AccountId: 011433970860 ContactId: 7f0882a4-e120-4f9a-acdb-51d9ad59aac9 Channel: VOICE LanguageCode: en-US Total Conversation Duration: 239029 ms Total Talk Time (AGENT): 81117 ms Total Talk Time (CUSTOMER): 94889 ms Interruptions: 0 Overall Sentiment: AGENT=1.6, CUSTOMER=1 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/03/20/7f0882a4-e120-4f9a-acdb-51d9ad59aac9_20250320T22:43_UTC.wav -------------------------------------------- [AGENT][NEUTRAL] Thank you for calling APL. This is [PII]. How can I help you? [CUSTOMER][NEUTRAL] Hi, my name is [PII]. I'm calling from a dental office. We're calling to, uh, check a patient's eligibility. [AGENT][POSITIVE] I'm sure, [PII], I can assist you with benefits. And first, I'll need a good callback number just in case we're disconnected. [CUSTOMER][NEUTRAL] [PII] [AGENT][NEUTRAL] Thank you. Now I need the policy number, please. [CUSTOMER][NEUTRAL] Um, that one she wasn't able to provide to us. [AGENT][NEUTRAL] OK, I can look her up by her social. [CUSTOMER][NEUTRAL] Uh, she was hesitant to provide us with the social as well. She said that they've never asked her for social. [AGENT][NEUTRAL] OK, I could look her up by name and date of birth. What's her last name? [CUSTOMER][NEUTRAL] So I know. [CUSTOMER][NEUTRAL] OK, OK, um, her first and last name is [PII], last name [PII] [CUSTOMER][NEUTRAL] And then her date of birth I have is [PII]. [AGENT][NEUTRAL] And just let me advise you the verification of coverage does not guarantee payment of claims. Um, I have her policy number here. [CUSTOMER][NEUTRAL] OK, let me give you a pen right here. OK, go ahead. [AGENT][NEUTRAL] Her policy number is 02598171. [AGENT][NEUTRAL] And the effective date on the policy is [PII], and the policy is still active, and for a breakdown of the benefits and the fee schedule, I can fax that to you. [CUSTOMER][NEUTRAL] OK. [CUSTOMER][NEUTRAL] Yes, please. [AGENT][NEUTRAL] OK. And what's your fax number, please? [CUSTOMER][NEUTRAL] Yeah [CUSTOMER][NEUTRAL] Um, let's see. [CUSTOMER][NEUTRAL] [PII] [AGENT][NEUTRAL] OK, so that's attention time, [PII]. [CUSTOMER][POSITIVE] Yes, correct. [AGENT][NEUTRAL] OK. You should receive it in about 10 minutes. I just sent it. Is there anything else that I can assist you with? [CUSTOMER][NEUTRAL] Just a quick question, is this a HMO or PPO plan for dental? [AGENT][POSITIVE] Um, it works like a PPO plan. [CUSTOMER][NEUTRAL] It works like a PPO? OK. [AGENT][NEUTRAL] Yes, sir. [CUSTOMER][NEUTRAL] What it does the breakdown have everything on it like a missing tooth claws, waiting periods, downgrades? [AGENT][POSITIVE] Yes, sir, it does, and there are no downgrades. [CUSTOMER][POSITIVE] No downgrades. [CUSTOMER][NEUTRAL] A grade, OK, um, and then what fee schedule does it, does it, does it go off of? [AGENT][NEUTRAL] Usual and customary. [CUSTOMER][POSITIVE] Usual and customary usual and customary. OK, alrighty thank you so much for your help. I appreciate it. [AGENT][NEUTRAL] OK. Is there anything else that I can assist you with? [CUSTOMER][NEUTRAL] Oh [CUSTOMER][NEUTRAL] Um, is there, is there a group number? [AGENT][POSITIVE] Um, yeah, let me get that for you. [AGENT][NEUTRAL] OK, the group number is 70087. [CUSTOMER][NEUTRAL] 70087 OK. [AGENT][NEUTRAL] Yes, sir. [CUSTOMER][POSITIVE] Thank you so much for your help. That was it. [AGENT][POSITIVE] OK. Well, I thank you again, [PII], for calling APL. You have a great rest of your day. Mm bye. [CUSTOMER][NEUTRAL] Uh [CUSTOMER][POSITIVE] Thank you you as well bye for now. [AGENT][POSITIVE] Mm, thank you.