AccountId: 011433970860 ContactId: d19aa70f-5e5b-461d-80ed-5e34aeaa0bdc Channel: VOICE LanguageCode: en-US Total Conversation Duration: 104639 ms Total Talk Time (AGENT): 50767 ms Total Talk Time (CUSTOMER): 34712 ms Interruptions: 0 Overall Sentiment: AGENT=2.5, CUSTOMER=1.5 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/02/24/d19aa70f-5e5b-461d-80ed-5e34aeaa0bdc_20250224T15:22_UTC.wav -------------------------------------------- [AGENT][NEUTRAL] Thank you for calling APL. This is [PII]. How can I help you? [CUSTOMER][NEUTRAL] Hi, [PII]. I'm a provider calling. I need to check benefits and eligibility for the patient, please. [AGENT][POSITIVE] Alright, I'm happy to check on benefits and eligibility today. What's the patient's policy number, please? [CUSTOMER][NEUTRAL] It's going to be 02519203. [AGENT][POSITIVE] All right, thank you so much. And then if I could grab your first name, please? [CUSTOMER][NEUTRAL] [PII] [AGENT][POSITIVE] Thank you, [PII]. [AGENT][NEUTRAL] And what is the patient name and date of birth? [CUSTOMER][NEUTRAL] Patient's name, [PII]. Date of birth [PII]. [AGENT][NEUTRAL] Thank you. Patient plan is active. The effective date is [PII]. They are the members secondary insurance, so this is gonna cover deductible, co-pay, co-insurance, the primary does not. [CUSTOMER][NEUTRAL] OK, and how much is gonna be the, the benefits for outpatient ambulatory surgical center? [AGENT][NEUTRAL] Um, let's see. [AGENT][NEUTRAL] Uh, patient plan has an outpatient benefit max per calendar day, which is $300. [CUSTOMER][NEUTRAL] Per day. [CUSTOMER][POSITIVE] Perfect [AGENT][NEUTRAL] Yes, yeah, yeah. [CUSTOMER][POSITIVE] OK. Thank you for your help. [AGENT][POSITIVE] You're welcome. Have a great rest of your day. [CUSTOMER][NEUTRAL] You too bye. [AGENT][NEUTRAL] Uh-huh, bye bye.