AccountId: 011433970860 ContactId: 87cc45f3-caf1-4593-b579-dfe59f227e07 Channel: VOICE LanguageCode: en-US Total Conversation Duration: 178039 ms Total Talk Time (AGENT): 58008 ms Total Talk Time (CUSTOMER): 49110 ms Interruptions: 0 Overall Sentiment: AGENT=0.6, CUSTOMER=1 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/05/29/87cc45f3-caf1-4593-b579-dfe59f227e07_20250529T15:12_UTC.wav -------------------------------------------- [AGENT][NEUTRAL] Good morning. Thank you for calling APL. This is [PII]. May I help you? [CUSTOMER][NEUTRAL] Hi, I was calling to verify eligibility and get benefits on a patient, please. [AGENT][NEUTRAL] OK, I can help you with that. What was your name? [CUSTOMER][NEUTRAL] My name is [PII]. [AGENT][NEUTRAL] And do you have a phone number I can get in case we get disconnected I can call you back. [CUSTOMER][NEUTRAL] [PII] is my direct line. [AGENT][NEUTRAL] Thank you, [PII]. And do you have the policy number? [CUSTOMER][NEUTRAL] 02545359 [AGENT][NEUTRAL] Thank you, [PII]. Hold on one moment, please. [CUSTOMER][NEUTRAL] Sure. [AGENT][NEUTRAL] And what's the patient's name? [CUSTOMER][NEUTRAL] [PII]. Date of birth is [PII]. [AGENT][POSITIVE] Thank you, [PII], and you were just needing benefits? [CUSTOMER][NEUTRAL] Uh, eligibility, yes, she's scheduled for a screening mammogram. [AGENT][NEUTRAL] OK, I can help you with that. The effective date is [PII]. The policy is active. [AGENT][NEUTRAL] Is there anything else I can help you with? [CUSTOMER][POSITIVE] The benefits. [AGENT][NEUTRAL] OK. Is it for wellness? [CUSTOMER][NEUTRAL] It's a screening mammogram. [CUSTOMER][NEUTRAL] Outpatient hospital. [AGENT][NEUTRAL] So is it gonna be for a wellness though? If it's for a wellness, it's not gonna be covered. [CUSTOMER][NEUTRAL] What do you mean by um? [AGENT][NEUTRAL] Do you have the diagnosis code? [CUSTOMER][NEUTRAL] Alright, let me see. [CUSTOMER][NEUTRAL] Z like Zebra 12.31. [AGENT][POSITIVE] Thank you. Hold on one moment. [CUSTOMER][NEUTRAL] Mhm. [AGENT][NEUTRAL] Yes, ma'am. This is just for a wellness. It's just a screening. [AGENT][NEGATIVE] It wouldn't be covered wellness is not covered. [CUSTOMER][NEUTRAL] OK, so [CUSTOMER][NEUTRAL] OK. [CUSTOMER][NEUTRAL] Alright, and is there a reference to our call or do I use your name? [AGENT][NEUTRAL] We do not have reference numbers. You can use my name in today's date. [CUSTOMER][POSITIVE] OK, thank you so much I appreciate your help. [AGENT][POSITIVE] Thank you, [PII], for calling APL. You have a good day. [CUSTOMER][POSITIVE] You too. Thank you. Bye-bye. [AGENT][NEUTRAL] Mhm. Bye bye.