AccountId: 011433970860 ContactId: 8cfbd002-cbaf-4ca0-9a46-84c4f93754e7 Channel: VOICE LanguageCode: en-US Total Conversation Duration: 128660 ms Total Talk Time (AGENT): 70920 ms Total Talk Time (CUSTOMER): 35227 ms Interruptions: 0 Overall Sentiment: AGENT=1.8, CUSTOMER=0.5 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/06/20/8cfbd002-cbaf-4ca0-9a46-84c4f93754e7_20250620T14:01_UTC.wav -------------------------------------------- [AGENT][POSITIVE] Thank you for calling ATL. This is [PII]. How can I help you? [CUSTOMER][NEUTRAL] Yes, my name is [PII]. I'm calling with Triad Eye Surgery Center. I was going to get some benefits on a policy. [AGENT][NEUTRAL] I'm sure, [PII], I can assist you with benefits. Um, first, I'll need a good callback number just in case we're disconnected. [CUSTOMER][NEUTRAL] OK, my direct line is [PII]. [AGENT][NEUTRAL] Thank you. Now, I need the policy number, please. [CUSTOMER][NEUTRAL] It is 02579330. [AGENT][NEUTRAL] Please verify the patient's name and date of birth. [CUSTOMER][NEUTRAL] [PII] [PII]. [AGENT][NEUTRAL] OK. Thank you and just let me advise you the verification of coverage does not guarantee payment of claims. Um, the effective date on this policy was [PII]. The policy is still active. And is this for inpatient or outpatient benefits or an office visit? [CUSTOMER][NEUTRAL] Um, outpatient. [AGENT][NEUTRAL] OK. For outpatient, we cover up to 3500 per calendar year and that's for the co-pay, the co-insurance, and the deductible after the primary insurance processes the client. [CUSTOMER][NEUTRAL] OK, and has he used any of that this year? [AGENT][NEUTRAL] Um, yes, ma'am. So far he's used um $1,659.33. [CUSTOMER][NEUTRAL] OK [CUSTOMER][NEUTRAL] Alright, and is there any type of reference number for our call today? [AGENT][NEUTRAL] Yes, ma'am. For the reference number, you can use my name and today's date. My name is [PII], um it's spelled [PII] Last initial is [PII] and today's date. Um, is there anything else I can assist you with? [CUSTOMER][POSITIVE] Uh, no, ma'am, thank you so much. [AGENT][POSITIVE] OK. Thank you, [PII] for calling APL. You have a great day. Mm bye. [CUSTOMER][NEUTRAL] You too bye bye. [AGENT][POSITIVE] Thank you.