AccountId: 011433970860 ContactId: e3b35ae2-33de-45ae-ba99-a26b15eb268f Channel: VOICE LanguageCode: en-US Total Conversation Duration: 192369 ms Total Talk Time (AGENT): 73999 ms Total Talk Time (CUSTOMER): 68649 ms Interruptions: 0 Overall Sentiment: AGENT=0.3, CUSTOMER=0.4 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/01/27/e3b35ae2-33de-45ae-ba99-a26b15eb268f_20250127T17:40_UTC.wav -------------------------------------------- [AGENT][NEUTRAL] Thank you for calling APL. This is [PII]. How may I help you? [CUSTOMER][NEUTRAL] Hi, good morning. Uh, good afternoon. Um, I'm calling from Baptist Hospital and I need to verify this policy to see if it's active. [AGENT][NEUTRAL] OK, I can give you eligibility on a policy. Can I please get your name and your callback number? [CUSTOMER][NEUTRAL] Mhm. [CUSTOMER][NEUTRAL] Yes, my name is [PII], that's [PII] [CUSTOMER][NEUTRAL] And my callback number is [PII]. [AGENT][NEUTRAL] Thank you, [PII]. What is the patient's name? [CUSTOMER][NEUTRAL] Uh-huh. [CUSTOMER][NEUTRAL] OK, it's [PII]. [CUSTOMER][NEUTRAL] I mean, sorry, [PII]. [CUSTOMER][NEUTRAL] [PII]. [AGENT][NEUTRAL] OK, thank you. And then what is his policy number? [CUSTOMER][NEUTRAL] 01871858 [CUSTOMER][NEUTRAL] M as in Mary, L as in Lola, 8. [AGENT][NEUTRAL] OK, I'm gonna pull that in for us real quick. [AGENT][NEUTRAL] All right, I do show that he does have an active policy. His effective date is for [PII]. [CUSTOMER][NEUTRAL] Mhm. [CUSTOMER][NEUTRAL] OK. What's the benefit for hospital outpatient services? [AGENT][NEUTRAL] OK, and this is just to. [CUSTOMER][NEUTRAL] Let's say if he has. [AGENT][NEUTRAL] Right, this is just to cover, uh, to, uh, give his coverage and is not a guarantee of payment. He has an inpatient benefit amount of $3000 per calendar year, and he also has an outpatient benefit amount of $3000 per calendar year. [CUSTOMER][NEUTRAL] OK, tell me. [CUSTOMER][NEUTRAL] OK. Is there any accumulation so far? [AGENT][NEUTRAL] Let me look real quick. [AGENT][NEUTRAL] No, nothing has been used for so far this year. [CUSTOMER][NEUTRAL] OK. Can you tell me what's the group name on this policy? [AGENT][NEUTRAL] Yes. [AGENT][NEUTRAL] Yes, the group name is. [AGENT][NEUTRAL] Latino Salud Incorporated. [CUSTOMER][NEUTRAL] Latinos, what? I'm sorry? [AGENT][NEUTRAL] Salud, S A L U D. [CUSTOMER][NEUTRAL] Oh, OK, OK, OK, got it. All right, can I have your name or a reference number for this phone call? [AGENT][NEUTRAL] Yes ma'am, you can use my name [PII] in today's date. [CUSTOMER][NEUTRAL] [PII]? [AGENT][NEUTRAL] [PII] [CUSTOMER][NEUTRAL] Oh, OK. [CUSTOMER][NEUTRAL] All right. And your initial for your last name? [AGENT][NEUTRAL] [PII] [CUSTOMER][POSITIVE] Alright, OK, thank you, [PII], have a great day. [CUSTOMER][NEUTRAL] Bye-bye. [AGENT][POSITIVE] You too, [PII] you have a good week. Thanks for calling APL. Bye bye. [CUSTOMER][POSITIVE] Thank you.