AccountId: 011433970860 ContactId: c5972e6a-53ee-4e48-8f1d-b6bfef510557 Channel: VOICE LanguageCode: en-US Total Conversation Duration: 126040 ms Total Talk Time (AGENT): 58713 ms Total Talk Time (CUSTOMER): 44907 ms Interruptions: 1 Overall Sentiment: AGENT=1.2, CUSTOMER=0.7 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/02/05/c5972e6a-53ee-4e48-8f1d-b6bfef510557_20250205T19:24_UTC.wav -------------------------------------------- [AGENT][NEUTRAL] APL. This is [PII]. How may I assist you? [CUSTOMER][NEUTRAL] Hi, [PII], my name is [PII]. I work with Envision Health Services and I just need to verify a person's eligibility. [AGENT][NEUTRAL] The space I could assist you with that. Can I have a callback number for you and that policy number? [CUSTOMER][NEUTRAL] Yeah, the callback number is [PII]. [CUSTOMER][NEUTRAL] And the policy number is 249-6934. [AGENT][NEUTRAL] Thank you. And could you verify that patient's name and date of birth? [CUSTOMER][NEUTRAL] [PII]. Date of birth [PII]. [AGENT][NEUTRAL] You're calling to verify inpatient, outpatient? [CUSTOMER][NEUTRAL] Um, see if it tells me. [CUSTOMER][NEUTRAL] We did anesthesia services for them. [AGENT][NEUTRAL] So that be considered as outpatient. [CUSTOMER][NEUTRAL] Yes [CUSTOMER][NEUTRAL] OK. [AGENT][NEUTRAL] This member's policy has been active since [PII] and it's currently active. [AGENT][NEUTRAL] The member has outpatient benefits of $2500 per calendar year and this is not a guaranteed benefit since the disclaimer of the policy's coverage. [CUSTOMER][NEUTRAL] OK, and do you have the claim address? [AGENT][NEUTRAL] I do. I apologize. What was your name? [CUSTOMER][NEUTRAL] [PII]. [AGENT][POSITIVE] Thank you, [PII]. [CUSTOMER][POSITIVE] With vision yeah. [AGENT][NEUTRAL] [PII], the, the mailing address to submit a claim is addressed to APL claims department. [AGENT][NEUTRAL] It's [PII]. [AGENT][NEUTRAL] [PII] that's [PII]. [AGENT][NEUTRAL] [PII], excuse me, [PII]. That's [PII]. [CUSTOMER][NEUTRAL] OK. [CUSTOMER][POSITIVE] Alright, that's all I needed really so thank you so much. [AGENT][NEUTRAL] Is there anything else that I can assist you with today? [AGENT][POSITIVE] You're welcome, [PII]. Thanks for calling APL and you have a great day. [CUSTOMER][NEUTRAL] No, that was it. [CUSTOMER][NEUTRAL] You too bye bye. [AGENT][POSITIVE] Thanks. Goodbye.