AccountId: 011433970860 ContactId: 6bfc3b84-56e9-459c-840b-7c912b88fba6 Channel: VOICE LanguageCode: en-US Total Conversation Duration: 156259 ms Total Talk Time (AGENT): 74480 ms Total Talk Time (CUSTOMER): 50740 ms Interruptions: 0 Overall Sentiment: AGENT=1.4, CUSTOMER=1.9 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/02/04/6bfc3b84-56e9-459c-840b-7c912b88fba6_20250204T16:38_UTC.wav -------------------------------------------- [AGENT][NEUTRAL] Thank you for calling APL. This is [PII]. How may I help you? [CUSTOMER][NEUTRAL] Uh, yes, um, my name is [PII]. I'm calling from, uh, Erin Doctor [PII]'s office, and I'm trying to verify a plan if the plan is active for a patient. [AGENT][NEUTRAL] OK, I can help you, Miss [PII]. Can you please give me your callback number just in case our call is disconnected? [CUSTOMER][NEUTRAL] It is [PII]. [AGENT][NEUTRAL] Thank you. And then you're looking for eligibility on what patient, please? [CUSTOMER][NEUTRAL] It's [PII]. Her birthday is [PII]. [AGENT][NEUTRAL] Thank you. And then what's [PII]'s policy number? [CUSTOMER][NEUTRAL] Uh, the one I have here is 02264898. [AGENT][NEUTRAL] OK, let me pull that policy in for us real quick. [CUSTOMER][POSITIVE] OK, thank you. [AGENT][POSITIVE] You're very welcome. [AGENT][NEUTRAL] OK, I do show that [PII] does have an active policy. Her effective date is [PII]. [CUSTOMER][NEUTRAL] OK, and um this is her secondary policy does it cover her primary uh insurance like the copay or? [CUSTOMER][NEUTRAL] Deductible [AGENT][NEUTRAL] Correct, correct, um, and this is just to verify her coverage, it's not a guarantee of payment it is secondary, you are right, it's a gap insurance that helps with deductible, co-pay or co-insurance. She has um an inpatient benefit amount of $6500 per calendar year and then she also has an outpatient benefit amount of $4000 per calendar year. [CUSTOMER][NEUTRAL] Yes ma'am. [CUSTOMER][NEUTRAL] OK. [CUSTOMER][NEUTRAL] Has she met any of her outpatients? [AGENT][NEUTRAL] Let me check for you. [CUSTOMER][POSITIVE] OK, thank you. [AGENT][NEUTRAL] Uh, let's see, she's used. [AGENT][NEUTRAL] $235.73. [CUSTOMER][NEUTRAL] OK [CUSTOMER][NEUTRAL] All right, that is all I needed. um, is there just a reference number or anything for the call? [AGENT][POSITIVE] Yes ma'am, you can use, yes you can use my name in today's date. [CUSTOMER][NEUTRAL] Or just your name? [CUSTOMER][NEUTRAL] OK [CUSTOMER][POSITIVE] OK alrighty thank you so much. [AGENT][POSITIVE] You're welcome. You have a good day and thanks for calling APO bye bye. [CUSTOMER][POSITIVE] Alright have a good day. [CUSTOMER][POSITIVE] Thank you