AccountId: 011433970860 ContactId: c5b45e2a-715c-40fd-8708-7329518b4870 Channel: VOICE LanguageCode: en-US Total Conversation Duration: 237740 ms Total Talk Time (AGENT): 94088 ms Total Talk Time (CUSTOMER): 71952 ms Interruptions: 0 Overall Sentiment: AGENT=2, CUSTOMER=0.8 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/04/29/c5b45e2a-715c-40fd-8708-7329518b4870_20250429T13:35_UTC.wav -------------------------------------------- [AGENT][POSITIVE] Thank you for calling APL. My name is [PII]. How can I help you? [CUSTOMER][NEUTRAL] Hi, [PII]. Uh, good morning. My name is [PII]. I'm calling from Diagnostic Center of Miami. I just need to obtain benefits and eligibility for two patients. Can you help me with that, please? [AGENT][NEUTRAL] I can. I'm sorry, may I have your name again? [CUSTOMER][NEUTRAL] [PII] [AGENT][POSITIVE] Thank you and your callback number please? [CUSTOMER][NEUTRAL] [PII] 4. [AGENT][NEUTRAL] Thank you. What is your first policy number? [CUSTOMER][NEUTRAL] I'm sorry, the first? [AGENT][NEUTRAL] Yes. [CUSTOMER][NEUTRAL] And the first member ID? [AGENT][NEUTRAL] Yes. [CUSTOMER][NEUTRAL] 02281890 M like Mary L like Larry and the number 8 at the end. [AGENT][NEUTRAL] OK, thank you, verify the patient's name and date of birth. [CUSTOMER][NEUTRAL] [PII] [PII]. I'm looking for outpatient benefits. [AGENT][POSITIVE] Thank you. [AGENT][NEUTRAL] Yes, thank you. And she shows effective as of [PII] policy shows active for her and for outpatient benefits. One moment. It pays on a per day max. Please note verification of benefits provided does not guarantee payment. We pay up to $2000 per calendar day. [CUSTOMER][NEUTRAL] 2000 per calendar day. Alright, may I have a reference number for this patient, please? [AGENT][NEUTRAL] We do not provide reference numbers, but you can use my name in today's date, and that last initial is [PII]. One moment please before we move to the next. [AGENT][NEUTRAL] What's the 2nd policy number? [CUSTOMER][NEUTRAL] OK, it is 0197. [CUSTOMER][NEUTRAL] 3124 MLA. [AGENT][POSITIVE] OK, thank you. [AGENT][NEUTRAL] And verify the patient's name and date of birth. [CUSTOMER][NEUTRAL] And member's name is [PII], [PII]. [AGENT][POSITIVE] OK, thank you. [AGENT][NEUTRAL] Now with this particular policy it shows that it termed as of [PII]. Uh, 1 moment please, Miss. Let me just check to see if there's an active policy for this member please. One moment. [CUSTOMER][POSITIVE] Thank you. [AGENT][POSITIVE] You're welcome. [AGENT][POSITIVE] OK, I do have an active policy number and I'm ready to give that to you when you're ready. [CUSTOMER][NEUTRAL] Oh, another member ID? [AGENT][NEUTRAL] Yes, it's the policy number that's current for her. [CUSTOMER][NEUTRAL] Yes. [AGENT][NEUTRAL] OK, it is 002281875 ML 8. [CUSTOMER][POSITIVE] Alright, I'm ready. [CUSTOMER][NEUTRAL] Mhm. [AGENT][NEUTRAL] Shows an effective date of [PII]. Policy shows active and for outpatient benefits is also places on the per day max. Please note verification of benefits provided does not guarantee payment. We pay up to $2000 per calendar day. [CUSTOMER][NEUTRAL] OK. [CUSTOMER][NEUTRAL] $2000 per car in a day. [CUSTOMER][POSITIVE] Alright, [PII], thank you so much. You have a wonderful day. OK, bye, thank you. [AGENT][POSITIVE] And thank you for calling AP. You as well. Take care bye. [CUSTOMER][NEUTRAL] Bye bye.