AccountId: 011433970860 ContactId: aea30222-3d43-47dd-84bf-beb9fd533cef Channel: VOICE LanguageCode: en-US Total Conversation Duration: 119040 ms Total Talk Time (AGENT): 54295 ms Total Talk Time (CUSTOMER): 36971 ms Interruptions: 0 Overall Sentiment: AGENT=1.6, CUSTOMER=2.5 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/03/05/aea30222-3d43-47dd-84bf-beb9fd533cef_20250305T21:44_UTC.wav -------------------------------------------- [AGENT][POSITIVE] Good afternoon. Thank you for calling APL. My name is [PII]. How may I help you? [CUSTOMER][NEUTRAL] Hi, this is [PII] calling from the OSF Financial clearance department. I'm just calling to get eligibility and benefits as I see this is a secondary policy on a patient's account. [AGENT][POSITIVE] Yes, and I'll be more than happy to help you with the eligibility and benefits. And [PII], may I have a good contact number in case we're disconnected? [CUSTOMER][NEUTRAL] [PII] [AGENT][NEUTRAL] Thank you for that. And may I have the member's policy number? [CUSTOMER][NEUTRAL] Yes, that's 0235. [CUSTOMER][NEUTRAL] 0207. [AGENT][NEUTRAL] Thank you, hold on one moment. [AGENT][NEUTRAL] And can you verify the member's first and last name and date of birth? [CUSTOMER][NEUTRAL] [PII]. [AGENT][NEUTRAL] Thank you for that and all the information provided is a verification of benefits, not a guarantee of payment. And I am showing the policy is active. It's been effective since [PII]. [AGENT][NEUTRAL] And what type of benefits that you want to go over today? [CUSTOMER][POSITIVE] Perfect. [CUSTOMER][NEUTRAL] For a CT scan. [AGENT][NEUTRAL] So for outpatient, the policy would pay up to $3500 per calendar year. [AGENT][NEUTRAL] Did you want me to see if it's been used? [CUSTOMER][NEUTRAL] Uh yes, please. [AGENT][NEUTRAL] OK, hold on one moment. [AGENT][NEGATIVE] And so far she has not used any of the benefits. [CUSTOMER][POSITIVE] Perfect, thank you. Is there a reference number for this call? [AGENT][NEUTRAL] So there's no call reference number, but you can use my name in today's date and again the first initial to my last name is [PII]. [CUSTOMER][POSITIVE] Thank you. You have a great rest of your day. [AGENT][POSITIVE] Thank you, [PII]. You also, and thanks for calling APL. [CUSTOMER][POSITIVE] Thank you bye bye. [AGENT][POSITIVE] You're welcome bye bye.