AccountId: 011433970860 ContactId: b3896089-fb19-4cb6-b2e5-9ecaf19b13ae Channel: VOICE LanguageCode: en-US Total Conversation Duration: 156240 ms Total Talk Time (AGENT): 70828 ms Total Talk Time (CUSTOMER): 37218 ms Interruptions: 0 Overall Sentiment: AGENT=0.3, CUSTOMER=1.8 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/03/21/b3896089-fb19-4cb6-b2e5-9ecaf19b13ae_20250321T15:54_UTC.wav -------------------------------------------- [AGENT][NEUTRAL] Good morning. Thank you for calling APL. This is [PII]. May I help you? [CUSTOMER][NEUTRAL] Hi [PII], I'm calling because I need benefits on a patient please. [AGENT][NEUTRAL] OK. May I ask who's calling? [CUSTOMER][NEUTRAL] Of course, my name is [PII], that's [PII] [AGENT][NEUTRAL] And do you have a phone number I can get in case we get disconnected I can call you back. [CUSTOMER][NEUTRAL] Of course [PII]. [AGENT][NEUTRAL] And do you have the policy number? [CUSTOMER][NEUTRAL] 02465331 M for Mary L like Lima 8. [AGENT][NEUTRAL] Thank you, hold on one moment please. [CUSTOMER][POSITIVE] Thank you. [AGENT][NEUTRAL] And what's the patient's name? [CUSTOMER][NEUTRAL] [PII]. Date of birth is [PII]. [AGENT][NEUTRAL] Thank you, [PII], and you're needing benefits or claim status? [CUSTOMER][NEUTRAL] Benefits. [AGENT][NEUTRAL] OK, hold on one moment, please. [CUSTOMER][POSITIVE] Thank you. [AGENT][NEUTRAL] OK, they do have a new policy number. That policy number is 02. [AGENT][NEUTRAL] 502-546 [CUSTOMER][NEUTRAL] OK. [AGENT][NEUTRAL] The effective date was [PII]. [CUSTOMER][POSITIVE] Thank you. [AGENT][NEUTRAL] Any benefits given over the phones, not a guarantee of payment. Is this for outpatient, inpatient or doctor's office? [CUSTOMER][NEUTRAL] Outpatient. [CUSTOMER][NEUTRAL] At an ambulatory service center. [AGENT][NEUTRAL] OK. This policy coordinates with the primary insurance, whatever the primary applies to their deductible, co-pay, or co-insurance only, we'll pay up to $2500 per calendar year. [CUSTOMER][NEUTRAL] Has anything been met? [AGENT][NEUTRAL] Hold on just a moment, I can check for you. [CUSTOMER][POSITIVE] Thanks. [AGENT][NEUTRAL] No, ma'am. He has not made anything for this year. [CUSTOMER][POSITIVE] Perfect, can I have a reference number for our call? [AGENT][NEUTRAL] We do not have reference numbers. You can use my name in today's date. [CUSTOMER][NEUTRAL] OK, can you have the initials for your last name? [AGENT][NEUTRAL] [PII]. [CUSTOMER][POSITIVE] OK, thank you so much have a great day. [AGENT][POSITIVE] Thank you. Yes, [PII] for calling APLU as well. [CUSTOMER][NEUTRAL] Bye bye.