AccountId: 011433970860 ContactId: c5864388-9dbf-4522-b9b4-cf7c8babe580 Channel: VOICE LanguageCode: en-US Total Conversation Duration: 144020 ms Total Talk Time (AGENT): 72801 ms Total Talk Time (CUSTOMER): 52947 ms Interruptions: 0 Overall Sentiment: AGENT=0.8, CUSTOMER=0.5 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/02/18/c5864388-9dbf-4522-b9b4-cf7c8babe580_20250218T14:43_UTC.wav -------------------------------------------- [AGENT][POSITIVE] Good morning. Thanks for calling APL. This is [PII]. May I help you? [CUSTOMER][NEUTRAL] I'm checking eligibility on a patient. [AGENT][NEUTRAL] OK, I can verify eligibility for you, your name is? [CUSTOMER][NEUTRAL] I'm sorry, what was that? [AGENT][NEUTRAL] And your name is? [CUSTOMER][NEUTRAL] [PII]? [AGENT][NEUTRAL] OK, and Miss [PII], what is that policy number, please? [CUSTOMER][NEUTRAL] Oh hold on one second I'm in another area here let's see. [CUSTOMER][NEUTRAL] It is oh. [CUSTOMER][NEGATIVE] Oh come on. [CUSTOMER][NEUTRAL] 2, I know it starts with a 2 I'm sorry, 002586164. [AGENT][NEUTRAL] Thank you, ma'am. I understand about computers. Sometimes they work fast, sometimes they don't want to work. [CUSTOMER][NEUTRAL] Oh yeah. [CUSTOMER][NEGATIVE] Now, is this plan for the options that they gave me, I, this is just for primary care, and none of those were an option. [AGENT][NEUTRAL] OK. Well, it kind of depends on the plan, but Ms. [PII], do you have a callback number in case the call drops? [CUSTOMER][NEUTRAL] It's [PII]. [AGENT][NEUTRAL] [PII]. OK, and verify the patient's name, date of birth. [CUSTOMER][NEUTRAL] Is [PII] [PII]. [AGENT][NEUTRAL] OK, uh, well, the policy he has effective date is [PII]. He is active on the policy and you're needing benefits for like office visit? [CUSTOMER][POSITIVE] Right for um for PCP that's what we are, yeah. [AGENT][NEUTRAL] Uh, let's see, OK. [CUSTOMER][NEUTRAL] I know that none of those were an option. I'm like, oh. [AGENT][NEUTRAL] Yeah, because some of our, um, I guess say medical policies cover and some don't, um, but he does have office visit coverage for sickness or injury, um, not a guarantee of payment, just a verification of coverage. Policy pays $50 per day, and he has a total of 4 visits per year. [CUSTOMER][NEUTRAL] And no co-pay? [AGENT][NEUTRAL] No co-pay, it just pays $50 and then any balance would be patient responsibility. Yes, ma'am. [CUSTOMER][NEUTRAL] OK [CUSTOMER][NEUTRAL] Oh OK [CUSTOMER][POSITIVE] Perfect all right well that's all I needed thank you very much for your help. [AGENT][POSITIVE] You are welcome. Thank you for calling APM Ms. [PII]. Have a great day. [CUSTOMER][POSITIVE] Thanks you too bye. [AGENT][NEUTRAL] Bye.