AccountId: 011433970860 ContactId: 9997d91b-6dd7-4b6b-bd4f-c82a39ccdc9b Channel: VOICE LanguageCode: en-US Total Conversation Duration: 203080 ms Total Talk Time (AGENT): 71911 ms Total Talk Time (CUSTOMER): 80716 ms Interruptions: 0 Overall Sentiment: AGENT=1.1, CUSTOMER=3.5 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/04/24/9997d91b-6dd7-4b6b-bd4f-c82a39ccdc9b_20250424T17:41_UTC.wav -------------------------------------------- [AGENT][NEUTRAL] Good afternoon. Thank you for calling APL. This is [PII]. May I help you? [CUSTOMER][NEUTRAL] Hi, [PII]. How are you? [AGENT][NEUTRAL] I'm fine. How are you? [CUSTOMER][POSITIVE] Good, my love. I'm calling because I have a patient of ours that's coming in tomorrow for surgery, and I wanna see if you can tell me their benefits, what they have available to you. [AGENT][NEUTRAL] OK. May I ask who's calling? [CUSTOMER][NEUTRAL] My name is [PII]. [AGENT][NEUTRAL] And do you have a phone number and in case we get disconnected, I can call you back? [CUSTOMER][NEUTRAL] [PII]. [AGENT][NEUTRAL] And do you have the policy number? [CUSTOMER][NEUTRAL] The policy number for the number is 02565825. [AGENT][NEUTRAL] Thank you, [PII]. Hold on one moment, please. [CUSTOMER][POSITIVE] Thank you. [AGENT][POSITIVE] You're welcome. [AGENT][NEUTRAL] Who was the patient's name? [CUSTOMER][NEUTRAL] The patient's last, uh first name is [PII] and the last name is [PII] and the date of birth is [PII]. [AGENT][POSITIVE] Thank you, [PII], and you are needing benefits? [CUSTOMER][NEUTRAL] Yeah, yeah, he's coming in for outpatient surgery in the facility. [AGENT][NEUTRAL] OK, I can help you with that. The effective date is [PII]. [AGENT][NEUTRAL] Any benefits given over the phones, not a guarantee of payment? [CUSTOMER][NEUTRAL] Mhm. [AGENT][NEUTRAL] This policy coordinate with the primary insurance? [AGENT][NEUTRAL] Whatever the primary applies to their deductible co-pay or co-insurance only. [AGENT][NEUTRAL] For outpatient. [AGENT][NEUTRAL] We'll pay up to $8500. [CUSTOMER][POSITIVE] Perfect. And does it show if he has used any amount? [AGENT][NEUTRAL] Hold on just a moment, I'll check. [AGENT][NEUTRAL] He has used $324.14. [CUSTOMER][NEUTRAL] $324.14 he used. [AGENT][NEUTRAL] Yes, ma'am. Mhm. [CUSTOMER][POSITIVE] Perfect, my love. Can, uh can you do me a favor? Can you spell your first name for me just in case and then do you have a reference number? [AGENT][NEUTRAL] We do not have reference numbers. You can use my name in today's date, that is [PII] [AGENT][NEUTRAL] Is there anything else I can help you with? [CUSTOMER][POSITIVE] Perfect. [CUSTOMER][POSITIVE] That's it. Thank you so much and I hope you have a good rest of your day. [AGENT][POSITIVE] Thank you, [PII], for calling APL. You as well. [CUSTOMER][POSITIVE] Thank you, take care. [AGENT][POSITIVE] Thank you. Bye bye. [CUSTOMER][POSITIVE] Mhm. Thanks. Bye.