AccountId: 011433970860 ContactId: 95e71272-41a7-4a07-be97-e63c471177d8 Channel: VOICE LanguageCode: en-US Total Conversation Duration: 250899 ms Total Talk Time (AGENT): 100358 ms Total Talk Time (CUSTOMER): 62047 ms Interruptions: 0 Overall Sentiment: AGENT=0.8, CUSTOMER=-0.4 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/03/13/95e71272-41a7-4a07-be97-e63c471177d8_20250313T13:41_UTC.wav -------------------------------------------- [AGENT][POSITIVE] Good morning. Thank you for calling APL. This is [PII]. How may I assist you? [CUSTOMER][POSITIVE] I'm calling to get benefits for a patient. [AGENT][POSITIVE] Sure, I can assist you with benefits. May I have your name? [CUSTOMER][NEGATIVE] My name is [PII]. There's something wrong with your connection. It's, it's not. [CUSTOMER][NEGATIVE] It's not clear like it cuts in and out. [AGENT][NEUTRAL] Oh [AGENT][NEUTRAL] OK, uh, if you don't mind, let me just go ahead and put it in and out again just to see if that will fix the problem. OK, one moment. [CUSTOMER][NEGATIVE] You are on hold. [AGENT][NEUTRAL] Mhm [AGENT][NEUTRAL] Hello, Miss [PII], can you hear me better? [CUSTOMER][NEUTRAL] Um, yeah. [AGENT][POSITIVE] OK, perfect. OK, and may I have a callback number just in case we get disconnected? [CUSTOMER][NEUTRAL] [PII] [AGENT][NEUTRAL] OK, thank you and you're calling from which facility for my notation? What's the name? [CUSTOMER][NEUTRAL] OK, so it's kind of back. Um, did you ask me for the patient's name? [AGENT][NEUTRAL] No, I need um the name of the facility you're calling from and uh and the policy number. [CUSTOMER][NEUTRAL] Oh, diagnostic center. [CUSTOMER][NEUTRAL] The diagnostic center of [PII]. [AGENT][NEUTRAL] Mm. [AGENT][NEUTRAL] [PII] and the policy number of the patient? [CUSTOMER][NEUTRAL] 01617104ML8 [AGENT][NEUTRAL] OK thank you and what is the name and date of birth of the patient? [CUSTOMER][NEUTRAL] [PII]. [CUSTOMER][NEUTRAL] [PII]. [AGENT][NEUTRAL] OK, thank you. OK, so you say you need benefits, so it's gonna be outpatient benefit for diagnostics? [CUSTOMER][NEUTRAL] Uh, outpatient benefits for diagnostics, yes. [AGENT][NEUTRAL] OK, before I give you any benefit information, I need to let you know that this is not a guarantee of payment, just a verification of coverage and that's just a disclaimer. [AGENT][NEUTRAL] And we have an outpatient maximum of 2000 per person per calendar year. [CUSTOMER][NEUTRAL] 2000. OK, and has she used any of her 2000? [AGENT][NEUTRAL] I can check. Let's see. [AGENT][NEUTRAL] As of today, she has not used her benefits for [PII], so she still have the full amount available. [CUSTOMER][NEUTRAL] OK. And your name? [AGENT][NEUTRAL] My name is [PII]. [CUSTOMER][NEUTRAL] OK and um your oh no no that was it OK oh can you tell me when this plan became effective? I'm sorry. [AGENT][NEUTRAL] Oh sure, yes, I can do that. Bear with just a second. Let me just go back to that page. One moment. [AGENT][NEUTRAL] OK. [AGENT][NEUTRAL] OK. So the effective date of the policy is [PII] and it is active at the moment. [CUSTOMER][NEUTRAL] OK. [CUSTOMER][POSITIVE] OK, thank you so much. You have a good day, ma'am. [AGENT][NEUTRAL] Your phone. Thank you for calling APL. Bye bye. [CUSTOMER][POSITIVE] Thank you bye bye. [AGENT][NEUTRAL] Yeah