AccountId: 011433970860 ContactId: ca381ff9-3543-44d5-a6fe-e5c4e1207f99 Channel: VOICE LanguageCode: en-US Total Conversation Duration: 159639 ms Total Talk Time (AGENT): 74806 ms Total Talk Time (CUSTOMER): 45816 ms Interruptions: 0 Overall Sentiment: AGENT=1.2, CUSTOMER=0.4 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/01/02/ca381ff9-3543-44d5-a6fe-e5c4e1207f99_20250102T20:38_UTC.wav -------------------------------------------- [AGENT][NEUTRAL] Thank you for calling APL this is [PII]. How may I help you? [CUSTOMER][NEUTRAL] Hi [PII], good afternoon. My name is [PII]. I'm calling from Diagnostic Center of Miami. I just need to obtain benefits and eligibility for one of my patients, please. Can you help me with that? [AGENT][NEUTRAL] I can help you with benefits and eligibility um you said your name was [PII]? [CUSTOMER][NEUTRAL] [PII] [AGENT][POSITIVE] Oh [PII], OK, thank you so much and then what is your um callback number just in case our call is disconnected? [CUSTOMER][NEUTRAL] Um, [PII] option 4. [AGENT][NEUTRAL] OK, thank you. And then what's the patient's name? [CUSTOMER][NEUTRAL] And member's name is [PII], [PII]. [AGENT][NEUTRAL] OK, and then what's [PII]'s policy number? [CUSTOMER][NEUTRAL] I'm sorry, policy number is 22. [CUSTOMER][NEUTRAL] 556-85. [AGENT][NEUTRAL] OK, let me look her policy up. [AGENT][NEUTRAL] OK, I do show that uh [PII] does have an active policy. Her effective date is [PII], and this is just to verify benefits. It's not a guarantee of payment. This is an. [AGENT][NEUTRAL] supplemental policy that is secondary to the primary. [AGENT][POSITIVE] It helps with deductible, co-pay, and co-insurance. [CUSTOMER][NEUTRAL] Mhm. [AGENT][NEUTRAL] She has an inpatient calendar year benefit amount of $1000. [AGENT][NEUTRAL] And an outpatient, uh. [AGENT][NEUTRAL] Let's see, outpatient calendar year benefit amount of $1000. [CUSTOMER][NEUTRAL] $1000 as well. [AGENT][NEUTRAL] Yes. [CUSTOMER][NEUTRAL] OK, and the is the member ID correct? [CUSTOMER][NEUTRAL] 225-5685 [AGENT][NEUTRAL] Yes. [AGENT][POSITIVE] Yes, ma'am, that is correct. [CUSTOMER][NEUTRAL] OK, OK, may I have your name and a reference number for this call, please? [AGENT][NEUTRAL] Yes, ma'am. My name is [PII]. It's [PII] and you can use my name in today's date. [CUSTOMER][POSITIVE] Perfect thank you so much, [PII], you have a great day bye bye. Thank you. [AGENT][POSITIVE] You have a great one too. Thanks for calling APL bye bye. [CUSTOMER][NEUTRAL] Bye bye.