AccountId: 011433970860 ContactId: 78f0febd-4d7d-4755-be8f-f5a28eefe6fc Channel: VOICE LanguageCode: en-US Total Conversation Duration: 222600 ms Total Talk Time (AGENT): 82865 ms Total Talk Time (CUSTOMER): 66434 ms Interruptions: 0 Overall Sentiment: AGENT=1.2, CUSTOMER=1.1 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/04/02/78f0febd-4d7d-4755-be8f-f5a28eefe6fc_20250402T17:23_UTC.wav -------------------------------------------- [AGENT][POSITIVE] Good afternoon. Thank you for calling APL. My name is [PII]. How may I help you? [CUSTOMER][NEUTRAL] Yes ma'am I'm trying to verify dental coverage for a patient please. [AGENT][NEUTRAL] OK, well, I can help you with the eligibility. May I have your name and a good contact number in case we're disconnected? [CUSTOMER][NEUTRAL] Sure it's Conti. Phone number is [PII]. [CUSTOMER][NEUTRAL] [PII] [AGENT][NEUTRAL] Thank you for that. And may I have the member's policy number? [CUSTOMER][NEUTRAL] I don't have that. I just have their social. [AGENT][NEUTRAL] Oh, that's fine. [CUSTOMER][NEUTRAL] OK, it is [PII]. [AGENT][POSITIVE] Thank you. Hold on one moment. [AGENT][NEUTRAL] I'm just waiting for the policies to pop up here. [CUSTOMER][NEUTRAL] OK. [AGENT][NEUTRAL] And can you verify the member's first and last name? [CUSTOMER][NEUTRAL] Mhm. [PII] date of birth [PII]. [AGENT][NEUTRAL] Thank you for that and all the information provided is a verification of benefits, not a guarantee of payment. [AGENT][NEUTRAL] And the policy number is 259. [CUSTOMER][NEUTRAL] 259. [AGENT][NEUTRAL] 48 [CUSTOMER][NEUTRAL] Uh-huh. [AGENT][NEUTRAL] 83 [CUSTOMER][NEUTRAL] Uh-huh. [AGENT][NEUTRAL] And the policy has been active since [PII]? [AGENT][NEUTRAL] And were you needing a copy of the fax faxed to you or did you have particular questions about the fax bag? [CUSTOMER][NEUTRAL] Yeah, um, if I can get a fax back and then I do have questions, um, his plan only has $500 maximum? [AGENT][NEUTRAL] OK. [AGENT][NEUTRAL] Yes, per calendar year. [CUSTOMER][NEUTRAL] OK, and there's no major coverage? [AGENT][POSITIVE] Correct. Mhm. [CUSTOMER][NEUTRAL] OK, and what is under basic is fillings included? [CUSTOMER][NEUTRAL] Under basic [AGENT][NEUTRAL] Um, hold on one second. Do you have a [AGENT][NEUTRAL] These are the fillings, fillings are under basic restorative. [CUSTOMER][NEUTRAL] OK. [AGENT][NEUTRAL] But it's still 80%. [CUSTOMER][NEUTRAL] Got it [CUSTOMER][NEUTRAL] 80%, yes ma'am, and um he has no history right since it's just effective. [AGENT][NEUTRAL] Mhm. [AGENT][NEUTRAL] Let me make sure, yes, no history. [CUSTOMER][NEUTRAL] OK [AGENT][NEUTRAL] And then, um, [PII], what's a good fax number for you for me to send the fax back to? [CUSTOMER][NEUTRAL] Yes ma'am, it's [PII]. [AGENT][NEUTRAL] [PII]. [CUSTOMER][POSITIVE] Correct. [AGENT][NEUTRAL] And should I put attention [PII]? [CUSTOMER][POSITIVE] Yeah, that's great. [AGENT][NEUTRAL] OK. [AGENT][POSITIVE] All right, so I'm sending this over to you now. Was there anything else I can help you with today? [CUSTOMER][NEUTRAL] Mm, oh, may I get a reference number for the call? [AGENT][NEUTRAL] Sure, sir, there's no call reference number, but you can use my name and today's date and the first initial to my last name is [PII]. [CUSTOMER][POSITIVE] All right well thank you so much I appreciate your help. [AGENT][POSITIVE] You're very welcome thanks for calling APL. I hope you have a great day. [CUSTOMER][POSITIVE] Thank you you as well bye bye. [AGENT][POSITIVE] Thank you, bye bye. [CUSTOMER][NEUTRAL] You are