AccountId: 011433970860 ContactId: c6194d26-b7b3-44bb-b7b6-5a21ec6b4277 Channel: VOICE LanguageCode: en-US Total Conversation Duration: 156139 ms Total Talk Time (AGENT): 70261 ms Total Talk Time (CUSTOMER): 60090 ms Interruptions: 0 Overall Sentiment: AGENT=0.6, CUSTOMER=0.3 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/06/23/c6194d26-b7b3-44bb-b7b6-5a21ec6b4277_20250623T14:00_UTC.wav -------------------------------------------- [AGENT][POSITIVE] Good morning. Thank you for calling APL. This is [PII]. May I help you? [CUSTOMER][NEUTRAL] Uh, yes, my name is [PII]. I'm calling, uh, from Kendall Hospital and I'm trying to verify eligibility and benefits for patients. [AGENT][NEUTRAL] OK, I can verify benefits and eligibility for you and you said your name is [PII]? [CUSTOMER][NEUTRAL] Yes. [AGENT][NEUTRAL] OK, and what is that policy number, please? [CUSTOMER][NEUTRAL] OK, it is what I have is 02616798. [AGENT][NEUTRAL] OK, thank you ma'am. Give me one moment and do you have a callback number in case the call drops? [CUSTOMER][NEUTRAL] It is [PII]. [AGENT][NEUTRAL] OK, and the patient's name, date of birth? [CUSTOMER][NEUTRAL] It's [PII]. Um, my date of birth is [PII]. [AGENT][NEUTRAL] OK, thank you. I'm showing her effective date is [PII] at [PII] and she is active on the policy. And what benefits are needing for this patient? [CUSTOMER][NEUTRAL] It is an ultrasound, so, um, a breast ultrasound. [AGENT][NEUTRAL] And it's just gonna be in that. [AGENT][NEUTRAL] Is this gonna be in an outpatient facility? [CUSTOMER][NEUTRAL] Yes. [AGENT][NEUTRAL] OK, uh, not a guarantee of payment, just verification of coverage. With this policy as secondary, we help with primary insurance deductible, co-pay and or co-insurance, and she has an outpatient benefit max up to $1000 per calendar year. [CUSTOMER][NEUTRAL] OK. [CUSTOMER][NEUTRAL] And the patient has no um since it's secondary to the um there's no copays, co-insurance, deductibles out of pocket for them. [AGENT][NEUTRAL] Uh, no, ma'am. [CUSTOMER][NEUTRAL] OK. [CUSTOMER][NEUTRAL] OK. [CUSTOMER][NEUTRAL] Oh. [CUSTOMER][NEUTRAL] Uh, what was your name again? I'm sorry, I didn't quite catch it. [AGENT][NEUTRAL] OK. [AGENT][NEUTRAL] I'm sorry, it's [PII], last initial [PII] [AGENT][NEUTRAL] And is there anything else I can assist you with today, Ms. [PII]? [CUSTOMER][NEUTRAL] No, that is all I needed if you have a call reference number. [AGENT][NEUTRAL] Uh, if you like, you can use my name in today's date for call reference. [CUSTOMER][POSITIVE] And and today's date. OK, thank you so much. [AGENT][POSITIVE] Uh yes, ma'am. Thank you for calling APL. Have a great day. [CUSTOMER][NEUTRAL] You too. [AGENT][NEUTRAL] Bye. [CUSTOMER][NEUTRAL] Yeah