AccountId: 011433970860 ContactId: 7433151e-a44c-431b-888e-f71bedb179f4 Channel: VOICE LanguageCode: en-US Total Conversation Duration: 152830 ms Total Talk Time (AGENT): 73009 ms Total Talk Time (CUSTOMER): 54514 ms Interruptions: 0 Overall Sentiment: AGENT=1.4, CUSTOMER=1.3 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/04/16/7433151e-a44c-431b-888e-f71bedb179f4_20250416T15:19_UTC.wav -------------------------------------------- [AGENT][NEUTRAL] Thank you for calling APL. This is [PII]. How can I help you? [CUSTOMER][NEUTRAL] Oh hello? [AGENT][NEUTRAL] Hello. [CUSTOMER][NEUTRAL] Hi, I'm sorry, I, I couldn't hear you. Your phone was breaking up in the beginning. I apologize who where am I calling again? [AGENT][NEUTRAL] This is APL American Public Life Insurance Company, and my name is [PII]. [CUSTOMER][NEUTRAL] OK. [CUSTOMER][NEUTRAL] Alright [CUSTOMER][NEUTRAL] Hi [PII] I'm actually calling from a provider's office just trying to verify patient coverage. Can you help me with that? I wasn't sure of the option. It wasn't. [AGENT][NEUTRAL] Hi. [AGENT][NEUTRAL] OK. [AGENT][NEUTRAL] I [AGENT][POSITIVE] Yes, I can help you. And may I have your name? [CUSTOMER][NEUTRAL] Sure, [PII] [AGENT][POSITIVE] Thank you. And your callback number, please? [CUSTOMER][NEUTRAL] [PII] [AGENT][NEUTRAL] Thank you [PII], and may I have the policy number? [CUSTOMER][NEUTRAL] Uh, let's see. [CUSTOMER][NEUTRAL] 025968 I'm sorry 6682. [AGENT][NEUTRAL] OK, let me just repeat that to confirm. I have that as 02596682. [CUSTOMER][POSITIVE] Correct. [AGENT][NEUTRAL] Thank you, verify the patient's name and date of birth. [CUSTOMER][NEUTRAL] [PII]. Date of birth [PII]. [AGENT][NEUTRAL] OK, thank you very much for the verification. I have it pulled up and you're calling to verify eligibility and benefits? [CUSTOMER][NEUTRAL] Uh, yes, and also see if he has a specialist copay. He wasn't aware he's not too sure of his plan. [AGENT][NEUTRAL] OK, uh, this policy shows effective as of [PII] and it shows that it's active for the member. Give me one second to pull up the benefits for you. [CUSTOMER][POSITIVE] Thank you. [AGENT][POSITIVE] You're welcome. [AGENT][NEUTRAL] OK, and with this policy there is no deductible copay or co-insurance. We just pay benefits for or repay benefits what is covered under the policy and for a specialist office visit. [CUSTOMER][NEUTRAL] OK [AGENT][NEUTRAL] Please note verification of benefits provided does not guarantee payment. We will pay $50 per day with a max of 4 days per year. That could be with a PCP or specialist. [CUSTOMER][NEUTRAL] Mm [CUSTOMER][NEUTRAL] OK. [CUSTOMER][POSITIVE] OK all right sounds good thank you so much I appreciate your help. [AGENT][POSITIVE] You're welcome, [PII], and thank you for calling APL. Take care bye. [CUSTOMER][POSITIVE] Alrighty bye bye.