AccountId: 011433970860 ContactId: cdc3079b-1b5d-4499-82b1-21c58747000a Channel: VOICE LanguageCode: en-US Total Conversation Duration: 128630 ms Total Talk Time (AGENT): 65326 ms Total Talk Time (CUSTOMER): 43252 ms Interruptions: 0 Overall Sentiment: AGENT=2.3, CUSTOMER=0.4 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/03/06/cdc3079b-1b5d-4499-82b1-21c58747000a_20250306T17:18_UTC.wav -------------------------------------------- [AGENT][POSITIVE] Good morning. Thank you for calling APL. My name is [PII]. How may I help you? [CUSTOMER][POSITIVE] Thank you. [CUSTOMER][NEUTRAL] [PII], my name is [PII]. I'm calling from a doctor's office. I need to check benefits and eligibility for a specialist office visit and for procedures done in office setting. [AGENT][NEUTRAL] Yes. [AGENT][POSITIVE] [PII], it would be my pleasure to assist you with eligibility and benefits this morning. What is a good callback number, please? [CUSTOMER][NEUTRAL] [PII]. [AGENT][NEUTRAL] Thank you, [PII], and what is the policy number for the patient, please? [CUSTOMER][NEUTRAL] It's 02. [CUSTOMER][NEUTRAL] 491-476 ML 8. [AGENT][NEUTRAL] Thank you. And what is the patient's name and date of birth, please, ma'am? [CUSTOMER][NEUTRAL] Uh, [PII] [PII]. [AGENT][POSITIVE] All right, thank you. [AGENT][NEUTRAL] [PII]'s policy is active. [AGENT][NEUTRAL] Effective date is [PII]. [AGENT][POSITIVE] And I'm getting those benefits. Bear with me just one second. [AGENT][NEGATIVE] Now there are no benefits for the office visit co-pay. [AGENT][NEUTRAL] He does have coverage for any procedures or treatments performed in a doctor's office for sickness or injury. [CUSTOMER][NEUTRAL] Mhm. [AGENT][NEUTRAL] And that benefit amount is $250 and [PII], that is a per calendar day benefit. [CUSTOMER][NEUTRAL] Mhm. [AGENT][NEUTRAL] And that is verification of coverage and not a guarantee of payment. [CUSTOMER][NEUTRAL] $250 per day. [AGENT][POSITIVE] That's correct. [CUSTOMER][POSITIVE] Uh thank you so much [PII], appreciate it. [AGENT][POSITIVE] It's been such a pleasure to assist you with those benefits. Is there anything else I can help you with today? [CUSTOMER][NEGATIVE] No thank you. [AGENT][POSITIVE] And thank you for calling APL [PII]. I hope you have a wonderful day. [CUSTOMER][NEUTRAL] You too bye bye. [AGENT][NEUTRAL] Bye-bye.