AccountId: 011433970860 ContactId: 7ca7f801-d902-42ca-9f74-898187cc0283 Channel: VOICE LanguageCode: en-US Total Conversation Duration: 278380 ms Total Talk Time (AGENT): 66269 ms Total Talk Time (CUSTOMER): 88537 ms Interruptions: 1 Overall Sentiment: AGENT=0.6, CUSTOMER=1 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/04/17/7ca7f801-d902-42ca-9f74-898187cc0283_20250417T12:32_UTC.wav -------------------------------------------- [AGENT][NEUTRAL] This is [PII]. How may I help you? [CUSTOMER][NEUTRAL] Hi how are you? Yes, I'm tracking um patient eligibility for a outpatient service center. [AGENT][NEUTRAL] OK, I can help you. What's your name? [CUSTOMER][NEUTRAL] My name is [PII] and I last name [PII]. I am a. [CUSTOMER][NEUTRAL] A rep for the per, no rep, sorry, rep um registration. Um what, sorry, um so the patient name is [PII] and the last name is [PII] [AGENT][NEUTRAL] OK. OK. [AGENT][NEUTRAL] OK, [PII], do you have the policy number? [CUSTOMER][NEUTRAL] Yes, that's 02 sorry 22392. [AGENT][NEUTRAL] You have a copy of the card? [CUSTOMER][NEUTRAL] Um, no, he doesn't have the card with him. He had it on his phone, so I just wrote that information, but let me get, um. [CUSTOMER][NEUTRAL] Because I also have one that says for outpatient which is the 02560300 [PII], is that the one maybe? [AGENT][NEUTRAL] OK, that, that's the policy number. Give me one second. [CUSTOMER][POSITIVE] Perfect. [CUSTOMER][NEUTRAL] They [CUSTOMER][POSITIVE] You're here, you're here for that. [CUSTOMER][NEUTRAL] No [AGENT][NEUTRAL] OK, so he's a dependent on the policy. That is the correct policy number. What's the patient's date of birth? [CUSTOMER][NEUTRAL] The patient date of birth is [PII]. [AGENT][POSITIVE] OK, thank you. [AGENT][NEUTRAL] And you're verifying eligibility, did you need benefit information as well? [CUSTOMER][NEUTRAL] Yeah, just to see if he has used any of his benefits this year. [AGENT][NEUTRAL] Is this in office or outpatient? [CUSTOMER][NEUTRAL] Or outpatient service. [AGENT][NEUTRAL] OK, so the effective date is [PII]. [AGENT][NEUTRAL] Uh, policy is active at this time. [CUSTOMER][NEUTRAL] OK. [AGENT][NEUTRAL] And I don't show any of the outpatient benefit used. Did you want the outpatient benefit or you just wanted to know if any of it has been used? [CUSTOMER][NEUTRAL] Let [CUSTOMER][NEUTRAL] Yeah. [CUSTOMER][NEUTRAL] Both to see how much benefits he has and if he has used any or any any um benefits as well for the remaining year. [AGENT][NEUTRAL] OK, so the maximum outpatient benefit is up to $1500 per calendar year and this information is verification, not a guarantee of payment, um, nothing has been used at this time. [CUSTOMER][NEUTRAL] OK. [CUSTOMER][NEUTRAL] Yeah [CUSTOMER][NEUTRAL] OK perfect can I have a reference number please? [AGENT][NEUTRAL] My name in today's date, [PII], did you have any other questions? [CUSTOMER][NEUTRAL] OK, can you spell your name again? We got cut off a little bit. I'm sorry. [AGENT][NEUTRAL] Oh, [PII] [CUSTOMER][NEUTRAL] [PII] sorry, [PII], correct? [AGENT][NEUTRAL] Uh-huh. [PII]. [CUSTOMER][POSITIVE] OK perfect time perfect thank you so much. [AGENT][POSITIVE] Oh, you're welcome. Thanks for calling APL. Have a good day. [CUSTOMER][POSITIVE] You too thank you bye bye.