AccountId: 011433970860 ContactId: 7a27ff3e-9b8a-4e42-803f-8a9596ec448b Channel: VOICE LanguageCode: en-US Total Conversation Duration: 162320 ms Total Talk Time (AGENT): 41202 ms Total Talk Time (CUSTOMER): 84181 ms Interruptions: 0 Overall Sentiment: AGENT=1.4, CUSTOMER=0.4 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/06/11/7a27ff3e-9b8a-4e42-803f-8a9596ec448b_20250611T15:45_UTC.wav -------------------------------------------- [AGENT][NEUTRAL] Thank you for calling APL. This is. How can I help you? [CUSTOMER][NEUTRAL] I'm sorry, what was your name again? [AGENT][NEUTRAL] [PII]. [CUSTOMER][NEUTRAL] [PII], hi [PII], my name is [PII]. I'm calling from Doctor [PII] office, and I had um a couple questions about my patient's fax verification of benefits. [AGENT][NEUTRAL] OK. Do you have the good callback number, [PII], and I can help you with looking at those benefits. [CUSTOMER][NEUTRAL] [PII]. [AGENT][NEUTRAL] And the policy number for that patient? [CUSTOMER][NEUTRAL] That is 02619366. [AGENT][NEUTRAL] And patient name and date of birth. [CUSTOMER][NEUTRAL] That is [PII]. Date of birth is [PII]. [AGENT][NEUTRAL] OK. And how can I help you? [CUSTOMER][NEUTRAL] Yeah [CUSTOMER][NEUTRAL] So, um. [CUSTOMER][NEUTRAL] Like the letters under the limitation um and there's no explanation for those so I don't know what any of those are supposed to mean or any of the other codes as well. [CUSTOMER][NEUTRAL] Is there waiting periods for any of these services? [AGENT][NEUTRAL] Um, there's no waiting period. Let me pull up our facts back, um. [CUSTOMER][NEUTRAL] Oh. [CUSTOMER][NEUTRAL] Mhm [CUSTOMER][NEUTRAL] I [CUSTOMER][NEUTRAL] I you right here. [AGENT][NEUTRAL] OK. OK. And yes, what else can I help with? [CUSTOMER][NEUTRAL] No [CUSTOMER][NEUTRAL] OK, no, no waiting on any, any of the procedures? [AGENT][POSITIVE] That's correct. [CUSTOMER][NEUTRAL] Is that OK? Alright, and the exam and X-rays are covered at, is it 100% or 80%? [AGENT][NEUTRAL] Um, exams and X-rays are covered as um preventative. [AGENT][NEUTRAL] So it lists um category of events. [CUSTOMER][NEUTRAL] OK, so the rate. [AGENT][NEUTRAL] Um, on the second page. [AGENT][NEUTRAL] Those codes are preventative and then everybody, everything else is basic. [CUSTOMER][NEUTRAL] Mhm. [CUSTOMER][NEUTRAL] So, OK, and OK, and so that, yeah, so the panorex was like I said, yeah, down under fillings and like I said with the M and I didn't know exactly what that was supposed to mean. So, OK, so pan is basic, OK. [CUSTOMER][NEUTRAL] All right, and the deductible does come out of that, would that be correct? [AGENT][POSITIVE] Yes, that's correct. [CUSTOMER][POSITIVE] Under the base OK alright thank you. [AGENT][NEUTRAL] OK. Anything else I can help with today? [CUSTOMER][NEUTRAL] That is it. [AGENT][POSITIVE] OK. Thank you for calling APL. I hope you have a great day. [CUSTOMER][POSITIVE] You too thank you bye bye. [AGENT][POSITIVE] Thank you, bye bye.