AccountId: 011433970860 ContactId: a6b49be2-c82f-4b42-a8b7-67d07145b785 Channel: VOICE LanguageCode: en-US Total Conversation Duration: 138720 ms Total Talk Time (AGENT): 64570 ms Total Talk Time (CUSTOMER): 27141 ms Interruptions: 0 Overall Sentiment: AGENT=0.7, CUSTOMER=0.8 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/03/28/a6b49be2-c82f-4b42-a8b7-67d07145b785_20250328T17:27_UTC.wav -------------------------------------------- [AGENT][NEUTRAL] Thank you for calling APL. This is [PII]. How can I help you? [CUSTOMER][POSITIVE] Yes ma'am, I'm calling to get eligibility and benefits on the patient. [AGENT][NEUTRAL] OK. [AGENT][NEUTRAL] And what is your name please? I'm sorry I can't help you. [CUSTOMER][NEUTRAL] [PII]. [AGENT][POSITIVE] Thank you so much [PII] and your call back number as well. [CUSTOMER][NEUTRAL] [PII] [AGENT][NEUTRAL] Thank you and what is the policy number? [CUSTOMER][NEUTRAL] It is 1451412. [AGENT][NEUTRAL] OK, I have that as 1451412. [CUSTOMER][NEUTRAL] Yes ma'am. [AGENT][NEUTRAL] Thank you and verify the patient's name and date of birth. [CUSTOMER][NEUTRAL] [PII]. Date of birth is [PII]. [AGENT][NEUTRAL] OK, thank you very much and you want eligibility and benefits would this be for inpatient or outpatient? [CUSTOMER][NEUTRAL] Outpatient [AGENT][NEUTRAL] OK, I can certainly help with that. Now the member shows effective as of [PII]. Policy shows active and for outpatient benefits, please note verification of benefits provided does not guarantee payment. We pay up to $1000 for the calendar year. [CUSTOMER][NEUTRAL] OK, has he made anything on it? [AGENT][NEUTRAL] Let me check that for you, [PII], one moment. [AGENT][NEUTRAL] Yes, for [PII], the member has accumulated $280.20. [CUSTOMER][NEUTRAL] Uh, [AGENT][NEUTRAL] Mhm. [CUSTOMER][NEUTRAL] 47 1980 left. [AGENT][NEUTRAL] Currently that is correct excuse me. [CUSTOMER][NEUTRAL] Can I get a um reference number please? [AGENT][NEUTRAL] We do not use the reference numbers. [PII]. You can use my name [PII] last initial is [PII] and today's date. And anything else that I may help you with? [CUSTOMER][POSITIVE] That'll be all. Thank you so much for your help. [AGENT][POSITIVE] You're welcome and thanks for calling APL. Have a good weekend bye. [CUSTOMER][NEUTRAL] You too bye bye.