AccountId: 011433970860 ContactId: 8c07863a-e5b6-4359-851f-7777580c2ae8 Channel: VOICE LanguageCode: en-US Total Conversation Duration: 178869 ms Total Talk Time (AGENT): 69265 ms Total Talk Time (CUSTOMER): 105422 ms Interruptions: 2 Overall Sentiment: AGENT=2.4, CUSTOMER=1.6 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/04/22/8c07863a-e5b6-4359-851f-7777580c2ae8_20250422T14:17_UTC.wav -------------------------------------------- [AGENT][POSITIVE] Thanks for calling APL. This is [PII]. How may I assist you? [CUSTOMER][NEUTRAL] Hi hi, your name is [PII]? [AGENT][NEUTRAL] Yes. What's your name? [CUSTOMER][NEUTRAL] Hi, hi, I'm sorry I didn't, I'm, I'm sorry I didn't hear your name. Uh, my name is [PII] calling from uh South Miami Hospital. How are you doing today? [AGENT][NEUTRAL] I'm good, [PII]. How are you doing? [CUSTOMER][NEUTRAL] I'm OK, thank you. I'm just calling for uh patient eligibility and benefits. I know you're their gap plan, but I just want to make sure that they that they do have that uh outpatient urgent care coverage. [AGENT][NEUTRAL] Sure, I could assist you with that. Can I have a callback number for you and that policy number? [CUSTOMER][NEUTRAL] Sure. [CUSTOMER][NEUTRAL] [PII] no extension, policy number is 01611558ML7. [AGENT][NEUTRAL] Thank you [PII], what is the member's name and date of birth that you're calling to verify outpatient benefits for? [CUSTOMER][NEUTRAL] [PII], [PII]. [AGENT][POSITIVE] Thank you. [CUSTOMER][NEUTRAL] OK [AGENT][NEUTRAL] [PII]'s policy has been active since [PII]. [AGENT][NEUTRAL] And it's currently active. [CUSTOMER][NEUTRAL] OK, hold on one second. I, I'm all over the place today. I keep closing things out when I'm not supposed to be closing things. It's like what is going on today. Uh, hold on. [AGENT][POSITIVE] Take your time. [CUSTOMER][NEUTRAL] Let me open back where I was OK. [AGENT][NEUTRAL] I'm not in a rush. I'm here till [PII] [CUSTOMER][NEUTRAL] OK. [CUSTOMER][NEUTRAL] I'm here till [PII]. OK, perfect. So they're active and the City of [PII] is the group name? [AGENT][POSITIVE] Yes, that is correct. [CUSTOMER][NEUTRAL] And the group number is 22392? [AGENT][NEUTRAL] Yes, that is correct as well. She has a maximum benefit amount of $1500 per calendar year, and this is not a guarantee of benefits, just a disclaimer of the policy's coverage, and she has not utilized any of her benefits for [PII]. [PII], is there anything else that I can assist you with today? [CUSTOMER][NEUTRAL] OK and. [CUSTOMER][NEUTRAL] Oh, yes, and she, I'm sorry, just she has the outpatient coverage urgent, right? She has that coverage, outpatient coverage. [AGENT][NEUTRAL] Yes, outpatient. I'm not sure if my phone was going out, but she, she has outpatient benefits of $1500 per calendar day, I mean per calendar year, and this is not a guarantee of benefits, just a disclaimer on the policy's coverage. [CUSTOMER][NEUTRAL] OK. [CUSTOMER][POSITIVE] Perfect. And then, [CUSTOMER][POSITIVE] Thank you, and her husband is the subscriber. OK. [AGENT][POSITIVE] Yes, that is correct. [CUSTOMER][NEUTRAL] OK, and, and we have and we have your address already here in the system. [CUSTOMER][NEUTRAL] OK, and your name [PII], is it S [PII]? [AGENT][POSITIVE] Yes, that is correct. [CUSTOMER][NEUTRAL] OK, and that's your name? [AGENT][NEUTRAL] In today's date as a reference. [CUSTOMER][NEUTRAL] And then today's day [PII]. [AGENT][NEUTRAL] Sound like you call here a lot, [PII]. [CUSTOMER][POSITIVE] Yes, thank you so much for everything. [AGENT][POSITIVE] You're welcome. Thanks for calling APL. [CUSTOMER][POSITIVE] I call here all the time we call all the time. [AGENT][POSITIVE] Oh, OK. Well, we're here. Thanks for calling APLA. Have a good day. [CUSTOMER][POSITIVE] Alright thank you bye bye.