AccountId: 011433970860 ContactId: a10a9f85-d041-4070-a0aa-dacc88c90ee4 Channel: VOICE LanguageCode: en-US Total Conversation Duration: 208210 ms Total Talk Time (AGENT): 53905 ms Total Talk Time (CUSTOMER): 59862 ms Interruptions: 1 Overall Sentiment: AGENT=1.3, CUSTOMER=0 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/02/28/a10a9f85-d041-4070-a0aa-dacc88c90ee4_20250228T15:00_UTC.wav -------------------------------------------- [AGENT][NEUTRAL] Thank you for calling APL. This is [PII]. How can I help you? [CUSTOMER][NEUTRAL] Um, yeah, I called a couple of weeks ago and like to see if services were covered by gap insurance because of, uh, a client says that it would cover her co-pays. And anyway, uh, she's gotten information back that her co-pays are not covered, so I'm calling to find out what's going on. [AGENT][NEUTRAL] May I have your name? [CUSTOMER][NEUTRAL] My name is [PII]. [AGENT][NEUTRAL] [PII], OK, and your last, excuse me, your callback number please. [CUSTOMER][NEUTRAL] [PII] [AGENT][NEUTRAL] OK, and are you calling from the provider's office are you calling? [CUSTOMER][NEUTRAL] Yeah. [AGENT][NEUTRAL] OK. [AGENT][NEUTRAL] What is the policy number? [CUSTOMER][NEUTRAL] 02280947 [AGENT][POSITIVE] I'm so sorry, [PII]. I'm, I'm so sorry. I'm so sorry. [CUSTOMER][NEUTRAL] [PII]. [CUSTOMER][NEUTRAL] OK. 0. [AGENT][POSITIVE] Thank you. [CUSTOMER][NEUTRAL] 222. [CUSTOMER][NEUTRAL] 80947 [CUSTOMER][NEUTRAL] [PII] [PII] [AGENT][NEUTRAL] OK, thank you for that verification process and what are the dates of service and charge amount please? [CUSTOMER][NEUTRAL] Uh, [PII] for 200. [AGENT][NEUTRAL] OK, I show that claim received. Yes, I'm sorry, it does not cover office visits or services inside the office visit. Those are not covered, non-covered services. [CUSTOMER][NEUTRAL] OK. [CUSTOMER][NEUTRAL] All right. Um, just a second. [CUSTOMER][NEUTRAL] What was your name? [AGENT][NEUTRAL] My name is [PII]. My last initial is [PII]. [CUSTOMER][NEUTRAL] And you said this policy doesn't cover what again? [AGENT][NEUTRAL] The policy does not cover office visits or services procedures inside the doctor's office. [CUSTOMER][NEUTRAL] OK, can I get a reference for that? [AGENT][NEUTRAL] Uh, we don't use reference numbers. Um, [PII], you can use my name in today's date. Anything else I can help you with, please? [CUSTOMER][NEUTRAL] Uh, no, thank you. [AGENT][POSITIVE] Thank you for calling APL. I hope you have a good day. Mm bye. [CUSTOMER][NEUTRAL] You too. Bye.