AccountId: 011433970860 ContactId: 89114962-fc0e-42ce-a482-19c6f73761c7 Channel: VOICE LanguageCode: en-US Total Conversation Duration: 129940 ms Total Talk Time (AGENT): 61369 ms Total Talk Time (CUSTOMER): 49614 ms Interruptions: 0 Overall Sentiment: AGENT=0, CUSTOMER=0.8 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/04/01/89114962-fc0e-42ce-a482-19c6f73761c7_20250401T13:17_UTC.wav -------------------------------------------- [AGENT][NEUTRAL] Thank you for calling APL. This is [PII]. How can I help you? [CUSTOMER][NEUTRAL] Hi [PII], good morning. This is [PII] calling from Memorial Regional Hospital, just calling to verify patients eligibility and coverage for outpatient services. [AGENT][NEUTRAL] I'm sure, [PII] I can assist you with benefits. Um, first, I'll need to go callback number just in case we're disconnected. [CUSTOMER][NEUTRAL] Of course, callback number [PII]. [CUSTOMER][NEUTRAL] [PII] [AGENT][NEUTRAL] Thank you. Now, I need the policy number, please. [CUSTOMER][NEUTRAL] Policy number is 025. [CUSTOMER][NEUTRAL] 107. [CUSTOMER][NEUTRAL] 16, M as in Mike, L as in Lima, 7. [AGENT][NEUTRAL] OK. Thank you. Now, please verify the patient's name and date of birth. [CUSTOMER][NEUTRAL] [PII]'s date of birth is um looks like [PII]. [AGENT][NEUTRAL] And just let me advise you that verification of coverage does not guarantee payment of claims. Um, the effective date on this policy was [PII]. The policy is still active, and for outpatient, we cover up to $750 per day. And is this for an outpatient hospital or office? [CUSTOMER][NEUTRAL] Mhm. Outpatient hospital. [AGENT][NEUTRAL] OK. Yes, ma'am. That's for the co-pay, the co-insurance, and the deductible after the primary insurance processes the claim. [CUSTOMER][POSITIVE] Perfect and. [CUSTOMER][NEUTRAL] That should be it, ma'am. Um, can I get a reference number for today's call, please? [AGENT][NEUTRAL] Yes, for the reference number, you can use my name and today's date and my name is spelled [PII] and my last initial is [PII] and today's date. Um, is there anything else I can assist you with? [CUSTOMER][POSITIVE] No, that should be it. Thank you so much for your help, EV. Take care. [AGENT][NEUTRAL] You do the same, [PII]. Thank you for calling APL. Mm bye. [CUSTOMER][NEUTRAL] OK. [CUSTOMER][NEUTRAL] Bye bye.