AccountId: 011433970860 ContactId: ad48a0d4-d924-44e5-a1f6-dcda2a52aa4d Channel: VOICE LanguageCode: en-US Total Conversation Duration: 215860 ms Total Talk Time (AGENT): 91914 ms Total Talk Time (CUSTOMER): 56339 ms Interruptions: 0 Overall Sentiment: AGENT=0.6, CUSTOMER=0.9 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/03/04/ad48a0d4-d924-44e5-a1f6-dcda2a52aa4d_20250304T17:58_UTC.wav -------------------------------------------- [AGENT][POSITIVE] Good afternoon. Thank you for calling APL. This is [PII]. How may I assist you? [CUSTOMER][NEUTRAL] I'm sorry, what was your name? [AGENT][NEUTRAL] My name is [PII]. [CUSTOMER][NEUTRAL] So my name is [PII] I'm calling to find out if a patient requires a pre-authorization for uh a home sleep study and DME. [AGENT][NEUTRAL] A N D. [AGENT][NEUTRAL] OK, and Miss [PII], may I have a callback number just in case we get disconnected? [CUSTOMER][NEUTRAL] Uh-huh, it is [PII]. [AGENT][NEUTRAL] OK, and you're calling from which facility? What's the name of the facility for my notation? [CUSTOMER][NEUTRAL] The Lexington Clinic Sleep Center. [AGENT][NEUTRAL] Thank you. And may I have the patient's policy number? [CUSTOMER][NEUTRAL] The ID number is D as in dog 43223094 and his name is [PII]. [AGENT][NEUTRAL] OK. Do you see any other numbers besides that number? [CUSTOMER][NEUTRAL] Yeah, hold on my, uh, I have a group number. [AGENT][NEUTRAL] No, it's gonna, it's gonna say policy third or policy number. [CUSTOMER][NEUTRAL] OK, hold on, let me pull that. [AGENT][NEUTRAL] OK. [CUSTOMER][NEUTRAL] Let me pull the card up, get a closer look at it. [AGENT][NEUTRAL] OK. And if you see it, it's gonna be probably uh 0 followed by 7 digits. [CUSTOMER][NEUTRAL] Oh, it's uh, yeah, 002571338. [AGENT][NEUTRAL] Mhm. [AGENT][POSITIVE] OK, thank you. [AGENT][NEUTRAL] OK. And what is Mr. [PII]'s date of date of birth? [CUSTOMER][NEUTRAL] [PII]. [AGENT][NEUTRAL] OK, perfect. Thank you. And let's see, let me go over the benefits really quick. And so this policy is a limited policy. It's a hospital indemnity plan and um [AGENT][NEUTRAL] So pre-authorization is not gonna be required, but let me check and see if it's a cover service. [AGENT][NEUTRAL] Um, [AGENT][NEUTRAL] It's gonna be a minute. I'm waiting on the benefits to pull up. [AGENT][NEUTRAL] All right, here we go. [AGENT][NEUTRAL] Uh, no, this one doesn't cover sleep study or DME. [CUSTOMER][NEGATIVE] Oh no coverage, OK. [AGENT][NEGATIVE] No coverage. [CUSTOMER][POSITIVE] OK dokey, uh, thank you. [AGENT][POSITIVE] You're welcome. Is there anything else I can help you with today? [CUSTOMER][NEUTRAL] All right bye bye. [CUSTOMER][NEUTRAL] Do you have a reference number for this phone call? [AGENT][NEUTRAL] We don't. You can use my name in today's date if you will. Do you need the spelling of my name? [CUSTOMER][POSITIVE] Yes please. [AGENT][NEUTRAL] OK, that's [PII]. [CUSTOMER][POSITIVE] Thank you for your help. [AGENT][POSITIVE] You're welcome. Thank you for calling APO. Have a good day.