AccountId: 011433970860 ContactId: 85110466-12d8-490e-8457-7b5615e4b1ef Channel: VOICE LanguageCode: en-US Total Conversation Duration: 207179 ms Total Talk Time (AGENT): 100193 ms Total Talk Time (CUSTOMER): 68922 ms Interruptions: 0 Overall Sentiment: AGENT=2, CUSTOMER=2.5 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/06/17/85110466-12d8-490e-8457-7b5615e4b1ef_20250617T17:13_UTC.wav -------------------------------------------- [AGENT][POSITIVE] Good afternoon. Thank you for calling APL. My name is [PII]. How can I help you? [CUSTOMER][NEUTRAL] Hi, yes, I'm calling to verify benefits, um, well, yeah, outpatient benefits for a patient that's coming to an outpatient hospital facility, please. [AGENT][NEUTRAL] OK, I can help with that. May I have your name? [CUSTOMER][NEUTRAL] My name is [PII], last name [PII] [PII] [AGENT][NEUTRAL] Thank you [PII] and your callback number please? [CUSTOMER][NEUTRAL] [PII]. [AGENT][POSITIVE] Thank you very much. And what is the policy number please for the patient? [CUSTOMER][NEUTRAL] Yes, it's going to be. [CUSTOMER][NEUTRAL] 126. [CUSTOMER][NEUTRAL] 544. [CUSTOMER][NEUTRAL] 2 M as in Mary, L as in Larry, 8. [AGENT][POSITIVE] OK, thank you very much. One moment please. [CUSTOMER][POSITIVE] Thank you. [AGENT][NEUTRAL] You're welcome and verify the patient's name and date of birth, please? [CUSTOMER][NEUTRAL] [PII] [PII]. [AGENT][POSITIVE] OK, thank you very much for the information, [PII], and you're calling for outpatient benefits. Give me one moment. [CUSTOMER][POSITIVE] Mhm. Yes, ma'am. Thank you. [AGENT][NEUTRAL] You're welcome. And I do apologize, this policy has termed as of [PII]. [AGENT][NEUTRAL] If you bear with me, let me just check please to see if there was an active policy on file for this member please. [CUSTOMER][POSITIVE] OK, thank you. [AGENT][POSITIVE] You're welcome. [AGENT][POSITIVE] OK, thank you so much for your patience. I was able to locate an active policy number. I can provide that to you when you are ready, please. [CUSTOMER][POSITIVE] Yes, please give me one minute and I'm ready. [AGENT][NEUTRAL] OK. [AGENT][NEUTRAL] OK. 246-2034. [AGENT][NEUTRAL] OK, give me a second. [AGENT][NEUTRAL] ML is after that. I'm so sorry, ML after that and for the outpatient benefits. [AGENT][NEUTRAL] And they pay only per day max. [CUSTOMER][NEUTRAL] So it's 246-2034 NL. I'm sorry. [AGENT][NEUTRAL] I'm sorry, go ahead. [CUSTOMER][NEUTRAL] It's gonna be 2462034 ML. [AGENT][POSITIVE] Yes, yes, thank you so much, [PII], apologize for that. [CUSTOMER][POSITIVE] Thank you. [AGENT][NEUTRAL] You're welcome. And for the outpatient benefits, please note verification of benefits provided does not guarantee payment. The benefits pay on a per day max of up to $1000 excuse me, you said inpatient, is that correct? [AGENT][NEUTRAL] You said location. OK, thank you. It's $1000 per calendar day. [CUSTOMER][NEUTRAL] Outpatients. [AGENT][NEUTRAL] Max. [CUSTOMER][POSITIVE] Perfect. [CUSTOMER][POSITIVE] Thank you so much. And what is the effective date on that plan, please? [AGENT][POSITIVE] OK, of course you're welcome. I'll get that information for you. [AGENT][NEUTRAL] OK, it shows effective as of [PII]. [CUSTOMER][NEUTRAL] [PII]. [CUSTOMER][NEUTRAL] So [PII]. [CUSTOMER][POSITIVE] Thank you so much, and would I be able to get your name and a reference to the call please? [AGENT][NEUTRAL] OK, my name is [PII]. We do not provide a call reference numbers. You can use my name in today's date and my last initial is [PII]. [CUSTOMER][POSITIVE] Thank you, [PII]. Have a great day. [AGENT][POSITIVE] You as well, [PII], and thank you for calling APL and take care bye. [CUSTOMER][NEUTRAL] You too bye bye.