AccountId: 011433970860 ContactId: cb656b02-ded3-4fd3-be5b-221f3f7329d9 Channel: VOICE LanguageCode: en-US Total Conversation Duration: 119000 ms Total Talk Time (AGENT): 65641 ms Total Talk Time (CUSTOMER): 30397 ms Interruptions: 0 Overall Sentiment: AGENT=0.6, CUSTOMER=1.1 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/04/09/cb656b02-ded3-4fd3-be5b-221f3f7329d9_20250409T15:20_UTC.wav -------------------------------------------- [AGENT][NEUTRAL] Thank you for calling APL. This is [PII]. How can I help you? [CUSTOMER][POSITIVE] Hi, good morning. I'm calling for eligibility and benefits on a patient. [AGENT][POSITIVE] Yes, ma'am. I can assist you with benefits. Um first, could I get a good callback number and your name? [CUSTOMER][NEUTRAL] [PII] [PII]. [AGENT][NEUTRAL] OK. Thank you, [PII]. Now, could I get the policy number, please? [CUSTOMER][NEUTRAL] 01835092. [AGENT][NEUTRAL] Please verify the patient's name and date of birth. [CUSTOMER][NEUTRAL] [PII], [PII]. [AGENT][NEUTRAL] Thank you and just let me advise you that verification of coverage does not guarantee payment of claims. Um, the effective date on this policy was [PII]. The policy is still active and is this for inpatient or outpatient benefits or an office visit? [CUSTOMER][NEUTRAL] Outpatient. [AGENT][NEUTRAL] OK. For outpatient, we cover up to 1500 per calendar year and that's for the co-pay, the co-insurance, and the deductible after the primary insurance processes the claim. [CUSTOMER][NEUTRAL] OK, has anything been applied as of today? [AGENT][NEUTRAL] Um, no, ma'am. Nothing has been applied yet. [CUSTOMER][NEUTRAL] Thank you, can I get a reference number for this call? [AGENT][NEUTRAL] Yes, for the reference number, you can use my name and today's date. Um my name is [PII]. It's spelled [PII] Last initial is [PII] and today's date. Um, is there anything else I can assist you with? [CUSTOMER][POSITIVE] That will be all thank you so much have a good day. [AGENT][NEUTRAL] You do the same, [PII]. Thank you for calling ATO. Mm bye. [CUSTOMER][NEUTRAL] Bye.