AccountId: 011433970860 ContactId: a09e46f5-d354-4b90-bcc3-c3d18dd1b6c4 Channel: VOICE LanguageCode: en-US Total Conversation Duration: 118470 ms Total Talk Time (AGENT): 58105 ms Total Talk Time (CUSTOMER): 40932 ms Interruptions: 0 Overall Sentiment: AGENT=0.6, CUSTOMER=1.4 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/03/31/a09e46f5-d354-4b90-bcc3-c3d18dd1b6c4_20250331T18:53_UTC.wav -------------------------------------------- [AGENT][NEUTRAL] Thank you for calling APL. This is [PII]. How can I help you? [CUSTOMER][NEUTRAL] Hi, good afternoon. I'm calling from the provider's office, and I want to, uh, verify benefits for the patient, please. [AGENT][NEUTRAL] Um, yes, ma'am. I can assist you with benefits. Um, first, could I get your name and a good callback number? [CUSTOMER][NEUTRAL] Yes, my name is [PII] and the phone number is [PII]. [AGENT][NEUTRAL] OK. Thank you, [PII]. Now I need the policy number, please? [CUSTOMER][NEUTRAL] Yes. [CUSTOMER][NEUTRAL] It will be 02518811. [AGENT][NEUTRAL] And please verify the patient's name and date of birth. [CUSTOMER][NEUTRAL] Yes, [PII]. [CUSTOMER][NEUTRAL] [PII]. [AGENT][NEUTRAL] Thank you, thank you, 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. Um, is this for inpatient or outpatient benefits or an office visit? [CUSTOMER][NEUTRAL] And it's a specialist office, so I would like to know if the copay is covered or any in office procedure is covered under the plan. [AGENT][NEUTRAL] Um, the co-pay is not covered, but in-office procedures are covered up to $300 per day. [CUSTOMER][POSITIVE] Oh OK perfect that will be all. Can I get a reference number please? [AGENT][NEUTRAL] Um, yes, ma'am. So the reference number, you can use my name and today's date. My name is [PII], um, it's spelled [PII] My last initial is [PII] and today's date. Um, is there anything else that I can assist you with? [CUSTOMER][POSITIVE] That'll be all thank you. [AGENT][POSITIVE] OK, thank you, [PII], for calling ATL. Have a great rest of your day. Mm bye. [CUSTOMER][NEUTRAL] You too bye bye.