AccountId: 011433970860 ContactId: 86f60be0-6246-4f05-96fe-57051fd02403 Channel: VOICE LanguageCode: en-US Total Conversation Duration: 235839 ms Total Talk Time (AGENT): 55618 ms Total Talk Time (CUSTOMER): 101727 ms Interruptions: 0 Overall Sentiment: AGENT=1.5, CUSTOMER=0.2 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/01/22/86f60be0-6246-4f05-96fe-57051fd02403_20250122T17:32_UTC.wav -------------------------------------------- [AGENT][NEUTRAL] Calling APL, my name is [PII]. How may I assist you today? [CUSTOMER][NEUTRAL] Hi [PII], I'm calling from Coral Gables Physical Therapy just to verify if this policy had any physical therapy benefits. [AGENT][POSITIVE] I'd be happy to assist with physical therapy benefits today. May I have your first name please? [CUSTOMER][NEUTRAL] Yes, my first name is [PII], last [PII] [PII]. [AGENT][POSITIVE] OK [PII], and if I can get a good call back number for you? [CUSTOMER][NEUTRAL] Yes, callback number [PII]. [CUSTOMER][NEUTRAL] [PII]. [CUSTOMER][NEUTRAL] [PII]. [AGENT][NEUTRAL] And what is the policy number? [CUSTOMER][NEUTRAL] Policy number is 02. [CUSTOMER][NEUTRAL] 51 [CUSTOMER][NEUTRAL] 06 [CUSTOMER][NEUTRAL] 92 M as in Mary. [CUSTOMER][NEUTRAL] L as in Lima. [CUSTOMER][NEUTRAL] 7 [AGENT][NEUTRAL] I'm sorry, can I get that policy number again, please? [CUSTOMER][NEUTRAL] Yes, 02. [CUSTOMER][NEUTRAL] 51 [CUSTOMER][NEUTRAL] 06 [CUSTOMER][NEUTRAL] 92 [CUSTOMER][NEUTRAL] M [CUSTOMER][NEUTRAL] As in Mike, [CUSTOMER][NEUTRAL] L as in Lima 7. [AGENT][NEUTRAL] Patient's name and date of birth? [CUSTOMER][NEUTRAL] Patient's full name is [PII]. Date of birth [PII]. [AGENT][NEUTRAL] Thank you for that information. Please be advised the verification of coverage is not a guarantee of payment. I do show the policy is currently active. Effective date is [PII]. [CUSTOMER][NEUTRAL] Mhm. [CUSTOMER][NEUTRAL] Mhm. [AGENT][NEUTRAL] And let me just make sure that um. [AGENT][NEUTRAL] Physical therapy is on here. [CUSTOMER][NEUTRAL] And now we're 3. [CUSTOMER][NEUTRAL] OK. [CUSTOMER][NEUTRAL] To what the. [CUSTOMER][NEUTRAL] Yes. [CUSTOMER][NEUTRAL] 13 [CUSTOMER][NEUTRAL] Yeah [CUSTOMER][NEUTRAL] And a pillow. [CUSTOMER][NEUTRAL] I [CUSTOMER][NEUTRAL] I [CUSTOMER][NEUTRAL] Right. [CUSTOMER][NEUTRAL] Oh [CUSTOMER][NEUTRAL] yeah [CUSTOMER][NEUTRAL] My [AGENT][POSITIVE] Thank you so much for your patience. [CUSTOMER][NEUTRAL] I [CUSTOMER][NEUTRAL] Of course. [CUSTOMER][NEUTRAL] [PII]'s stuff looks. [CUSTOMER][NEUTRAL] Yeah [CUSTOMER][NEUTRAL] I think we should get out. [CUSTOMER][POSITIVE] Thank [CUSTOMER][NEUTRAL] How about. [AGENT][NEUTRAL] OK, so physical therapy is covered under the outpatient benefit and the outpatient benefit is $750 per day. [CUSTOMER][NEUTRAL] Yeah [CUSTOMER][NEUTRAL] be gone by like. [CUSTOMER][NEUTRAL] Got you. Is there a limit to the days per year or just a monetary amount to the day? [AGENT][NEUTRAL] No. [AGENT][NEUTRAL] Just a 750 per day, no, no maximum days. [CUSTOMER][NEUTRAL] Got you. OK, perfect. And do you guys provide reference numbers or should I just use your name in today's date? [AGENT][NEUTRAL] It's my name and today's date and time. Was there anything else I could assist with today? [CUSTOMER][NEUTRAL] OK. [CUSTOMER][POSITIVE] No, that was everything. Thank you so much for your help today, [PII]. [AGENT][POSITIVE] Thank you for calling APL you have a good day. [CUSTOMER][NEUTRAL] You too bye. [AGENT][NEUTRAL] OK.