AccountId: 011433970860 ContactId: bf703bf6-7918-4451-880f-5007e0260136 Channel: VOICE LanguageCode: en-US Total Conversation Duration: 123660 ms Total Talk Time (AGENT): 63948 ms Total Talk Time (CUSTOMER): 35752 ms Interruptions: 0 Overall Sentiment: AGENT=2.4, CUSTOMER=1.4 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/04/10/bf703bf6-7918-4451-880f-5007e0260136_20250410T18:30_UTC.wav -------------------------------------------- [AGENT][POSITIVE] Good afternoon. Thank you for calling APL. My name is [PII]. How may I help you? [CUSTOMER][NEUTRAL] Hi, good afternoon, my name is [PII]. I was calling to get outpatient benefits for patients. [AGENT][POSITIVE] OK, I'll be more than happy to assist you with the outpatient benefits. And [PII], may I have a good contact number in case we're disconnected and the policy number? [CUSTOMER][NEUTRAL] No [CUSTOMER][NEUTRAL] Yeah, contact number is [PII] and then policy number is 02608026. [AGENT][POSITIVE] Thank you. Hold on one moment. [CUSTOMER][NEUTRAL] Mhm. [AGENT][NEUTRAL] And can you verify the member's first and last name and date of birth? [CUSTOMER][NEUTRAL] Oh yeah, [PII] and [PII]. [AGENT][NEUTRAL] Thank you for that and all the information provided is a verification of benefits, not a guarantee of payment, and I am showing the policy is active. It's been effective since [PII]. [AGENT][NEUTRAL] And um you said outpatient benefits, correct? [CUSTOMER][NEUTRAL] Yes mhm. [AGENT][NEUTRAL] Alright, hold on one moment. [AGENT][NEUTRAL] So for outpatient, the policy will pay up to [AGENT][NEUTRAL] Hold on one moment. Up to $5000 per person, $15,000 max per family, um, per calendar year. Did you want me to see if she's using any of that $5000 max? [CUSTOMER][NEUTRAL] Mhm. [CUSTOMER][NEUTRAL] Yes, please. [AGENT][NEUTRAL] OK, hold on one moment. [AGENT][NEGATIVE] And so far she has not used any of the benefits for [PII]. [CUSTOMER][POSITIVE] OK perfect. Alright, I know those were the only questions I had. Thank you so much for your help, OK? [AGENT][POSITIVE] You're very welcome. And again, all the information provided was a verification of benefits, not a guarantee of payment, and thank you for calling APLE. I hope you have a great day. [CUSTOMER][POSITIVE] Thank you you too, Mommy bye. [AGENT][POSITIVE] Thank you, Leah. Bye-bye.