AccountId: 011433970860 ContactId: 75192fbc-2e92-40ea-9f0e-380e09442b95 Channel: VOICE LanguageCode: en-US Total Conversation Duration: 116360 ms Total Talk Time (AGENT): 59601 ms Total Talk Time (CUSTOMER): 34290 ms Interruptions: 1 Overall Sentiment: AGENT=1.6, CUSTOMER=2 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/04/14/75192fbc-2e92-40ea-9f0e-380e09442b95_20250414T17:03_UTC.wav -------------------------------------------- [AGENT][POSITIVE] Thank you for calling EPL my name is. [AGENT][NEUTRAL] How can I help you? [CUSTOMER][NEUTRAL] Hi, my name is [PII]. I'm calling from the Midtown Women's Center to get outpatient benefits for a member. [CUSTOMER][NEUTRAL] OK. [AGENT][NEUTRAL] OK, [PII], what is your callback number please? [CUSTOMER][NEUTRAL] [PII] [AGENT][NEUTRAL] Thank you. And what is the policy number, please? [CUSTOMER][NEUTRAL] 1070425 [AGENT][NEUTRAL] OK, let me just repeat that to confirm. I have that as 1070425. [AGENT][NEUTRAL] For the policy number. [CUSTOMER][NEUTRAL] Yes. [AGENT][NEUTRAL] And verify the patient's name and date of birth. Thank you. [CUSTOMER][NEUTRAL] [PII] and the date of birth is [PII]. [AGENT][POSITIVE] OK, thank you [PII]. [AGENT][NEUTRAL] And you're calling for outpatient benefits for this member. Give me one moment. [AGENT][POSITIVE] I can get that for you. [AGENT][NEUTRAL] And the moment shows effective as of [PII] that this policy shows active as a supplemental. [CUSTOMER][NEUTRAL] Mhm [AGENT][NEUTRAL] And for our patient benefits, please note verification of benefits provided does not guarantee payment. We pay up to $500 max for the same or related condition every 90 days. [CUSTOMER][NEUTRAL] OK, and as of now does she still have the 500 available? [AGENT][NEUTRAL] Per cards, yes, ma'am. [CUSTOMER][NEUTRAL] OK perfect can I just have your name and a reference number? [AGENT][NEUTRAL] We do not provide reference numbers. Please use my name [PII] last initial [PII], and today's date. [AGENT][NEUTRAL] Anything else I can help you with? [CUSTOMER][POSITIVE] OK, thank you. [AGENT][NEUTRAL] [PII] [CUSTOMER][POSITIVE] No, that'll be all thank you. [AGENT][POSITIVE] You're welcome. [AGENT][POSITIVE] Thanks for calling APL. Take care. [CUSTOMER][POSITIVE] Have a great day bye bye.