AccountId: 011433970860 ContactId: 6b0d9f25-2125-49e7-a17c-b5ddf3dec87f Channel: VOICE LanguageCode: en-US Total Conversation Duration: 318109 ms Total Talk Time (AGENT): 152031 ms Total Talk Time (CUSTOMER): 73217 ms Interruptions: 0 Overall Sentiment: AGENT=0.7, CUSTOMER=2.3 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/02/26/6b0d9f25-2125-49e7-a17c-b5ddf3dec87f_20250226T15:09_UTC.wav -------------------------------------------- [AGENT][POSITIVE] Good morning. Thank you for calling APL. This is [PII]. May I help you? [CUSTOMER][NEUTRAL] Hello, I was calling in to uh gather uh patients dental benefits. [AGENT][NEUTRAL] OK, I can verify benefits for you and your name is? [CUSTOMER][NEUTRAL] My name is [PII] [AGENT][NEUTRAL] OK, and [PII], what is that policy number, please? [CUSTOMER][NEUTRAL] I'm looking at. [CUSTOMER][NEUTRAL] This might be their ID number 199. [CUSTOMER][NEUTRAL] 7266. [AGENT][POSITIVE] OK, thank you so much. Give me a moment. [AGENT][NEUTRAL] And [PII], do you have the callback number in case the call drops? [CUSTOMER][NEUTRAL] Yeah, the [PII]. [CUSTOMER][NEUTRAL] [PII]. [CUSTOMER][NEUTRAL] [PII]. [AGENT][NEUTRAL] OK, thank you. And the patient's name, date of birth? [CUSTOMER][NEUTRAL] have [PII] and date of birth is [PII]. [AGENT][NEUTRAL] OK, thank you. I show his effective date is [PII]. He is active on the policy, and I need a general breakdown of benefits or I can send you a fax back. [CUSTOMER][POSITIVE] Fax would be perfect. [AGENT][NEUTRAL] OK, and what's your fax number, please? [CUSTOMER][NEUTRAL] The [PII]. [AGENT][NEUTRAL] Mhm. [CUSTOMER][NEUTRAL] [PII]. [CUSTOMER][NEUTRAL] [PII]. [AGENT][NEUTRAL] OK, and that's [PII]. [CUSTOMER][POSITIVE] You got it. [AGENT][POSITIVE] OK, I will send this off to you in a few moments, I I give it about 5 minutes or so. Um, is there anything else I can assist you with? [CUSTOMER][POSITIVE] Got you. [CUSTOMER][NEUTRAL] Would there be anything that wouldn't be included on the facts like a history or accumulations? [AGENT][NEUTRAL] Yeah, history and accumulations are not on there. Uh, give me a moment. [AGENT][NEUTRAL] Hm. [AGENT][NEUTRAL] Uh, I show his last cleaning. [AGENT][NEUTRAL] It was on [PII] and cleanings are once every six months. [AGENT][POSITIVE] And it looks like he has a panoramic history as well as bite wings on. [AGENT][NEUTRAL] [PII], so he's not eligible for panel or FMX. [AGENT][NEUTRAL] Um, nor for bite wings since that is once every 12 months. [CUSTOMER][POSITIVE] Awesome. [CUSTOMER][NEUTRAL] And could I ask about just two specific dental codes? [AGENT][NEUTRAL] Sure. [CUSTOMER][NEUTRAL] Those would be [PII]. [AGENT][NEUTRAL] OK. [CUSTOMER][NEUTRAL] And [PII]. [AGENT][NEUTRAL] Uh, let's see. [AGENT][NEUTRAL] Oh, OK. And I do show his last exam, that 140 was on [PII] and exams are two for 12 month period, so he is [AGENT][NEUTRAL] He is eligible for an exam, and as far as the 9310, I don't show any history. [CUSTOMER][POSITIVE] Got you. [CUSTOMER][NEUTRAL] And the only other thing if the uh max and deductible remaining on the fax or would those not be included? [AGENT][NEUTRAL] Mhm [AGENT][NEUTRAL] Not be included, but give me a moment, I can verify that for you. [CUSTOMER][POSITIVE] Thank you. [AGENT][NEUTRAL] Mhm. [AGENT][NEUTRAL] No, that's not the screen. Give me one moment, trying to remember the screen I need to get on Tuesday. [AGENT][NEUTRAL] 4. [AGENT][NEUTRAL] And it looks like he has met his deductible for the year, and he has $945.40 remaining. [CUSTOMER][NEUTRAL] All right. [AGENT][NEUTRAL] 0 2020. [CUSTOMER][NEUTRAL] And then could I grab your name one more time? [AGENT][NEUTRAL] Uh yes, sir. It's [PII] [PII]. [CUSTOMER][NEUTRAL] Alright, and then the only other thing I should need, could I grab a reference number for today's call? [AGENT][NEUTRAL] Uh, we don't give reference numbers, but if you like, you may use my name at today's date. [CUSTOMER][POSITIVE] Got you. [AGENT][NEUTRAL] 913529. And you should receive this in a few moments. I'm just sending it off now. [CUSTOMER][POSITIVE] Thank you. [AGENT][NEUTRAL] OK. And is there anything else I can assist you with today? [CUSTOMER][POSITIVE] I know that should cover it. Thank you for helping me. [AGENT][POSITIVE] Uh, you're welcome and thank you for calling APL. You have a great rest of your day. [CUSTOMER][POSITIVE] You too take care. Bye bye. [AGENT][NEUTRAL] Mhm, bye.