AccountId: 011433970860 ContactId: be6a1900-9c1a-4f97-b162-e90c61405777 Channel: VOICE LanguageCode: en-US Total Conversation Duration: 140660 ms Total Talk Time (AGENT): 73657 ms Total Talk Time (CUSTOMER): 42294 ms Interruptions: 1 Overall Sentiment: AGENT=2.1, CUSTOMER=0.3 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/02/20/be6a1900-9c1a-4f97-b162-e90c61405777_20250220T13:57_UTC.wav -------------------------------------------- [AGENT][POSITIVE] Good morning. Thank you for calling APL. My name is [PII]. How may I help you? [CUSTOMER][NEUTRAL] Good morning. I'm calling from Sheldon Skin Center to get the eligibility for a patient. [AGENT][POSITIVE] It would be my pleasure to assist you. May I ask your name? [CUSTOMER][NEUTRAL] [PII] [AGENT][POSITIVE] Thank you [PII] and what is a good call back number please? [CUSTOMER][NEUTRAL] [PII]. [AGENT][NEUTRAL] Thank you, [PII] and what is the policy number for the patient? [CUSTOMER][NEUTRAL] 02440231 ML 8. [AGENT][NEUTRAL] Thank you. And the patient's name and date of birth, please, ma'am. [CUSTOMER][NEUTRAL] It's on Thursday's date of birth is [PII]. [AGENT][NEUTRAL] All right, thank you, and you're needing eligibility? [CUSTOMER][NEUTRAL] Yeah. [AGENT][NEUTRAL] All right, I can help you with that. [PII], I'm showing one's policy is active. Effective date is 12-1-2023, and this is a secondary policy to his primary insurance. Anything else I can help you with? [CUSTOMER][NEUTRAL] How much do they cover per visit, like procedures? [AGENT][NEUTRAL] Is that in a doctor's office or outpatient hospital? [CUSTOMER][NEUTRAL] Specialist [AGENT][NEUTRAL] OK. Services in a doctor's office are not covered by his secondary gap policy. [CUSTOMER][NEUTRAL] I [AGENT][NEUTRAL] It does cover in an outpatient hospital facility but not in the doctor's office. [CUSTOMER][NEUTRAL] I mean for for. [CUSTOMER][NEUTRAL] I mean for procedures and. [CUSTOMER][NEUTRAL] Biopsies and things like that. [AGENT][NEUTRAL] Right. It's not covered in a doctor's office. [CUSTOMER][NEUTRAL] OK thank you what's your name again? [AGENT][NEUTRAL] My name is [PII]. Is there anything else I can help you with, [PII]? [CUSTOMER][NEUTRAL] OK. [CUSTOMER][NEUTRAL] May I please have a reference number? [AGENT][NEUTRAL] It would be my name in today's date. [CUSTOMER][POSITIVE] Perfect thank you have a nice day. [AGENT][POSITIVE] And [PII], thank you for calling APL. I hope you have a wonderful day as well. Take care.