AccountId: 011433970860 ContactId: 65f2825e-5fe2-4b30-bb7b-d4dd0a7ba017 Channel: VOICE LanguageCode: en-US Total Conversation Duration: 147149 ms Total Talk Time (AGENT): 79927 ms Total Talk Time (CUSTOMER): 45828 ms Interruptions: 0 Overall Sentiment: AGENT=1.5, CUSTOMER=1.1 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/03/06/65f2825e-5fe2-4b30-bb7b-d4dd0a7ba017_20250306T19:30_UTC.wav -------------------------------------------- [AGENT][NEUTRAL] Afternoon. Thank you for calling APL. My name is [PII]. How may I help you? [CUSTOMER][NEUTRAL] Yes, hi [PII]. I wanted to verify benefits. [AGENT][POSITIVE] It would be my pleasure to help you with benefit verification. May I ask your name? [CUSTOMER][NEUTRAL] [PII]. [AGENT][POSITIVE] Thank you, [PII]. What is a good callback number? [CUSTOMER][NEUTRAL] [PII]. [AGENT][NEUTRAL] Thank you, [PII]. What is the policy number for the patient? [CUSTOMER][NEUTRAL] OK, I have it here. It is 118. [CUSTOMER][NEUTRAL] 458 7 ML 5. [AGENT][NEUTRAL] Mhm. [AGENT][NEUTRAL] Thank you. And [PII], what is the patient's name and date of birth? [CUSTOMER][NEUTRAL] [PII], and it is [PII]. [AGENT][POSITIVE] All right, thank you. [AGENT][NEUTRAL] I'm checking for eligibility now that policy number that you gave me is no longer an active policy for Mr. [PII]. He does have active coverage under another policy number. Can I give you that active policy information? [CUSTOMER][POSITIVE] Yes, yes, please. [AGENT][NEUTRAL] It would be my pleasure. S of [PII], Mr. [PII]'s active policy number is 133. [AGENT][NEUTRAL] 7107. [AGENT][NEUTRAL] And that is his active secondary policy with APL. [CUSTOMER][NEUTRAL] So it's 1337107. [AGENT][POSITIVE] Yes ma'am, that's correct. [CUSTOMER][POSITIVE] OK awesome OK so that's the one that we're um checking under then. [AGENT][NEUTRAL] All right. Well. [CUSTOMER][NEUTRAL] He will be undergoing surgery, so I, I wanted to see what it covers. [AGENT][NEUTRAL] Would that be in an outpatient facility? [CUSTOMER][NEUTRAL] It is. [AGENT][NEUTRAL] Alright, [PII], he does have outpatient coverage up to $2500. That is a per calendar year benefit. [AGENT][NEUTRAL] As of right now, he has not used any of that benefit for 2025. [CUSTOMER][NEUTRAL] OK. [AGENT][NEUTRAL] Anything else I can help you with today? [CUSTOMER][POSITIVE] That is all. Thank you very much. [AGENT][POSITIVE] It's been such a pleasure to assist you, [PII]. Thank you for calling APL and I hope you have a wonderful afternoon. [CUSTOMER][NEUTRAL] You too bye bye. [AGENT][NEUTRAL] Bye bye.