AccountId: 011433970860 ContactId: d4e17abc-1a27-4360-88fc-3f8d112d20f2 Channel: VOICE LanguageCode: en-US Total Conversation Duration: 145690 ms Total Talk Time (AGENT): 70376 ms Total Talk Time (CUSTOMER): 38402 ms Interruptions: 0 Overall Sentiment: AGENT=0.6, CUSTOMER=0.6 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/06/04/d4e17abc-1a27-4360-88fc-3f8d112d20f2_20250604T12:29_UTC.wav -------------------------------------------- [AGENT][NEUTRAL] APL, this is [PII]. How may I assist you? [CUSTOMER][NEUTRAL] Hi, any benefits for a patient. Her gap assurance. [AGENT][POSITIVE] Sure, I can assist you with that. Can I have your name and a callback number? [CUSTOMER][NEUTRAL] [PII]. [AGENT][NEUTRAL] [PII]. [CUSTOMER][POSITIVE] Correct. [AGENT][NEUTRAL] And what was your name? [CUSTOMER][NEUTRAL] [PII] [AGENT][NEUTRAL] And how can I assist you today, [PII]? [AGENT][NEUTRAL] It's [CUSTOMER][NEUTRAL] I just need the benefits for her gap. [AGENT][NEUTRAL] Can I have a policy number and I'll be able to assist you. [CUSTOMER][NEUTRAL] Yes, it's sorry, give me one second. [AGENT][NEUTRAL] OK [CUSTOMER][NEUTRAL] It's 024518. [CUSTOMER][NEUTRAL] 25 M like Mike L like Louis 7. [AGENT][NEUTRAL] Thank you and what is the member's name and date of birth that you're calling to verify eligibility for? [CUSTOMER][NEUTRAL] [PII], date of birth [PII]. [AGENT][NEUTRAL] Thank you. This policy has been active since [PII] and it's currently active. What is your place of service inpatient, outpatient, office visits? [CUSTOMER][NEUTRAL] It's gonna be both inpatient and outpatient. [AGENT][NEUTRAL] So she has outpatient benefits of $2500 per calendar year. [AGENT][NEUTRAL] Which is if she's in an outpatient setting setting is 1817 hours or under will be considered as outpatient. However, she has inpatient benefits 18 hours or more is $7900 per calendar year, and this is not a guarantee of benefits, just a disclaimer or the policies coverage. [CUSTOMER][NEUTRAL] OK, and can I have a reference number? [AGENT][NEUTRAL] We don't provide those [PII], but you can use my name in today's date as a reference. Is there anything else that I can assist you with today? [CUSTOMER][NEUTRAL] Yes, what's your name? [AGENT][NEUTRAL] [PII] [CUSTOMER][NEUTRAL] And the initial or your last name? [AGENT][NEUTRAL] [PII]. Would you like for me to spell my first name for you? [CUSTOMER][NEUTRAL] If you can please. [AGENT][NEUTRAL] [PII] and today's date as a reference. [CUSTOMER][POSITIVE] Perfect thank you so much. [AGENT][POSITIVE] You're welcome. Thanks for calling APL and have a great day. [CUSTOMER][NEUTRAL] You too bye bye.