AccountId: 011433970860 ContactId: 9f7e6819-7720-4409-b6f5-203fcc226b76 Channel: VOICE LanguageCode: en-US Total Conversation Duration: 148220 ms Total Talk Time (AGENT): 63963 ms Total Talk Time (CUSTOMER): 65371 ms Interruptions: 0 Overall Sentiment: AGENT=0.6, CUSTOMER=0.3 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/05/28/9f7e6819-7720-4409-b6f5-203fcc226b76_20250528T15:50_UTC.wav -------------------------------------------- [AGENT][POSITIVE] Thank you for calling American Public Life. This is [PII]. How can I help you? [CUSTOMER][NEUTRAL] Yes, hi, I'm trying to get benefits for a patient, uh, as a gap insurance. [AGENT][NEUTRAL] OK. [AGENT][NEUTRAL] I can help you with that. May I have your name and a callback number? [CUSTOMER][NEUTRAL] My name is [PII] [PII]. [AGENT][NEUTRAL] Thank you, [PII]. If I could get the policy number you're calling on. [CUSTOMER][NEUTRAL] 026097 [CUSTOMER][NEUTRAL] 50. [AGENT][NEUTRAL] Patient's name and date of birth? [CUSTOMER][NEUTRAL] [PII]. [CUSTOMER][NEUTRAL] [PII]. [AGENT][NEUTRAL] OK, thank you so much for verifying her policy and you did say benefits. What type of service is the patient coming in for? [CUSTOMER][NEUTRAL] Well, uh, she just gave birth, so I need to know how much you will be covering, yeah. [AGENT][NEUTRAL] OK, so inpatient? [AGENT][NEUTRAL] OK, please be advised verifying benefits is not guaranteed payment. Her policy with us has been effective since, let's see, [PII]. It is still active. [AGENT][NEUTRAL] I show for outpatient benefits, this policy will pay up to $5000 a calendar year. [AGENT][NEUTRAL] Is there anything else I can help you with? [CUSTOMER][NEUTRAL] Is it outpatient or inpatient? [AGENT][NEUTRAL] This is for inpatient. [CUSTOMER][NEUTRAL] Or both. [AGENT][NEUTRAL] You want it, you want both? [CUSTOMER][NEUTRAL] Yeah. [CUSTOMER][NEUTRAL] No, no, no, just, uh, impatient, it's 5000. [AGENT][NEUTRAL] It's for inpatient, correct. [CUSTOMER][NEUTRAL] OK. [CUSTOMER][NEUTRAL] Got it, so then I can go ahead and send the claim to the primary which they apply deductible and then the claim will be sent to you. [AGENT][NEUTRAL] Submit secondary correct with the explanation of that. [CUSTOMER][NEUTRAL] Yeah [CUSTOMER][NEUTRAL] OK, and I have the address is [PII]. [AGENT][POSITIVE] That is correct. [CUSTOMER][NEUTRAL] OK, can I have your name? [AGENT][NEUTRAL] My name is [PII] [CUSTOMER][NEUTRAL] And let me guess, you don't, you guys don't give a reference number, right? [AGENT][NEUTRAL] To, to reference the call, you will use my name in today's date. [CUSTOMER][NEUTRAL] Just your name? [CUSTOMER][POSITIVE] Got it thank you so much.