AccountId: 011433970860 ContactId: 6b434eb5-fc16-4498-84c4-c37cc43ec4cb Channel: VOICE LanguageCode: en-US Total Conversation Duration: 203179 ms Total Talk Time (AGENT): 86203 ms Total Talk Time (CUSTOMER): 63150 ms Interruptions: 2 Overall Sentiment: AGENT=1.3, CUSTOMER=0 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/04/21/6b434eb5-fc16-4498-84c4-c37cc43ec4cb_20250421T15:41_UTC.wav -------------------------------------------- [AGENT][POSITIVE] Good morning. Thank you for calling APL. My name is [PII]. How may I help you? [CUSTOMER][NEUTRAL] Hi, my name's [PII] and I'm calling to verify eligibility on a patient. [AGENT][POSITIVE] OK, well, I'll be more than happy to help you with the eligibility, [PII]. May I have a good contact number in case we're disconnected and the policy number, sorry. [CUSTOMER][NEUTRAL] Yeah, phone number is [PII] and policy number is 02597084. [CUSTOMER][NEUTRAL] Yeah. [AGENT][NEUTRAL] Thank you, hold on one moment. [AGENT][NEUTRAL] And can you verify the member's first and last name and date of birth? [CUSTOMER][NEUTRAL] [PII] date of birth [PII]. [AGENT][NEUTRAL] Thank you for that and all the information provided is a verification of benefits, not a guarantee of payment. So I am showing the policy is active. It's been effective since [PII]. [CUSTOMER][NEUTRAL] It. [CUSTOMER][NEUTRAL] OK, and does this cover emergency room visits? [AGENT][NEUTRAL] Um, hold on one moment. [CUSTOMER][NEUTRAL] OK. [CUSTOMER][NEUTRAL] She had left. [AGENT][NEUTRAL] So this is a hospital um hospital indemnity policy. So in terms of emergency room, [CUSTOMER][NEUTRAL] Mhm [CUSTOMER][NEUTRAL] We did [CUSTOMER][NEUTRAL] Mhm. [CUSTOMER][NEUTRAL] Um-hum. [AGENT][NEUTRAL] There's not. [AGENT][NEUTRAL] Let me double check this. Do you mind if I place you on just a brief hold? [CUSTOMER][NEUTRAL] Yeah, that's fine. [AGENT][NEUTRAL] OK, hold on one moment. [CUSTOMER][NEGATIVE] You are on hold. [AGENT][NEGATIVE] Mm mm. Cause I don't like looking at that screen. [AGENT][NEUTRAL] Just give me the policy, sir. Where is the? [AGENT][NEUTRAL] 12345678. [AGENT][NEUTRAL] 12355678 23. [AGENT][NEUTRAL] Let's see. [AGENT][NEUTRAL] Hello [PII]. [CUSTOMER][NEUTRAL] Yeah [AGENT][POSITIVE] Thank you so much for holding. I apologize for that wait. Um, so yes, this policy does have some additional benefits added. So for the emergency room, we will pay up to $350 per day with a max of 2 days per calendar year. [CUSTOMER][NEUTRAL] OK, um. [CUSTOMER][NEUTRAL] OK, uh, that is all I needed. Is there a reference number for the call? [AGENT][NEUTRAL] Did you want me to see if they've used any of that? [AGENT][NEUTRAL] OK. [AGENT][NEUTRAL] So there's no call reference number, but you can use my name in today's date. The first initial to my last name is [PII]. [CUSTOMER][NEUTRAL] To get them merged later. [CUSTOMER][POSITIVE] OK, alrighty, thank you very much. [AGENT][POSITIVE] You're very welcome, [PII] and thanks for calling APL. I hope you have a great day. [CUSTOMER][NEUTRAL] You too. [AGENT][POSITIVE] Thank you. Bye bye.