AccountId: 011433970860 ContactId: 8ff0b9f4-6c01-4d6e-9951-c5a5f3212c3a Channel: VOICE LanguageCode: en-US Total Conversation Duration: 237580 ms Total Talk Time (AGENT): 70631 ms Total Talk Time (CUSTOMER): 54802 ms Interruptions: 0 Overall Sentiment: AGENT=1.4, CUSTOMER=0.5 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/03/31/8ff0b9f4-6c01-4d6e-9951-c5a5f3212c3a_20250331T12:09_UTC.wav -------------------------------------------- [AGENT][NEUTRAL] APL, this is [PII]. How may I help you? [CUSTOMER][NEUTRAL] Hi, good morning. I'm just calling to verify uh eligibility for a patient. [AGENT][NEUTRAL] And your name? [CUSTOMER][NEUTRAL] [PII], and I'm calling from UVA Medical Center. [AGENT][NEUTRAL] OK, and so is OK hospital outpatient, is it an outpatient facility? [AGENT][NEUTRAL] You said medical center I think I heard you. [CUSTOMER][NEUTRAL] It's uh [CUSTOMER][NEUTRAL] It's a medical facility. It's inpatient and outpatient. [AGENT][NEUTRAL] OK, are you wanting outpatient benefits or inpatient? [CUSTOMER][NEUTRAL] Uh, let me see, he actually came in already. This is for. [CUSTOMER][NEUTRAL] Looks like it was an outpatient visit. [AGENT][NEUTRAL] OK, spell your name for me. [CUSTOMER][NEUTRAL] Sure, it's [PII] [AGENT][NEUTRAL] And what's the policy number? [CUSTOMER][NEUTRAL] I have 02287977. [AGENT][POSITIVE] And a good phone number in case we're disconnected? [CUSTOMER][NEUTRAL] It's [PII]. [CUSTOMER][NEUTRAL] [PII] [AGENT][POSITIVE] Thank you, give me one moment please. [CUSTOMER][NEUTRAL] True. [AGENT][NEUTRAL] Thank you for holding. If you can verify the patient's name and date of birth for me? [CUSTOMER][NEUTRAL] [PII] [PII]. [AGENT][POSITIVE] Thank you. [CUSTOMER][NEUTRAL] Mhm. [AGENT][NEUTRAL] I'm showing an effective date of [PII]. This policy is active at this time. [AGENT][NEUTRAL] And the maximum outpatient benefit is up to $3000 that is per calendar year and any information provided is verification, not a guarantee of payment, and currently for year [PII], let's see if he's used any. [CUSTOMER][NEUTRAL] OK. [AGENT][NEUTRAL] I'm showing we've paid out $3,066.86 at this time. [CUSTOMER][NEUTRAL] OK, and I also have the um PO box as [PII] in [PII]. [AGENT][NEUTRAL] State [PII] zip code [PII]. Is that what you have? [CUSTOMER][NEUTRAL] Yes. [AGENT][POSITIVE] OK, that is correct. [CUSTOMER][NEUTRAL] Is there an EDI number? [AGENT][NEUTRAL] [PII]. [CUSTOMER][NEUTRAL] Alrighty, OK, thank you, that's what I needed your reference number for the call. [AGENT][NEUTRAL] Alright, no other questions. Thanks for calling APL and you'll use my name in today's date as your reference [PII] First initial of my last name is [PII] [AGENT][NEUTRAL] Anything else? [CUSTOMER][POSITIVE] Thank you. Have a great day. [AGENT][POSITIVE] All right, [PII]. Have a good day as well. [CUSTOMER][NEUTRAL] That'll be all. [CUSTOMER][POSITIVE] Thank you. Bye-bye.