AccountId: 011433970860 ContactId: c32771df-d315-4e74-87e0-7d679df20fb9 Channel: VOICE LanguageCode: en-US Total Conversation Duration: 153490 ms Total Talk Time (AGENT): 55867 ms Total Talk Time (CUSTOMER): 55425 ms Interruptions: 0 Overall Sentiment: AGENT=1.1, CUSTOMER=1 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/03/21/c32771df-d315-4e74-87e0-7d679df20fb9_20250321T14:13_UTC.wav -------------------------------------------- [AGENT][NEUTRAL] Good morning. Thank you for calling APL. This is [PII]. May I help you? [CUSTOMER][NEUTRAL] Hi [PII], this is [PII]. [AGENT][NEUTRAL] Hey. [CUSTOMER][NEUTRAL] What a coincidence. How are you this morning? [AGENT][NEUTRAL] I'm doing fine. How are you? [CUSTOMER][NEUTRAL] I'm fine thank you. I'm calling to verify benefits on a patient that we have coming into our office this morning. [AGENT][NEUTRAL] OK, do you have a callback number? [CUSTOMER][NEUTRAL] I do. It's [PII]. [AGENT][NEUTRAL] And do you have the policy number? [CUSTOMER][NEUTRAL] Yes ma'am, uh 01661549. [AGENT][NEUTRAL] Thank you, [PII]. Hold on one moment please. [CUSTOMER][POSITIVE] Thank you. [AGENT][POSITIVE] You're welcome. [AGENT][NEUTRAL] And what's the patient's name? [CUSTOMER][NEUTRAL] [PII] [CUSTOMER][NEUTRAL] [PII] [AGENT][NEUTRAL] And her date of birth? [CUSTOMER][NEUTRAL] Uh, [PII] 0 excuse me, [PII]. [AGENT][NEUTRAL] Thank you, [PII], and you were just needing benefits? [CUSTOMER][NEUTRAL] Yes ma'am, I need to find out if there's a copay for primary or specialist or deductible applies. [AGENT][NEUTRAL] OK, so this is for an office visit? [CUSTOMER][NEUTRAL] Yes ma'am. [AGENT][NEUTRAL] OK, I can look that up for you just a moment. [CUSTOMER][POSITIVE] OK, thank you. [AGENT][NEUTRAL] OK. Office visits or anything done in the doctor's office is not covered. [CUSTOMER][NEUTRAL] Not covered. OK. So is this like a hospital policy then? [AGENT][NEUTRAL] No, ma'am. [AGENT][NEUTRAL] It pays for outpatient, inpatient, MRI diagnostic facilities. [AGENT][NEUTRAL] Just not in the doctor's office. [CUSTOMER][NEUTRAL] OK, even though the doctors are outpatient at an outpatient facility? [AGENT][NEUTRAL] Uh, no, ma'am, it would not pay for the office visit. [CUSTOMER][POSITIVE] OK. All right, then I do appreciate your help. [AGENT][POSITIVE] You're welcome. Is there anything else I can help you with? [CUSTOMER][NEUTRAL] Uh [CUSTOMER][NEUTRAL] Do you happen to have a call reference number for our call, [PII]? [AGENT][NEUTRAL] We do not have call reference numbers you can use my name in today's state. [CUSTOMER][NEUTRAL] OK. [CUSTOMER][POSITIVE] All right, thank you so very much. [AGENT][POSITIVE] Thank you [PII] for calling IPO. You have a good day. [CUSTOMER][NEUTRAL] You too. Bye-bye. [AGENT][POSITIVE] Thank you. Bye bye.