AccountId: 011433970860 ContactId: 9f964754-5e5d-45e8-8805-5532bb9d38aa Channel: VOICE LanguageCode: en-US Total Conversation Duration: 487179 ms Total Talk Time (AGENT): 87241 ms Total Talk Time (CUSTOMER): 66464 ms Interruptions: 0 Overall Sentiment: AGENT=0.3, CUSTOMER=-1.4 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/01/21/9f964754-5e5d-45e8-8805-5532bb9d38aa_20250121T13:31_UTC.wav -------------------------------------------- [AGENT][NEUTRAL] Thank you for calling ATL. This is [PII]. How can I help you? [CUSTOMER][NEUTRAL] Hi, my name is [PII]. Um, I just need a benefits breakdown for a member. [AGENT][NEUTRAL] I'm sure tonight I can fax over that information to you. Um, first, could I get a good callback number just in case we're disconnected? [CUSTOMER][NEUTRAL] Yes, um, [PII] option 2. [AGENT][NEUTRAL] Thank you. Now, I need the policy number, please. [CUSTOMER][NEUTRAL] Um, it is 02543230. [AGENT][NEUTRAL] And please verify the patient's name and date of birth. [CUSTOMER][NEUTRAL] Um, [PII]. Date of birth is [PII]. [AGENT][NEUTRAL] OK. And just let me advise you that verification of coverage does not guarantee payment of claims. Um, the effective date on this policy was [PII] and the policy is still active. And what's your fax number, please? [CUSTOMER][NEUTRAL] Um, the [PII]. [AGENT][NEUTRAL] OK, you said [PII]? [CUSTOMER][NEUTRAL] Yes. [AGENT][NEUTRAL] OK. And attention, your name? [CUSTOMER][NEUTRAL] Um, yeah, that's fine. [PII] [CUSTOMER][NEUTRAL] Um, are you able to give me a break, um, benefit breakdown, um, over the phone? [AGENT][NEUTRAL] Um, yes, ma'am. I can do that. One moment, let me pull up the benefits. [CUSTOMER][NEUTRAL] OK. [AGENT][NEUTRAL] OK, I'm showing that under this policy, we cover up to 500 per calendar year. [AGENT][NEUTRAL] And there is a 55. [CUSTOMER][NEUTRAL] OK, um [CUSTOMER][NEUTRAL] Sorry, sorry to cut you off, um, I just wanna confirm it's under Carrington, right? [AGENT][NEUTRAL] Let's see, one moment. [CUSTOMER][NEUTRAL] OK [CUSTOMER][NEUTRAL] OK [AGENT][NEUTRAL] OK, I'm still waiting on my system and if you don't mind holding, I'm gonna place you on a brief hold. [CUSTOMER][POSITIVE] OK, thank you. [AGENT][NEUTRAL] Mm, no problem. One moment. [CUSTOMER][NEGATIVE] You are on hold. [CUSTOMER][NEGATIVE] You are on hold. [CUSTOMER][NEGATIVE] You are on hold. [CUSTOMER][NEGATIVE] You are on hold. [AGENT][NEUTRAL] OK. Thank you, ma'am, for your patience. Um, yes, we would go by the Carrington um fee schedule if you are a Carrington provider. [AGENT][NEUTRAL] Hello? [CUSTOMER][NEUTRAL] Hello. [AGENT][NEUTRAL] Um, yes, ma'am. Thanks for your patience. If you are a Carrington provider, then you will go by the Carrington fee schedule. [CUSTOMER][NEUTRAL] OK perfect um I'm actually it's starting to get busy in the office. Would you be able to actually fax me her benefits right now? [AGENT][NEUTRAL] Um, yes, ma'am. And again, that fax number is [PII]. [CUSTOMER][NEUTRAL] Yes. [AGENT][NEUTRAL] OK. You should receive it in about 10 minutes. Is there anything else that I can assist you with? [CUSTOMER][POSITIVE] No, you've been very helpful thank you. [AGENT][POSITIVE] OK. I thank you for calling ATL. You have a great day. Mm bye. [CUSTOMER][NEUTRAL] You too bye bye. [AGENT][NEUTRAL] Mm