AccountId: 011433970860 ContactId: 6a51841a-ca72-4a95-9de7-4496d6fb2721 Channel: VOICE LanguageCode: en-US Total Conversation Duration: 172559 ms Total Talk Time (AGENT): 64817 ms Total Talk Time (CUSTOMER): 63250 ms Interruptions: 0 Overall Sentiment: AGENT=0, CUSTOMER=0 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/04/16/6a51841a-ca72-4a95-9de7-4496d6fb2721_20250416T13:43_UTC.wav -------------------------------------------- [AGENT][POSITIVE] Thanks for calling APL. This is [PII]. How can I help you? [CUSTOMER][NEUTRAL] Hello, this is [PII] calling from the provider office to check on the eligibility and benefits. [AGENT][NEUTRAL] Hey, I can help you with benefits. [PII]. Do you have a good call back number? [CUSTOMER][NEUTRAL] Yeah. The callback number is [PII]. [AGENT][NEUTRAL] OK, thank you. Do you have the policy number of the patient? [CUSTOMER][NEUTRAL] Yeah, the policy ID is 02011238. [AGENT][NEUTRAL] And patient name and date of birth? [CUSTOMER][NEUTRAL] No [CUSTOMER][NEUTRAL] Patient's name is [PII]. [CUSTOMER][NEUTRAL] And the date of birth is [PII]. [AGENT][NEUTRAL] And you needed benefits, is that correct? [CUSTOMER][NEUTRAL] Yes, I need the eligibility and benefits. [AGENT][NEUTRAL] Her policy is effective [PII]. The policy is active, no terminate. [CUSTOMER][NEUTRAL] 1 2nd. [CUSTOMER][NEUTRAL] [PII]. OK. OK. OK. Can you tell me the claim mailing address? [AGENT][NEUTRAL] His mailing address is [PII]. [AGENT][NEUTRAL] [PII]. [AGENT][NEUTRAL] [PII]. [AGENT][NEUTRAL] [PII]. [CUSTOMER][NEUTRAL] OK, can you tell me the payer ID? [AGENT][NEUTRAL] Your ID is 60801. [CUSTOMER][NEUTRAL] OK. Is it a primary or secondary insurance? [AGENT][NEUTRAL] This is secondary. [CUSTOMER][NEUTRAL] OK. It's a 2nd. 1 2nd. [CUSTOMER][NEUTRAL] OK. What about copay, PCP? [AGENT][NEUTRAL] Um, so this is not a guarantee of payment, the basic outline of the policy. [AGENT][NEUTRAL] There's not a co-pay, it's just a benefit of 1500 per covered person per calendar year. [AGENT][NEUTRAL] And that will pick up. [CUSTOMER][NEUTRAL] OK. What about deductible? It was [AGENT][NEUTRAL] There there's no deductible, so this. [CUSTOMER][NEUTRAL] Yeah. What about [AGENT][NEGATIVE] There's not a deductible. [CUSTOMER][NEUTRAL] OK. What about out of pocket? [AGENT][NEUTRAL] There's not an out of pocket. [CUSTOMER][NEGATIVE] There's also no. [AGENT][NEUTRAL] So after, after. [CUSTOMER][NEUTRAL] OK. Can you tell me the reference number? [AGENT][NEUTRAL] Reference number is my name, [PII]. First initial to last name [PII] and today's date. [CUSTOMER][POSITIVE] OK. Thank you so much, [PII]. Have a nice day. Bye-bye. [AGENT][NEUTRAL] Calling APL you as well.