AccountId: 011433970860 ContactId: 8de3df6b-9582-42e3-9940-a876c72593ca Channel: VOICE LanguageCode: en-US Total Conversation Duration: 131580 ms Total Talk Time (AGENT): 60853 ms Total Talk Time (CUSTOMER): 36283 ms Interruptions: 0 Overall Sentiment: AGENT=1.5, CUSTOMER=0.4 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/01/06/8de3df6b-9582-42e3-9940-a876c72593ca_20250106T15:10_UTC.wav -------------------------------------------- [AGENT][POSITIVE] And thank you for calling APL. This is [PII]. How can I help you? [CUSTOMER][NEUTRAL] Yes, hi, good morning, my name is [PII], and I was calling because I need to attend benefits for a patient. [AGENT][POSITIVE] I'm sure, [PII], I can assist you with benefits. Um, first, I'll need a good callback number. [CUSTOMER][NEUTRAL] Yes, it's [PII]. [AGENT][NEUTRAL] Thank you. Now I need the policy number please. [CUSTOMER][NEUTRAL] It's 02580137. [AGENT][NEUTRAL] And please verify the patient's name and date of birth. [CUSTOMER][NEUTRAL] OK, give me one second. [AGENT][NEUTRAL] Sure. [CUSTOMER][NEUTRAL] OK, it will be for Ms. [PII]. Date of birth [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], and the policy is still active. Um, is this for inpatient or outpatient benefits or an office visit? [CUSTOMER][NEUTRAL] Office visit. [AGENT][NEUTRAL] OK. Actually, office visits are not covered under this policy unless it's for a cancer treatment. [CUSTOMER][NEUTRAL] Mm, OK, I. [AGENT][NEUTRAL] OK. And is there anything else that I can assist you with? [CUSTOMER][NEUTRAL] So for like a specialist office visit is not covered? [AGENT][NEUTRAL] That's correct unless it's for cancer treatment. [CUSTOMER][NEUTRAL] It'll [CUSTOMER][NEUTRAL] Unless it's for cancer treatment, OK. [AGENT][NEUTRAL] Mhm. [CUSTOMER][NEUTRAL] OK, can you provide me with your name and a reference number please? [AGENT][NEUTRAL] Yes, for the reference number, you can use my name and today's date. Um my name is [PII]. It's spelled [PII] and my last initial is [PII], and today's date. Is there anything else that I can assist you with? [CUSTOMER][POSITIVE] No, ma'am, that'll be all thank you. [AGENT][POSITIVE] OK, I thank you again, [PII] for calling APL. Have a great day bye. [CUSTOMER][NEUTRAL] Mhm [CUSTOMER][NEUTRAL] Mhm