AccountId: 011433970860 ContactId: 815c0914-42e7-494a-ae89-01e838d577a1 Channel: VOICE LanguageCode: en-US Total Conversation Duration: 164020 ms Total Talk Time (AGENT): 52443 ms Total Talk Time (CUSTOMER): 85929 ms Interruptions: 2 Overall Sentiment: AGENT=0.4, CUSTOMER=0.7 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/06/03/815c0914-42e7-494a-ae89-01e838d577a1_20250603T20:52_UTC.wav -------------------------------------------- [AGENT][NEUTRAL] Thank you for calling APL. This is [PII]. How can I help you? [CUSTOMER][NEUTRAL] Hello, uh, I'm calling, I'm calling from Baptist Health. I'm, I'm a provider and I just wanna verify, um, members eligibility. [AGENT][NEUTRAL] Yeah, I can help you with eligibility. uh, could I get your name and a good callback number? [CUSTOMER][NEUTRAL] Yeah, the name is [PII]. [CUSTOMER][NEUTRAL] And the call back number is going to be. [CUSTOMER][NEUTRAL] I get that for you [PII]. [CUSTOMER][NEUTRAL] [PII]. [AGENT][NEUTRAL] OK, thank you, [PII]. And do you have the policy number for that patient? [CUSTOMER][NEUTRAL] I [CUSTOMER][NEUTRAL] Yes, I do. The number is 01854359ML8. [CUSTOMER][NEUTRAL] Really [AGENT][NEUTRAL] And what is that patient name and date of birth? [CUSTOMER][NEUTRAL] Yeah [CUSTOMER][NEUTRAL] The patient's name is [PII] and the date of birth is [PII]. [AGENT][NEUTRAL] It looks like this policy is active and effective [PII]. [CUSTOMER][NEUTRAL] [PII]. [CUSTOMER][NEUTRAL] OK, and then uh for the benefits? [CUSTOMER][NEUTRAL] Yeah. [AGENT][NEUTRAL] Is it for outpatient or? [CUSTOMER][NEUTRAL] Yeah, they're in the ER. [CUSTOMER][NEUTRAL] Uh [CUSTOMER][NEUTRAL] I'm sorry um where. [AGENT][NEUTRAL] On a guarantee of payment, basic outline of the policy. Let me get those pulled up real quick. [CUSTOMER][NEUTRAL] OK. [CUSTOMER][NEUTRAL] OK, but it's yeah it's before you leave. [CUSTOMER][NEUTRAL] It's gonna be to the left of the next door. [CUSTOMER][POSITIVE] OK thank you. [AGENT][NEUTRAL] Uh, so it looks like for benefits there is 1500 per covered person per calendar year payable. This is a secondary policy that [CUSTOMER][NEUTRAL] Hm. [CUSTOMER][NEUTRAL] just [CUSTOMER][NEUTRAL] 1100. [AGENT][NEUTRAL] 1500. [CUSTOMER][NEUTRAL] 0, 1500 for coverage. [AGENT][NEUTRAL] Yes, and that's, it'll pay after primary insurance processes the claim. Anything that's left over, it will pay up to 1500. [CUSTOMER][NEUTRAL] OK, OK, perfect then I think that should be it so the plan is active right and then can I get the um the reference number for the call you have one? [AGENT][NEUTRAL] A reference, yes, it's my name, [PII], first initial to last name, [PII], and today's date. [CUSTOMER][NEUTRAL] So stuff [CUSTOMER][NEUTRAL] [PII]. [CUSTOMER][POSITIVE] [PII] and then today's date OK perfect thank you so much. [AGENT][POSITIVE] Hey thanks for calling APL. Have a great day. [CUSTOMER][POSITIVE] Thank you you too take care.