AccountId: 011433970860 ContactId: cc5fc503-f3c2-46aa-b1f8-f17286804e62 Channel: VOICE LanguageCode: en-US Total Conversation Duration: 188399 ms Total Talk Time (AGENT): 39586 ms Total Talk Time (CUSTOMER): 77870 ms Interruptions: 0 Overall Sentiment: AGENT=1.8, CUSTOMER=1.6 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/06/10/cc5fc503-f3c2-46aa-b1f8-f17286804e62_20250610T15:43_UTC.wav -------------------------------------------- [AGENT][POSITIVE] Thanks for calling APL. This is [PII]. How can I help you? [CUSTOMER][NEUTRAL] Hi, yes, my name is [PII] and I am just needing to verify eligibility for a patient and see if they've used any of their benefit this year. [AGENT][NEUTRAL] OK, [PII], I can help you with eligibility. Do you have a good callback number? [CUSTOMER][NEUTRAL] Yes ma'am, it's [PII] and that's a direct line. [AGENT][POSITIVE] OK, thank you. [AGENT][NEUTRAL] And policy number for that patient? [CUSTOMER][NEUTRAL] It is 439-772-602. [AGENT][NEUTRAL] Is that a social? [CUSTOMER][NEUTRAL] It is. [AGENT][NEUTRAL] OK. [AGENT][NEUTRAL] And what was the patient's first and last name? [CUSTOMER][NEUTRAL] [PII]. [AGENT][NEUTRAL] And was this for dental? [CUSTOMER][NEUTRAL] Yes ma'am. [AGENT][NEUTRAL] OK. Do you have the policy number? I can give it to you. [CUSTOMER][POSITIVE] Um, if you don't mind, that would be great. [AGENT][NEUTRAL] And it's 259-697-8. [CUSTOMER][NEUTRAL] Mhm [CUSTOMER][POSITIVE] Perfect, thank you. [AGENT][NEUTRAL] And did you have her date of birth? [CUSTOMER][NEUTRAL] I do [PII]. [AGENT][POSITIVE] OK, perfect. [AGENT][NEUTRAL] Uh looks like policy is active and effective for [PII]. [CUSTOMER][NEUTRAL] Mhm. [CUSTOMER][POSITIVE] Perfect. [CUSTOMER][NEUTRAL] And then has she used any of her maximum? [AGENT][NEUTRAL] Uh, she's not used anything. [CUSTOMER][NEUTRAL] OK, so 0 use and just to make sure I understand on her policy, so you guys are paying um UCR on this and then she's paying the difference is that correct? [AGENT][POSITIVE] Yes, that's correct. [CUSTOMER][NEUTRAL] There's no fee schedule? OK, perfect. And then I also have that her, she has a 12 month waiting period for major and that's ending [PII]. Is that correct? [AGENT][POSITIVE] Yes, that's correct. [CUSTOMER][POSITIVE] Perfect, thank you so much. If I can just get a reference number from you, I'll be good to go. [AGENT][NEUTRAL] Yeah [AGENT][NEUTRAL] Um, it's my name, [PII], first initial to last name [PII], and today's date. [CUSTOMER][POSITIVE] Thank you so much, [PII]. I appreciate you. You have a great week. [AGENT][POSITIVE] Thank you for calling APL you as well. Bye bye. [CUSTOMER][NEUTRAL] Yes ma'am bye bye.