AccountId: 011433970860 ContactId: 934717e4-f000-40ce-8885-f96922c33eda Channel: VOICE LanguageCode: en-US Total Conversation Duration: 183279 ms Total Talk Time (AGENT): 72218 ms Total Talk Time (CUSTOMER): 83095 ms Interruptions: 0 Overall Sentiment: AGENT=2.1, CUSTOMER=1.5 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/04/17/934717e4-f000-40ce-8885-f96922c33eda_20250417T19:37_UTC.wav -------------------------------------------- [AGENT][POSITIVE] Thank you for calling American. [CUSTOMER][NEUTRAL] Yeah [AGENT][NEUTRAL] This is [PII]. How may I assist you? [CUSTOMER][NEUTRAL] Your name is [PII]? [AGENT][NEUTRAL] [PII] [CUSTOMER][NEUTRAL] [PII]. [CUSTOMER][NEUTRAL] So [PII] or [PII]? [AGENT][NEUTRAL] It is spelled [PII] and today's date as the call reference. [CUSTOMER][NEUTRAL] [PII] and the first of your last name, I'm sorry? [AGENT][NEUTRAL] [PII] [CUSTOMER][NEUTRAL] [PII] sorry. [CUSTOMER][POSITIVE] Good afternoon. How are you doing today? [AGENT][POSITIVE] I'm doing good. How about you? [CUSTOMER][NEUTRAL] Good, um, today is Friday eve. [AGENT][NEUTRAL] Yes. [CUSTOMER][NEUTRAL] Just wanted to call to um verify benefits on a on a patient. [AGENT][NEUTRAL] OK. May I have your name and a callback number? [CUSTOMER][NEUTRAL] Sure. My name is [PII]. Callback number is [PII]. [AGENT][NEUTRAL] And may I please have the policy number? [CUSTOMER][NEUTRAL] 02388671. [AGENT][POSITIVE] Thank you. [CUSTOMER][POSITIVE] No, you're welcome thank you. [AGENT][NEUTRAL] You're welcome. And may I please have the patient's name and date of birth? [CUSTOMER][NEUTRAL] Yes, her name is [PII] [PII]. [AGENT][NEUTRAL] And you're calling in for benefits, is there a specific benefit that you're calling in for? [CUSTOMER][NEUTRAL] Just outpatient, I believe she has $3000. [AGENT][NEUTRAL] Let me check that for you. [CUSTOMER][NEUTRAL] If I am not mistaken. [CUSTOMER][NEUTRAL] Sure. [AGENT][NEUTRAL] OK, and in regards to this member, you're calling in for outpatient benefits, verification of coverage does not guarantee the payment of the claim. The member does have up to $3000 per calendar day that will go towards the primary insurance deductible, co-insurance, or co-pay. This policy is for sickness and injury only. It will not cover any preventative or wellness. Is there anything else that I can assist you with today, [PII]? [CUSTOMER][NEUTRAL] OK [CUSTOMER][NEUTRAL] That [CUSTOMER][NEUTRAL] But it covers copay, right? [AGENT][NEUTRAL] Deductible co-insurance or co-pay for sickness and injury. [CUSTOMER][POSITIVE] OK wonderful OK uh no that's it so I'm gonna use your name and first initial in today's day, right? [AGENT][POSITIVE] That is correct. [CUSTOMER][POSITIVE] Wonderful thank you so much [PII]. I like your name it's different. [AGENT][POSITIVE] Thank you, thank you so much. [CUSTOMER][POSITIVE] Um, you, you're welcome. Um, no, that's it. Enjoy the rest of your afternoon and have a nice and happy weekend. Take care. [AGENT][POSITIVE] Same to you and thank you for calling American Public Life. Have a great rest of your day as well. [CUSTOMER][NEUTRAL] You too bye bye.