AccountId: 011433970860 ContactId: 8abe0b0b-1796-4570-ade5-4c5b40ea4a2c Channel: VOICE LanguageCode: en-US Total Conversation Duration: 209279 ms Total Talk Time (AGENT): 96928 ms Total Talk Time (CUSTOMER): 73028 ms Interruptions: 2 Overall Sentiment: AGENT=0.4, CUSTOMER=0.2 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/03/05/8abe0b0b-1796-4570-ade5-4c5b40ea4a2c_20250305T19:35_UTC.wav -------------------------------------------- [AGENT][NEUTRAL] Thank you for calling APL. This is [PII]. How may I help you? [CUSTOMER][NEUTRAL] Ma'am, I'm just trying to verify benefits for one of our patients. [AGENT][NEUTRAL] OK, I can assist you. Can I get your name? [CUSTOMER][NEUTRAL] My name's [PII]. [CUSTOMER][NEUTRAL] I'm calling with Bonsa course. [AGENT][NEUTRAL] And all with [CUSTOMER][NEUTRAL] Eastside Medical Group. [AGENT][NEUTRAL] Uh-huh. [AGENT][NEUTRAL] OK. And what's the policy number and a good phone number in case we're disconnected? [CUSTOMER][NEUTRAL] OK, the patients policy, so I just spoke with the other department. She gave me your name. So under the preventive services I have that number. I don't have the number for the American public life. She said you might be able to look him up with um some other information. [AGENT][NEUTRAL] OK. [AGENT][NEUTRAL] Mhm do you have the social of the cardholder? [CUSTOMER][NEUTRAL] Uh let me see. [CUSTOMER][NEUTRAL] Yes, ma'am. It's [PII]. [AGENT][NEUTRAL] OK. And what's a good phone number for you, [PII]? [CUSTOMER][NEUTRAL] Um, my phone number is [PII]. [AGENT][POSITIVE] Thank you, give me one moment to pull up the information. [CUSTOMER][NEUTRAL] Mhm. [CUSTOMER][NEUTRAL] OK, you are. [CUSTOMER][NEUTRAL] Uh [AGENT][NEUTRAL] And what is the patient's name? [CUSTOMER][NEUTRAL] It's [PII]. [AGENT][NEUTRAL] And do you have an email, I mean, an address for this uh patient? [CUSTOMER][NEUTRAL] Mm, uh, the one I have on file is [PII]. [AGENT][NEUTRAL] And what's the city state? [CUSTOMER][NEUTRAL] [PII], it's [PII]. [AGENT][NEUTRAL] OK. [AGENT][NEUTRAL] Thank you. And what's your date of birth? [CUSTOMER][NEUTRAL] His is [PII]. [AGENT][NEUTRAL] Oh, yes, I'm sorry, his date of birth. Sorry about that. [CUSTOMER][NEUTRAL] Yeah, it's OK. [AGENT][NEUTRAL] All right, so I've located the policy number if you're ready to take the number down, let me know. [CUSTOMER][POSITIVE] Yeah, alrighty. [AGENT][NEUTRAL] OK. So the policy number is 259. [AGENT][NEUTRAL] 731 7. [AGENT][NEUTRAL] And I show the policy effective date is [PII]. Policy is active at this time. And then, [PII], you said that you needed benefits for, did you say in an office setting or outpatient facility or hospital? [CUSTOMER][NEUTRAL] Well [CUSTOMER][NEUTRAL] It's office, um, medical. Mhm. [AGENT][NEUTRAL] Office, OK, OK, so under this policy, the benefit for office service is up to your service in a doctor's office or a physician's office up to $75 per. [AGENT][NEUTRAL] Per visit? [AGENT][NEUTRAL] And the maximum number of visits per calendar year are 5. [AGENT][NEUTRAL] And of course any information provided is verification, not a guarantee of payment. Don't show any of those visits used at this time for [PII]. [CUSTOMER][NEUTRAL] OK. [CUSTOMER][NEUTRAL] All right, and is there a reference number at all? [AGENT][NEUTRAL] You'll use my name in today's state as your reference, [PII] First initial last name is [PII]. And did you have any other questions I can assist with today? [CUSTOMER][NEUTRAL] No, that's it. [AGENT][POSITIVE] All [PII]. Thanks for calling APL, have a good day. Bye-bye. [CUSTOMER][NEUTRAL] So your name. OK, thank you. mhm, bye.