AccountId: 011433970860 ContactId: 74cb02a7-7729-4300-8bd5-2202d50925cb Channel: VOICE LanguageCode: en-US Total Conversation Duration: 197039 ms Total Talk Time (AGENT): 91815 ms Total Talk Time (CUSTOMER): 88740 ms Interruptions: 0 Overall Sentiment: AGENT=0.8, CUSTOMER=0.7 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/05/20/74cb02a7-7729-4300-8bd5-2202d50925cb_20250520T14:16_UTC.wav -------------------------------------------- [AGENT][NEUTRAL] Calling American Public Life, this is [PII]. How can I help you? [CUSTOMER][NEUTRAL] Hi [PII], I just wanted to verify benefits please for a patient. [AGENT][POSITIVE] OK, I can help you with that. [AGENT][NEUTRAL] Could I get your name and a callback number? [CUSTOMER][NEUTRAL] Sure. Uh my name is [PII] and it's [PII]. [AGENT][NEUTRAL] Thank you. And the policy number you're calling on, [PII]? [CUSTOMER][NEUTRAL] Um, I have 019157. [CUSTOMER][NEUTRAL] 3 M as in Mary, L as in Larry, 8. [AGENT][NEUTRAL] OK, could I get that policy number one more time? It looks like I'm missing a number. [CUSTOMER][NEUTRAL] Um, let me see because I see here that they provided us with one number and I see on the card a different number, um. [CUSTOMER][NEUTRAL] I think that's what it is that there's one number missing. It's 01491573 ML 8. [AGENT][NEUTRAL] OK, thank you. The patient's name and date of birth? [CUSTOMER][NEUTRAL] Uh, [PII], date of birth is [PII]. [AGENT][NEUTRAL] OK, thank you so much for verifying the policy. You just say you were calling for benefits and what type of service is the patient coming in for? [CUSTOMER][NEUTRAL] Um, she's coming in for a breast MRI that's gonna be done in the office. [AGENT][NEUTRAL] OK. [AGENT][NEUTRAL] OK, please be advised verifying benefits is not guaranteed payment. Uh, this policy has been effective since [PII]. It is still active. I show that the policy does not cover services rendered in the physician's office unless it is due to malignant cancer. [CUSTOMER][NEUTRAL] Well, she had um she had history of breast cancer. [AGENT][NEUTRAL] OK, so we would, it wouldn't cover uh under history? [AGENT][NEUTRAL] Of breast cancer. [CUSTOMER][NEUTRAL] OK. [CUSTOMER][NEUTRAL] Not even if it's done in an outpatient facility? [AGENT][NEUTRAL] Now, if it's done in an outpatient facility, she does have benefits for an outpatient facility, uh, MRI facility or outpatient hospital. Uh, the policy will pay up to $1500 a day, uh, in an outpatient facility. [CUSTOMER][NEUTRAL] OK. [CUSTOMER][NEUTRAL] OK. [CUSTOMER][POSITIVE] Awesome. [CUSTOMER][NEUTRAL] OK, so I'll make sure that they know that. [CUSTOMER][POSITIVE] All right perfect thank you so much, [PII]. [AGENT][POSITIVE] You're welcome. Is there anything else I can help you with? [CUSTOMER][NEUTRAL] Uh, no, that's about it. [AGENT][NEUTRAL] And, uh, [PII], let me give you her updated policy number. The one you provided was the older number. [CUSTOMER][NEUTRAL] Oh, OK, go ahead. [AGENT][NEUTRAL] Uh, the policy number is 231. [AGENT][NEUTRAL] 3169. [CUSTOMER][NEUTRAL] Uh-huh. [CUSTOMER][NEUTRAL] Oh, they're shorter numbers now, OK. [CUSTOMER][POSITIVE] Got it. All right, perfect. Thank you so much, [PII]. [AGENT][POSITIVE] You're welcome. You have a wonderful day. Thank you for calling APL. [CUSTOMER][NEUTRAL] You too. Bye-bye. [AGENT][NEUTRAL] Bye bye.