AccountId: 011433970860 ContactId: a8c5b922-3cee-4dd5-ad0a-41c22d3727b7 Channel: VOICE LanguageCode: en-US Total Conversation Duration: 211759 ms Total Talk Time (AGENT): 80423 ms Total Talk Time (CUSTOMER): 86208 ms Interruptions: 1 Overall Sentiment: AGENT=1, CUSTOMER=2.1 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/02/03/a8c5b922-3cee-4dd5-ad0a-41c22d3727b7_20250203T23:12_UTC.wav -------------------------------------------- [AGENT][NEUTRAL] Thank you for calling APL. This is [PII]. How may I help you? [CUSTOMER][POSITIVE] Oh, I'm so sorry. You caught me in the middle of a good yawn. I'm so sorry. [AGENT][NEUTRAL] That's OK. [CUSTOMER][POSITIVE] I'm so ready for this day to be over. [AGENT][NEUTRAL] Yes, ma'am. [CUSTOMER][POSITIVE] I'm so sorry. [AGENT][POSITIVE] Great. [AGENT][NEUTRAL] Right [CUSTOMER][NEUTRAL] My name is, is [PII]. I'm calling from American Health Imaging. I'm calling to verify coverage for a patient that we have scheduled. [AGENT][NEUTRAL] OK, I can help you with a bridge, Miss [PII], can you please give me your call back number just in case our call is connected. [CUSTOMER][NEUTRAL] Uh yes, ma'am. It is [PII]. [AGENT][NEUTRAL] You so much. And what is the pain? [CUSTOMER][NEUTRAL] Um, so, uh, and now the line is kinda cutting in and out really bad, but if I think I heard you correct, this is going to be for diagnostics and the member ID is 02. [AGENT][NEUTRAL] I don't know. [CUSTOMER][NEUTRAL] 593404 [AGENT][NEUTRAL] Thank you. And then what is the um patient's name? [CUSTOMER][NEUTRAL] Patient's name is [PII] and the DOB is [PII]. [AGENT][NEUTRAL] OK, let me look him up real quick. [AGENT][POSITIVE] OK, I do show that [PII] does have an active policy. [AGENT][NEUTRAL] The effective date is [PII]. [CUSTOMER][NEUTRAL] OK. [AGENT][NEUTRAL] And this is a supplemental insurance policy that's billed secondary to the primary it's a gap insurance that helps with deduct. [AGENT][NEUTRAL] co-pay and co-insurance. He has an inpatient benefit amount of 3 $3000. [CUSTOMER][NEUTRAL] OK. [AGENT][NEUTRAL] per calendar year and then he also has an outpatient benefit per calendar day of $1500. [AGENT][NEUTRAL] And that goes towards deductible, co-pay or coin insurance. [CUSTOMER][NEUTRAL] $1,0005. [CUSTOMER][NEUTRAL] Per day. OK. [CUSTOMER][NEUTRAL] All [PII]. Um, and I guess that's, so I guess because it's a supplemental plan, then no precert is required. [AGENT][POSITIVE] Correct. [CUSTOMER][NEUTRAL] All right, perfect. Um, can I get a reference number for this call then please, ma'am? [AGENT][NEUTRAL] OK. [AGENT][NEUTRAL] Yes, you can use my name. It's [PII], and today's date. [CUSTOMER][POSITIVE] Perfect. Sounds good. Thank you, ma'am. I appreciate your help. [AGENT][POSITIVE] Well, I appreciate you calling Miss [PII]. You have a good rest of your night and thanks for calling APL. [CUSTOMER][POSITIVE] Thank you, ma'am. You as well. [AGENT][NEUTRAL] All right, bye-bye. [CUSTOMER][NEUTRAL] Bye-bye.