AccountId: 011433970860 ContactId: 996d5f52-5ead-4d8d-bb6b-c3193ae1c3f4 Channel: VOICE LanguageCode: en-US Total Conversation Duration: 224580 ms Total Talk Time (AGENT): 95982 ms Total Talk Time (CUSTOMER): 38547 ms Interruptions: 0 Overall Sentiment: AGENT=1.7, CUSTOMER=1.4 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/01/21/996d5f52-5ead-4d8d-bb6b-c3193ae1c3f4_20250121T19:12_UTC.wav -------------------------------------------- [AGENT][NEUTRAL] Thank you for calling APL. This is [PII]. How can I help you? [CUSTOMER][NEUTRAL] Hello, my name is [PII]. I'm calling from Reed Health, and I'm trying to verify a patient's um eligibility and benefits. [AGENT][NEUTRAL] OK, yes, ma'am, [PII]. [CUSTOMER][NEUTRAL] I don't know if they have any, but. [AGENT][NEUTRAL] I can help you with that. Do you have your have the policy number? [CUSTOMER][NEUTRAL] Yes, it's 02567206. [AGENT][NEUTRAL] Thank you and do you have a callback number? [CUSTOMER][NEUTRAL] [PII] [AGENT][POSITIVE] Thank you let me get that pulled up for you. [AGENT][NEUTRAL] What's that patient's name and date of birth? [CUSTOMER][NEUTRAL] [PII], [PII]. [AGENT][POSITIVE] Thank you and you said you need eligibility and benefits. [CUSTOMER][POSITIVE] Yes please. [AGENT][NEUTRAL] OK, yes ma'am. This is a limited medical identity policy. It was effective [PII]. It is currently active. [AGENT][NEUTRAL] And what is [PII] having done? [CUSTOMER][NEUTRAL] Uh, she needs to be scheduled for an outpatient, um, nuclear bone scan. [AGENT][NEUTRAL] OK, so let me see if that's covered. [AGENT][NEUTRAL] Well [AGENT][NEUTRAL] OK [AGENT][MIXED] It does not look like that's covered. Um, she has an imaging test benefit. [AGENT][NEUTRAL] But it only covers an MRI, CAT, um, thyroid, CT, and PET. And then under her advanced, um, [AGENT][NEUTRAL] Study or follow-up test. It's just an angiogram, barium, myelogram, nuclear stress test, aiogram. [AGENT][NEUTRAL] Um, upper GI, sleep study and then TEE. [CUSTOMER][NEUTRAL] OK. [CUSTOMER][NEUTRAL] All right. And how do you spell your first name? [AGENT][NEUTRAL] It's [PII] and that's spelled [PII] my [PII] is [PII]. [CUSTOMER][NEUTRAL] Alright, and do you have a reference number for today? [AGENT][NEUTRAL] No, ma'am, you just use my name and today's date. [CUSTOMER][POSITIVE] All right, thank you so much. [AGENT][POSITIVE] You're so welcome, [PII]. Is there anything else I can help you with today? [CUSTOMER][POSITIVE] No, not at this time, thank you. [AGENT][POSITIVE] Right, thank you for thank you for calling APO you have a wonderful day. [CUSTOMER][NEUTRAL] You too goodbye. [AGENT][POSITIVE] Thank you, bye.