AccountId: 011433970860 ContactId: 95186b23-a273-4b0e-a695-0d0939697a34 Channel: VOICE LanguageCode: en-US Total Conversation Duration: 107379 ms Total Talk Time (AGENT): 51031 ms Total Talk Time (CUSTOMER): 36860 ms Interruptions: 1 Overall Sentiment: AGENT=1, CUSTOMER=0.6 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/06/20/95186b23-a273-4b0e-a695-0d0939697a34_20250620T19:57_UTC.wav -------------------------------------------- [AGENT][NEUTRAL] Thank you for calling APL. This is [PII]. How can I help you? [CUSTOMER][NEUTRAL] That [CUSTOMER][POSITIVE] Yes, hi, my name is [PII], and I'm calling to get eligibility and benefits on a patient. [AGENT][POSITIVE] All right, [PII], I'm happy to check on eligibility and benefits. What is the policy number? [CUSTOMER][NEUTRAL] Yeah. [CUSTOMER][NEUTRAL] 018. [CUSTOMER][NEUTRAL] 68,770 [AGENT][NEUTRAL] Thank you. And can I get the patient's name and date of birth? [CUSTOMER][NEUTRAL] [PII] [PII]. [AGENT][NEUTRAL] Thank you. So the patient is active. Effective date is [PII]. [CUSTOMER][NEUTRAL] OK. [CUSTOMER][NEUTRAL] And then I know these are benefits only for like outpatient procedures and surgeries. [AGENT][NEUTRAL] Mhm, it's a secondary plan, so it covers their deductible co-pay, co-insurance from the primary. [CUSTOMER][NEUTRAL] Is there an amount that the plan pays? [AGENT][NEUTRAL] Yeah, let me give you that. So for their outpatient, it looks like their benefit max on here is gonna be 2550. [CUSTOMER][NEUTRAL] And [CUSTOMER][NEUTRAL] And have they used towards that? [AGENT][NEUTRAL] Um, let's see, they've only used $24.84. [CUSTOMER][NEUTRAL] Yeah [CUSTOMER][NEUTRAL] Got it [CUSTOMER][NEUTRAL] All right, that's all I needed to know for today. Let me go ahead and get a reference number please. [AGENT][NEUTRAL] Absolutely. Call references my name with today's date. My name again is [PII], that's [PII] and then my last initial is [PII]. [CUSTOMER][POSITIVE] Got it. Alrighty then well thank you very much. [AGENT][POSITIVE] You're welcome. Have a good day. [CUSTOMER][NEUTRAL] Likewise. [AGENT][NEUTRAL] Bye bye.