AccountId: 011433970860 ContactId: b4da08e7-59a0-483d-8d04-6e6cde44b415 Channel: VOICE LanguageCode: en-US Total Conversation Duration: 205419 ms Total Talk Time (AGENT): 50691 ms Total Talk Time (CUSTOMER): 65277 ms Interruptions: 0 Overall Sentiment: AGENT=1.2, CUSTOMER=1.4 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/04/24/b4da08e7-59a0-483d-8d04-6e6cde44b415_20250424T21:29_UTC.wav -------------------------------------------- [AGENT][POSITIVE] Thanks for calling APL. This is [PII]. How can I help you? [CUSTOMER][NEUTRAL] Hi, good afternoon. This is [PII] calling you by this outpatient. I'm calling in reference to a mal patient. I'm trying to obtain outpatient benefits. [AGENT][POSITIVE] Hey [PII], I can help you with benefits. Do you have a good callback number? [CUSTOMER][NEUTRAL] Yes, [PII]. [AGENT][NEUTRAL] The policy number of the patient? [CUSTOMER][NEUTRAL] Policy number is. [CUSTOMER][NEUTRAL] 60801. [AGENT][NEUTRAL] Um, that's our payer ID. Do you have another number? [CUSTOMER][NEUTRAL] Uh let me see. [CUSTOMER][NEUTRAL] I don't have that's the number that they provide um. [AGENT][NEUTRAL] And the last name or? [CUSTOMER][NEUTRAL] If any other users [CUSTOMER][NEUTRAL] Yeah, the last I have the social [PII]. [AGENT][NEUTRAL] And what is the patient's name? [CUSTOMER][NEUTRAL] Patient's name is [PII]. Date of birth is [PII]. [AGENT][NEUTRAL] OK, uh, let me see, it looks like. [AGENT][NEUTRAL] Uh, it looks like this policy is effective for [PII], but it will turn on [PII]. Um, I can give you benefits though is the date of service gonna be before that? [CUSTOMER][NEUTRAL] Yes, it's gonna be on [PII]. [AGENT][NEUTRAL] OK. [AGENT][NEUTRAL] Not a guarantee of payment, basic outline of the policy. Is this for outpatient services or? [CUSTOMER][NEUTRAL] Yes, outpatient services. [AGENT][NEUTRAL] Um, for their outpatient benefit, they have a $2000 per covered person per calendar year benefit. [CUSTOMER][NEUTRAL] OK. Does anything has been met? [AGENT][NEUTRAL] Um, let's see. [AGENT][NEUTRAL] Um, no, I do not show anything that. [CUSTOMER][POSITIVE] Beautiful. [CUSTOMER][POSITIVE] Perfect. The last thing that I need is gonna be a reference number for today and [CUSTOMER][NEUTRAL] That will be everything. [AGENT][NEUTRAL] Uh, it's just my [CUSTOMER][NEUTRAL] And the initial to your last name if you. [AGENT][NEUTRAL] Sure. It's uh my name is [PII], first initial is [PII], and the reference number is my name plus today's date. [CUSTOMER][NEUTRAL] OK. [CUSTOMER][POSITIVE] Beautiful. Thank you so much. I appreciate your help. [AGENT][POSITIVE] Thank you for calling A, have a good day. [CUSTOMER][POSITIVE] Thank you. Have a good day.