AccountId: 011433970860 ContactId: 9b15a3ce-c80a-4d96-bcef-1f07284f839b Channel: VOICE LanguageCode: en-US Total Conversation Duration: 172789 ms Total Talk Time (AGENT): 71336 ms Total Talk Time (CUSTOMER): 50948 ms Interruptions: 0 Overall Sentiment: AGENT=2, CUSTOMER=0.2 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/01/27/9b15a3ce-c80a-4d96-bcef-1f07284f839b_20250127T15:46_UTC.wav -------------------------------------------- [AGENT][NEUTRAL] Hi, thank you for calling APL. This is [PII]. How can I help you today? [CUSTOMER][NEUTRAL] Hi, hi [PII] my name is [PII] calling from Diagnostic Center of Miami, and I was calling for benefit information please. [AGENT][NEUTRAL] Mhm. [AGENT][NEUTRAL] OK, yeah, let's help you with benefits today and you said [PII]? [CUSTOMER][NEUTRAL] Yes. [AGENT][POSITIVE] Perfect, do you mind if I grab a good callback number real quick? [CUSTOMER][NEUTRAL] [PII]. [AGENT][POSITIVE] Perfect and the policy number we wanna look at today, ma'am? [CUSTOMER][NEUTRAL] Um 01836820. [CUSTOMER][NEUTRAL] 01836820 ML 7 [AGENT][POSITIVE] Wonderful, give me just a second to get that. [CUSTOMER][NEUTRAL] I believe it's supposed to be 8 though. [CUSTOMER][NEUTRAL] I think it's supposed to be 88 is outpatient, right? [AGENT][NEUTRAL] What's the um [CUSTOMER][NEUTRAL] What [AGENT][NEUTRAL] Oh yeah, um. [CUSTOMER][NEUTRAL] OK [AGENT][NEUTRAL] So you're needing the outpatient benefits? [CUSTOMER][NEUTRAL] Yes. [AGENT][NEUTRAL] Perfect, we'll give that to you. And what is your insured's first and last name and date of birth? [CUSTOMER][NEUTRAL] [PII], [PII]. [AGENT][POSITIVE] Perfect. [AGENT][NEUTRAL] And I do see [PII] here. I do wanna let you know while I'm pulling up those benefits that any um benefit information I give you over the phone today is just a verification of coverage and not a guarantee of payment. [AGENT][NEUTRAL] It looks like her outpatient benefit has a maximum of $1000 per calendar year. [CUSTOMER][NEUTRAL] OK. Has she met any other yet? [AGENT][POSITIVE] That's a great question. Let's take a look. [AGENT][NEUTRAL] Alright, it doesn't not look like we've used any benefits um for the [PII] calendar year. [CUSTOMER][NEUTRAL] [PII]. [CUSTOMER][NEUTRAL] OK. [CUSTOMER][NEUTRAL] Um, and you said your name is [PII]? [AGENT][NEUTRAL] Yes, [PII], first initial, last name, [PII]. [CUSTOMER][NEUTRAL] You say [PII]? [AGENT][NEUTRAL] Oh, [PII]. [CUSTOMER][NEUTRAL] Oh, [PII]. [CUSTOMER][NEUTRAL] Oh, you say I leave. [AGENT][NEUTRAL] [PII] it like short for [PII]. [CUSTOMER][NEUTRAL] Oh, OK. [AGENT][POSITIVE] Sorry, [PII], no worries. Thank you, Ms. [PII]. You have such a wonderful day. [CUSTOMER][POSITIVE] Thank you. [CUSTOMER][NEUTRAL] You too bye bye. [AGENT][NEUTRAL] Bye bye.