AccountId: 011433970860 ContactId: 858a1786-93a7-4836-a886-a31d9bd49be7 Channel: VOICE LanguageCode: en-US Total Conversation Duration: 163350 ms Total Talk Time (AGENT): 70133 ms Total Talk Time (CUSTOMER): 43572 ms Interruptions: 0 Overall Sentiment: AGENT=1.8, CUSTOMER=1.3 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/05/27/858a1786-93a7-4836-a886-a31d9bd49be7_20250527T17:08_UTC.wav -------------------------------------------- [AGENT][POSITIVE] Good afternoon. Thank you for calling APL. My name is [PII]. How may I help you? [CUSTOMER][NEUTRAL] Hi [PII], I have a patient coming in for for surgery tomorrow, and I was just needing to see if her insurance was active. [AGENT][POSITIVE] OK, I can definitely help you with the eligibility. May I have your name and a good contact number? [CUSTOMER][NEUTRAL] My name is [PII]. A good phone number [PII]. [AGENT][NEUTRAL] Thank you for that. And [PII], may I have the member's policy number? [CUSTOMER][NEUTRAL] It is um 01677928. [AGENT][NEUTRAL] Thank you, hold on one moment. [AGENT][NEUTRAL] And can you verify the member's first and last name and date of birth? [CUSTOMER][NEUTRAL] [PII], date of birth [PII]. [AGENT][NEUTRAL] OK, and the um policy number was 1677982. I'm sorry, you said 28? [CUSTOMER][NEUTRAL] 01677928. [AGENT][NEUTRAL] 928. OK, hold on one moment. [AGENT][NEUTRAL] Here we go. Thank you for that. And all the information provided is a verification of benefits, not a guarantee of payment. So I am showing the policy is active. It's been effective since [PII]. [AGENT][NEUTRAL] And um the surgery is outpatient surgery or inpatient? [CUSTOMER][NEUTRAL] Um, outpatient, she broke her arm. [AGENT][NEUTRAL] OK [AGENT][NEUTRAL] So for outpatient, the policy will pay up to $1000 per calendar year. Um, there is no deductible. Did you want me to see if any of the $1000 has been used? [CUSTOMER][NEUTRAL] Uh yes, please. [AGENT][NEUTRAL] OK, hold on one moment. [CUSTOMER][NEUTRAL] Yeah [AGENT][NEUTRAL] So she's used $210.53. She has $789.47 left for the year. [CUSTOMER][POSITIVE] All right perfect thank you so much I appreciate it. [AGENT][POSITIVE] You're welcome. You're welcome. Is there anything else I can help you with today? [CUSTOMER][POSITIVE] No that is it thank you so much. [AGENT][POSITIVE] Alright, thanks for calling APL. Have a great day. Bye-bye. [CUSTOMER][NEUTRAL] You too bye bye.