AccountId: 011433970860 ContactId: 7e6b2afa-99aa-4deb-be54-a19eb9c6ddb3 Channel: VOICE LanguageCode: en-US Total Conversation Duration: 172179 ms Total Talk Time (AGENT): 77443 ms Total Talk Time (CUSTOMER): 64760 ms Interruptions: 0 Overall Sentiment: AGENT=1.3, CUSTOMER=0.8 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/04/02/7e6b2afa-99aa-4deb-be54-a19eb9c6ddb3_20250402T17:36_UTC.wav -------------------------------------------- [AGENT][NEUTRAL] Thank you for calling APL. This is [PII]. How may I help you? [CUSTOMER][NEGATIVE] Delete it [CUSTOMER][NEUTRAL] Hi, yes. Good afternoon, [PII]. Um, I need to verify benefits on a patient, please. [AGENT][POSITIVE] OK, I can help you with benefits. May I please get your name and your callback number? [CUSTOMER][NEUTRAL] My name is [PII], last initial [PII]. [CUSTOMER][NEUTRAL] Phone number is [PII]. [CUSTOMER][NEUTRAL] [PII] [AGENT][NEUTRAL] Thank you. And then what's the um the name of the facility you're calling from? [CUSTOMER][NEUTRAL] University of Miami hospitals and clinics. [AGENT][NEUTRAL] Thank you. Uh, can I please get the patient's name, date of birth, and policy number? [CUSTOMER][NEUTRAL] OK, it is [PII] [CUSTOMER][NEUTRAL] Date of birth is [PII]. [CUSTOMER][NEUTRAL] The policy number is 01936823M as in Mary L as in Larry 8. [AGENT][NEUTRAL] OK, let me pull that up real quick for us. [AGENT][NEUTRAL] OK, I do show that [PII] does have an active policy. The effective date of his policy is [PII]. [AGENT][NEUTRAL] And this is just to verify his benefits. It's not a guarantee of payment. This is a supplemental insurance policy that's billed secondary to the primary. It helps with deductible, co-pay, and co-insurance. He has an inpatient calendar year benefit amount of $3500 and then he also has an outpatient per calendar day benefit of $500. [CUSTOMER][NEUTRAL] OK. [CUSTOMER][NEUTRAL] All right, so this is supplemental not only to his Medicare, but to like his regular commercial plan. [AGENT][NEUTRAL] Yes, to his commercial insurance is a major medical. [CUSTOMER][NEUTRAL] OK, so it's supplemental to major medical. [CUSTOMER][NEUTRAL] OK. And uh [PII], if I can get the initials to your last name and a car reference number, please? [AGENT][NEUTRAL] Yes, my last name initial is [PII], and you can use my name [PII] [AGENT][NEUTRAL] And today's date for your reference. [CUSTOMER][NEUTRAL] And your um your time zone? [AGENT][NEUTRAL] Central. [CUSTOMER][POSITIVE] Alrighty. [CUSTOMER][POSITIVE] Thank you so much. Have a great day. [AGENT][POSITIVE] You're very welcome, May. Is there anything else I can help you with before we go? [CUSTOMER][NEUTRAL] Nope, that's it. [AGENT][POSITIVE] Alright well you have a blessed day and thanks for calling APL. [CUSTOMER][POSITIVE] Thank you. [CUSTOMER][NEUTRAL] You too. Bye-bye. [AGENT][NEUTRAL] Bye-bye