AccountId: 011433970860 ContactId: e223271d-42f8-4308-beab-29eea6bdedf5 Channel: VOICE LanguageCode: en-US Total Conversation Duration: 137210 ms Total Talk Time (AGENT): 56975 ms Total Talk Time (CUSTOMER): 44703 ms Interruptions: 0 Overall Sentiment: AGENT=0.9, CUSTOMER=1.3 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/04/01/e223271d-42f8-4308-beab-29eea6bdedf5_20250401T18:40_UTC.wav -------------------------------------------- [AGENT][POSITIVE] Thanks for calling APL. This is [PII]. How can I help you? [CUSTOMER][NEUTRAL] Yes, hi, I was calling to find out if the patient's deductible is covered through her APL insurance. [AGENT][NEUTRAL] Yeah. [AGENT][NEUTRAL] OK, I can help you with that information. Um, can I get your name and a good callback number? [CUSTOMER][POSITIVE] Thank you. [CUSTOMER][NEUTRAL] [PII], it's [PII] and it's [PII]. [AGENT][NEUTRAL] OK, thank you. What's that policy number? [CUSTOMER][NEUTRAL] OK, it is 02473906. [AGENT][NEUTRAL] And the patient name and date of birth? [CUSTOMER][NEUTRAL] [PII]. And her date of birth is [PII]. [AGENT][POSITIVE] OK, thank you. [AGENT][NEUTRAL] And are you needing the benefits? Is that correct? [CUSTOMER][NEUTRAL] Yeah, it's gonna be for outpatient surgery. [AGENT][NEUTRAL] OK. [AGENT][NEUTRAL] Um, do you need her eligibility as well or just the benefits? [CUSTOMER][POSITIVE] Sure, I'll take the eligibility and the benefits. [AGENT][NEUTRAL] Uh, she is effective [PII] and active. [AGENT][NEUTRAL] And let's see. [AGENT][NEUTRAL] And for outpatient benefits, this is not a guarantee of payment, basic outline of the policy. [AGENT][NEUTRAL] Uh, she has a $500 per covered person per occurrence benefit, so it will pay up to $500 per occurrence, um, towards the copay deductible co-insurance after primary processes. [CUSTOMER][NEUTRAL] OK. [CUSTOMER][NEUTRAL] Got it. [CUSTOMER][NEUTRAL] OK, OK. [AGENT][NEUTRAL] And is there anything else I can help with today, [PII]? [CUSTOMER][NEUTRAL] And do you have a call reference, just a call reference number if you have it. [AGENT][NEUTRAL] Uh, call reference number is gonna be my first name, [PII], and then first initial last name is [PII], and today's date. [CUSTOMER][POSITIVE] OK, thank you very much, [PII] you have a great day. [AGENT][POSITIVE] Thank you for calling APL you as well.