AccountId: 011433970860 ContactId: b04749bb-9996-4db9-9b83-34b3d808fd4f Channel: VOICE LanguageCode: en-US Total Conversation Duration: 138199 ms Total Talk Time (AGENT): 56031 ms Total Talk Time (CUSTOMER): 66236 ms Interruptions: 0 Overall Sentiment: AGENT=0.7, CUSTOMER=2 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/05/06/b04749bb-9996-4db9-9b83-34b3d808fd4f_20250506T18:16_UTC.wav -------------------------------------------- [AGENT][POSITIVE] Good afternoon. Thank you for calling American Public Life. This is [PII]. How may I help you? [CUSTOMER][NEUTRAL] Hi, [PII]. Good afternoon. I'm calling to check benefits for a patient's policy, please. [AGENT][NEUTRAL] I can verify benefits. May I have your name and the policy number? [CUSTOMER][NEUTRAL] Yes, my name is [PII], and the patient's policy number is 02198450 ML 8. [AGENT][NEUTRAL] I'm sorry, you faded out. I heard. [CUSTOMER][POSITIVE] You're welcome. [AGENT][NEUTRAL] 02. [CUSTOMER][NEUTRAL] Yeah, it's 021-98450 ML 8. [AGENT][POSITIVE] Thank you. May I have a good callback number for you? [CUSTOMER][NEUTRAL] Mhm. [CUSTOMER][NEUTRAL] Yes, ma'am. It's [PII]. No extension. [AGENT][NEUTRAL] Thank you. Patient's name and date of birth? [CUSTOMER][NEUTRAL] Uh, her name is [PII] and the date of birth [PII]. [AGENT][NEUTRAL] Thank you for verifying that information. Please be advised the verification of coverage does not guarantee the payment of a claim. And which benefit can I provide for you? [CUSTOMER][NEUTRAL] Oh [CUSTOMER][NEUTRAL] Uh, I would like to know her outpatient benefit and also if it covers office visit co-pays and ultrasounds performed in the office. [AGENT][NEGATIVE] This plan has no office visit, nor does it have office treatment benefits. [CUSTOMER][NEUTRAL] OK [CUSTOMER][NEUTRAL] OK, let's see here. No, so no ultrasounds, no procedures, nothing in office, correct? [AGENT][POSITIVE] Correct. [CUSTOMER][POSITIVE] Perfect. And what would be your outpatient benefit, if any? [AGENT][NEUTRAL] Outpatient calendar year allows 6600. [CUSTOMER][POSITIVE] Perfect, 6600. Has she used anything like that? [AGENT][NEUTRAL] One moment, I'll pull that up. [AGENT][NEGATIVE] No benefits have been applied for [PII]. [CUSTOMER][POSITIVE] Perfect and that's all I needed, [PII]. May I have a reference number for this phone call, please? [AGENT][NEUTRAL] Yes, it will be my name, which is [PII] Last initial is [PII] along with today's date. [CUSTOMER][NEUTRAL] So. [CUSTOMER][POSITIVE] Wonderful. Thank you. You have a nice day. [AGENT][POSITIVE] [PII], you're so welcome and thank you for calling American Public Life. Have a great day. Bye-bye. [CUSTOMER][NEUTRAL] You too bye bye.