AccountId: 011433970860 ContactId: d96794bc-0312-4efa-9e3d-b9b9a1faa5cf Channel: VOICE LanguageCode: en-US Total Conversation Duration: 133919 ms Total Talk Time (AGENT): 60577 ms Total Talk Time (CUSTOMER): 65173 ms Interruptions: 2 Overall Sentiment: AGENT=2.1, CUSTOMER=1.6 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/04/04/d96794bc-0312-4efa-9e3d-b9b9a1faa5cf_20250404T15:05_UTC.wav -------------------------------------------- [AGENT][POSITIVE] Thanks for calling APL. This is [PII]. Thanks. Thanks for calling APL. This is [PII]. How may I assist you? [CUSTOMER][NEUTRAL] Hi, yes, I wanna know, um, I have a patient with the supplement insurance and we wanna know what the benefits are. [AGENT][POSITIVE] Sure, I can assist you with that. Can I have your name and a callback number? [CUSTOMER][NEUTRAL] My name is [PII] and my number is [PII]. [AGENT][NEUTRAL] [PII], what is the policy number of the member that you're calling to verify eligibility for? [CUSTOMER][NEUTRAL] Policy number hm. [CUSTOMER][NEUTRAL] It just has a group number. [CUSTOMER][NEUTRAL] Uh, oh, certificate number outpatient. [AGENT][NEUTRAL] It should say policy a certain number. Mhm. [CUSTOMER][NEUTRAL] It does, it just says the outpatient benefit certificate, hospital benefit certificate, and group. [AGENT][NEUTRAL] Right, that is the policy number. Those are the policy numbers, the certification number, certificate number. [CUSTOMER][NEUTRAL] Oh it is OK. [CUSTOMER][NEUTRAL] Oh, OK, so let me give you the outpatient, so it's 02153. [CUSTOMER][NEUTRAL] 292 ML 8. [AGENT][NEUTRAL] And I do apologize. What was your name and provide me your callback number again? [CUSTOMER][NEUTRAL] Uh, [CUSTOMER][NEUTRAL] Oh sure, my name is [PII] and my number is [PII]. [AGENT][NEUTRAL] Thank you [PII], could you verify the patient's name and date of birth that you're calling to verify outpatient benefits for? [CUSTOMER][NEUTRAL] Sure. [CUSTOMER][NEUTRAL] Of course, uh, [PII], and her date of birth is [PII]. [AGENT][POSITIVE] Thank you. [AGENT][NEUTRAL] And you're calling to verify outpatient benefits. This policy became effective [PII] and is currently active. She has a maximum benefit amount of $1000 per calendar day, and this is not a guaranteed benefits, just a disclaimer of the policy coverage, [PII]. [CUSTOMER][POSITIVE] Alrighty very good do you have a reference number? [AGENT][NEUTRAL] We don't provide those, however, you can use my name in today's date as a reference. It's [PII], and today's date is a reference. [CUSTOMER][POSITIVE] Thank you so much [PII] I appreciate you have a great day. [AGENT][POSITIVE] You're welcome. Thanks for calling APL. You have a great one as well, [PII]. bye. [CUSTOMER][POSITIVE] Thanks sweetheart, thank you you as well love.