AccountId: 011433970860 ContactId: 6d320a02-4436-4b40-b4ee-0948849a2ac4 Channel: VOICE LanguageCode: en-US Total Conversation Duration: 128649 ms Total Talk Time (AGENT): 68129 ms Total Talk Time (CUSTOMER): 45469 ms Interruptions: 0 Overall Sentiment: AGENT=0.9, CUSTOMER=1.2 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/01/15/6d320a02-4436-4b40-b4ee-0948849a2ac4_20250115T21:08_UTC.wav -------------------------------------------- [AGENT][NEUTRAL] Calling APL. This is [PII]. How may I assist you? [CUSTOMER][NEUTRAL] Hi [PII], I'm trying to verify benefits for a member that walked into my urgent care. [AGENT][POSITIVE] Sure, I can assist you with that. Can I have your name and a callback number? [CUSTOMER][NEUTRAL] [PII]. [CUSTOMER][NEUTRAL] [PII] [AGENT][NEUTRAL] Could you provide me with the spelling of your name? [CUSTOMER][NEUTRAL] [PII] [AGENT][NEUTRAL] I'm not sure if you said [PII]. [CUSTOMER][POSITIVE] Correct. [AGENT][NEUTRAL] Can I have that policy number of the member that you're inquiring eligibility for today? [CUSTOMER][NEUTRAL] S [CUSTOMER][NEUTRAL] 02586164 [AGENT][NEUTRAL] And could you pronounce your name for me again? [CUSTOMER][NEUTRAL] [PII]. [AGENT][NEUTRAL] [PII], and you spell your name [PII]? [CUSTOMER][NEUTRAL] Yes. [AGENT][NEUTRAL] That's your first name? [CUSTOMER][NEUTRAL] My first name is [PII]. You're spelling my last name. [AGENT][NEUTRAL] Now, I asked you, could you, could you provide me with the spelling of your first name? [CUSTOMER][NEUTRAL] [PII] [AGENT][POSITIVE] Thank you. [AGENT][NEUTRAL] What is this member's name and date of birth that you're inquiring eligibility for today, [PII]? [CUSTOMER][NEUTRAL] [PII] and his date of birth is [PII]. [AGENT][NEUTRAL] And you're calling to verify outpatient services correct? [CUSTOMER][NEUTRAL] For urgent care, yes. [AGENT][NEUTRAL] This member's policy has been active since [PII] and is currently active. [CUSTOMER][NEUTRAL] OK, does he have a copay for urgent care services? [AGENT][NEUTRAL] This is a hospital indemnity policy, so I'm gonna verify if he has outpatient services. So he has an outpatient sickness rider we pay up to $125 per visit and this is not a guaranteed benefits, just a disclaimer of the policy's coverage. [CUSTOMER][POSITIVE] OK, alrighty. [AGENT][NEUTRAL] Is there anything else that I can assist you with today? [CUSTOMER][POSITIVE] That'll be it thank you [PII]. [AGENT][POSITIVE] Thanks for calling APN have a great day. Goodbye.