AccountId: 011433970860 ContactId: 8f99ebb8-8c94-425d-9f97-c29e0c07fefa Channel: VOICE LanguageCode: en-US Total Conversation Duration: 150740 ms Total Talk Time (AGENT): 53890 ms Total Talk Time (CUSTOMER): 55736 ms Interruptions: 0 Overall Sentiment: AGENT=1.6, CUSTOMER=1.1 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/04/18/8f99ebb8-8c94-425d-9f97-c29e0c07fefa_20250418T18:29_UTC.wav -------------------------------------------- [AGENT][NEUTRAL] Thank you for calling APL. This is [PII]. How can I help you? [CUSTOMER][NEUTRAL] Um, hi [PII]. I would just like to get benefit information for one of our patients. [AGENT][POSITIVE] OK, I can help you with benefits. Could I get your name and a good callback number? [CUSTOMER][NEUTRAL] My name is [PII] [CUSTOMER][NEUTRAL] And my callback number is [PII] and you said your name is [PII]? [AGENT][POSITIVE] Yes, that's correct. Yes. [CUSTOMER][NEUTRAL] Right? [CUSTOMER][NEUTRAL] And your initial is? [AGENT][NEUTRAL] [PII]. [CUSTOMER][POSITIVE] Thank you so much. [AGENT][NEUTRAL] OK, [PII], could I get the policy number, please? [CUSTOMER][NEUTRAL] Sure, 01611648 Mama Lima 8. [AGENT][NEUTRAL] OK, thank you. And do you have that patient name and date of birth? [CUSTOMER][NEUTRAL] [PII], [PII]. [AGENT][NEUTRAL] OK, thank you. And are we looking for outpatient hospital benefits? [CUSTOMER][NEUTRAL] Yes. [AGENT][NEUTRAL] OK. [AGENT][NEUTRAL] Let me get that pulled up. [CUSTOMER][NEUTRAL] And [CUSTOMER][NEUTRAL] Is specialist office visit covered under the plan? [AGENT][NEUTRAL] Um, let me see. [AGENT][NEUTRAL] And this is not a guarantee of payment, it's a basic outline of the policy. [AGENT][NEUTRAL] Um, for her plan. [AGENT][NEUTRAL] So she has a $1500 calendar year payout for outpatient services. Treatment and procedures in the office are covered under that, but not the actual office visit. [CUSTOMER][NEUTRAL] Oh, and what's the accumulation as of today for the 1500? [AGENT][NEUTRAL] Uh, let's see. [AGENT][NEUTRAL] I don't show that anything's been used. [CUSTOMER][NEUTRAL] So, [PII] still have the full 1500. [AGENT][POSITIVE] Yes, that's correct. [CUSTOMER][NEUTRAL] Uh, what's the reference number for this call? [AGENT][NEUTRAL] That's just my name and today's date. [AGENT][POSITIVE] And can I help with anything else today? [CUSTOMER][NEUTRAL] All right. That will be [CUSTOMER][POSITIVE] That's it. Thank you so much. That will be all. [AGENT][POSITIVE] OK, thank you for calling APL. Have a good weekend. [CUSTOMER][POSITIVE] Thank you bye bye you too. [AGENT][NEUTRAL] Bye