AccountId: 011433970860 ContactId: b5e40f5d-7874-4e08-ae24-c4e3d3b89307 Channel: VOICE LanguageCode: en-US Total Conversation Duration: 167149 ms Total Talk Time (AGENT): 88718 ms Total Talk Time (CUSTOMER): 65304 ms Interruptions: 0 Overall Sentiment: AGENT=2.2, CUSTOMER=0.7 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/04/14/b5e40f5d-7874-4e08-ae24-c4e3d3b89307_20250414T17:23_UTC.wav -------------------------------------------- [AGENT][POSITIVE] Good Morning. Thank you for calling APL. My name is [PII]. How may I help you? [CUSTOMER][NEUTRAL] Oh [CUSTOMER][NEUTRAL] Hi [PII], my name is [PII]. I am calling from a physical therapy office. Um, I wanted to [CUSTOMER][NEUTRAL] I just inquire if a patient's policy covered their co-payments for physical therapy. [AGENT][POSITIVE] Well, [PII], it would be my pleasure to assist you with those benefits. What is a good callback number? [CUSTOMER][POSITIVE] Good. [CUSTOMER][NEUTRAL] [PII]. [CUSTOMER][NEUTRAL] [PII]. [AGENT][NEUTRAL] Thank you [PII]. What is the policy number for the patient? [CUSTOMER][NEUTRAL] How much [CUSTOMER][NEUTRAL] That is 019355. [CUSTOMER][NEUTRAL] 46 M as in Mary. [CUSTOMER][NEUTRAL] L as in [CUSTOMER][NEUTRAL] Larry 8 [AGENT][POSITIVE] Thank you. [CUSTOMER][NEUTRAL] Sorry [AGENT][POSITIVE] They'll always kiss me too. [CUSTOMER][NEGATIVE] I got stuck there. [AGENT][NEGATIVE] I don't know why. It's just a difficult letter to come up with something. [CUSTOMER][NEUTRAL] Yeah. [AGENT][NEUTRAL] What's the patient's name and date of birth, please? [CUSTOMER][NEUTRAL] [PII] [PII]. [AGENT][POSITIVE] Alright, thank you, and it would be my pleasure to assist you with those benefits for [PII]. [AGENT][NEUTRAL] I'm showing that [PII]'s policy is active as of [PII]. [CUSTOMER][NEUTRAL] One. [AGENT][NEUTRAL] This is a secondary. [CUSTOMER][NEUTRAL] Yeah [AGENT][NEUTRAL] Policy to his major medical. [AGENT][NEUTRAL] And he does have an outpatient coverage, uh, physical therapy coverage under his outpatient benefit. [CUSTOMER][NEUTRAL] It's I kind of get you. [AGENT][NEUTRAL] And that benefit amount is. [CUSTOMER][NEUTRAL] OK. [AGENT][NEUTRAL] $7350 per calendar year that we can pay toward his deductible, co-pay or co-insurance of his major medical. Now that is a verification of coverage and not a guarantee of payment. And at this time, [PII], he adds the full benefit remaining for [PII]. [CUSTOMER][NEUTRAL] I roll [CUSTOMER][NEGATIVE] Not a good [CUSTOMER][NEUTRAL] OK perfect so then I could just uh if I submit to his primary wait for that EOB and then submit to you guys that it's as simple as that. [AGENT][POSITIVE] That is as simple as that, yes, ma'am. [CUSTOMER][POSITIVE] OK, just confirming awesome um OK and what was your name? [AGENT][POSITIVE] My name is [PII], and it was a pleasure to assist you with those benefits. Anything else I can help you with today? [CUSTOMER][NEUTRAL] Yeah [CUSTOMER][POSITIVE] Awesome. [CUSTOMER][NEUTRAL] Nope, that's it. Do you give reference numbers? [AGENT][NEUTRAL] My name and today's date. [CUSTOMER][POSITIVE] Awesome have a great day. [AGENT][NEUTRAL] You need me to spell my name? [CUSTOMER][POSITIVE] No, I got it the first [PII]. Thank you. [AGENT][POSITIVE] All right, thank you, [PII]. Thank you for calling APL and have a great day. [CUSTOMER][NEUTRAL] You too. [AGENT][NEUTRAL] Bye-bye.