AccountId: 011433970860 ContactId: aec961dd-97e0-4a84-95ab-fbf159942d4a Channel: VOICE LanguageCode: en-US Total Conversation Duration: 149000 ms Total Talk Time (AGENT): 67665 ms Total Talk Time (CUSTOMER): 57875 ms Interruptions: 0 Overall Sentiment: AGENT=1, CUSTOMER=1.2 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/05/30/aec961dd-97e0-4a84-95ab-fbf159942d4a_20250530T14:42_UTC.wav -------------------------------------------- [CUSTOMER][POSITIVE] Thank you. Uh thanks. [AGENT][POSITIVE] Good morning. Thank you for calling APL. My name is [PII]. How may I help you? [CUSTOMER][NEUTRAL] Uh, hi, this is [PII] with Doctor [PII], and I'm needing to, uh, verify one patient's eligibility and benefits, please. [AGENT][NEUTRAL] OK, I can help you with the eligibility and benefits. And [PII], may I have a good contact number in case we're disconnected? [CUSTOMER][NEUTRAL] Mm. [CUSTOMER][POSITIVE] Thank you [CUSTOMER][NEUTRAL] [PII]. [AGENT][NEUTRAL] Thank you. May I have the member's policy number? [CUSTOMER][NEUTRAL] I [CUSTOMER][NEUTRAL] Uh, policy number 02622396. [AGENT][NEUTRAL] Thank you, hold on one moment. [CUSTOMER][NEUTRAL] OK [AGENT][NEUTRAL] And can you verify the member's first and last name and date of birth? [CUSTOMER][NEUTRAL] Uh, [CUSTOMER][NEUTRAL] [PII]'s birthday is [PII]. [AGENT][NEUTRAL] Thank you for that and all the information provided is a verification of benefits, not a guarantee of payment. So I am showing the policy is active. It's been effective since [PII]. And what kind of benefits did you need to go over today? [CUSTOMER][NEUTRAL] Uh, PCP visit. [AGENT][NEUTRAL] Alright, the policy will pay up to $50. [CUSTOMER][NEUTRAL] The primary doctor. [AGENT][NEUTRAL] The policy will pay up to $50 per visit with a max of 4 visits per calendar year. [CUSTOMER][NEUTRAL] You say uh pay up to $50 for 4 visits per year? [AGENT][NEUTRAL] Yes, this is a hospital indemnity policy. The policy will pay up to $50 per visit with a max of 4 visits per calendar year. [CUSTOMER][NEUTRAL] Uh-huh. [CUSTOMER][NEUTRAL] OK, gotcha. Um, has the patient used any of his, um, [CUSTOMER][NEUTRAL] Uh, visit [AGENT][NEUTRAL] Um, hold on one moment, let me see. [AGENT][NEUTRAL] Um, so far he has not used any of the benefits for [PII]. [CUSTOMER][NEUTRAL] [PII] [CUSTOMER][POSITIVE] Great. Can I get a reference number for this call? [AGENT][NEUTRAL] Sure, so there's no call reference number, but you can use my name in today's date, and again, that's [PII], first initial to my last name is [PII]. [CUSTOMER][POSITIVE] Yes ma'am, thank you. Uh, all right, and today's date, got you. Thank you. You have yourself a wonderful weekend. [AGENT][POSITIVE] You're very welcome. [AGENT][NEUTRAL] Was there anything [AGENT][POSITIVE] Thank you. You also, thanks for calling APL. Bye-bye. [CUSTOMER][NEUTRAL] Bye bye.