47c0-4583-b382-e45a0ac9438b Channel: VOICE LanguageCode: en-US Total Conversation Duration: 148320 ms Total Talk Time (AGENT): 53137 ms Total Talk Time (CUSTOMER): 44029 ms Interruptions: 0 Overall Sentiment: AGENT=1.2, CUSTOMER=0.5 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/04/09/65ca93ac-47c0-4583-b382-e45a0ac9438b_20250409T16:51_UTC.wav -------------------------------------------- [AGENT][NEUTRAL] Thank you for calling APL. This is [PII]. How can I help you? [CUSTOMER][NEUTRAL] Hi, I'm calling for benefits and eligibility please. [AGENT][POSITIVE] OK, I can help you with benefits and eligibility. Could I get your name and a good callback number? [CUSTOMER][NEUTRAL] [PII] [PII]. May I have your name please? [AGENT][NEUTRAL] Uh, [PII]. [CUSTOMER][NEUTRAL] OK. [AGENT][NEUTRAL] Did you say [PII] or [PII]? [CUSTOMER][NEUTRAL] [PII]. [AGENT][NEUTRAL] [PII], OK. [AGENT][NEUTRAL] OK, I'm sorry. Could you give me that number one more time? [PII]. [CUSTOMER][NEUTRAL] [PII] [AGENT][POSITIVE] OK, thank you so much. [CUSTOMER][POSITIVE] No problem. [AGENT][NEUTRAL] the policy number of the patient? [CUSTOMER][NEUTRAL] Yes. [CUSTOMER][NEUTRAL] That is 01659400 ML 8. [AGENT][NEUTRAL] OK, and the patient name and date of birth? [CUSTOMER][NEUTRAL] [PII] and it's [PII]. [AGENT][POSITIVE] OK, thank you. [CUSTOMER][NEUTRAL] Mhm. [AGENT][NEUTRAL] And you need benefits for outpatient services? [CUSTOMER][NEUTRAL] Ambulatory freestanding facility. [AGENT][NEUTRAL] And this is not a guarantee of payment, basic outline of the policy. Show her effective date is [PII]. Policy is currently active. [CUSTOMER][NEUTRAL] Mhm. [CUSTOMER][NEUTRAL] OK. [AGENT][NEUTRAL] Um [AGENT][NEUTRAL] pulled up. [CUSTOMER][NEUTRAL] Yeah. [AGENT][NEUTRAL] Um, outpatient benefit is 7900 per calendar year. [CUSTOMER][NEUTRAL] OK. [CUSTOMER][NEUTRAL] Um, so have they used any of it? [AGENT][NEUTRAL] Um, let me see. [AGENT][NEUTRAL] Uh, looks like she has used 7840. [CUSTOMER][NEUTRAL] Oh [CUSTOMER][NEUTRAL] All of it. [AGENT][NEUTRAL] Almost all of it, yep. [CUSTOMER][NEUTRAL] OK, almost all of it. OK, thank you and this is her secondary insurance. [AGENT][POSITIVE] That is correct, yes. [CUSTOMER][NEUTRAL] OK, may I please have the reference number? [AGENT][NEUTRAL] It's just my name, [PII], first initial to last name, [PII], and today's date. [CUSTOMER][POSITIVE] Thank you so much you have a good day. [AGENT][POSITIVE] Thank you for calling APL. Have a great day.