AccountId: 011433970860 ContactId: e5223ba7-ea77-44ab-8071-9a8e2e80f49f Channel: VOICE LanguageCode: en-US Total Conversation Duration: 172179 ms Total Talk Time (AGENT): 80849 ms Total Talk Time (CUSTOMER): 53502 ms Interruptions: 0 Overall Sentiment: AGENT=0.7, CUSTOMER=2 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/01/16/e5223ba7-ea77-44ab-8071-9a8e2e80f49f_20250116T15:04_UTC.wav -------------------------------------------- [AGENT][NEUTRAL] Thank you for calling APL. This is [PII]. How may I help you? [CUSTOMER][NEUTRAL] Hi [PII], I'm trying to verify a patient's benefits for an upcoming procedure, um, try to confirm network status as well. [AGENT][NEUTRAL] OK, I can help you with benefits and network. Uh, can you please give me your name and your callback number? [CUSTOMER][NEUTRAL] [PII]. The call back there's no extension you can leave a voicemail. The number is [PII]. [AGENT][NEUTRAL] OK. [AGENT][NEUTRAL] Thank you, Miss [PII]. What is the patient's name? [CUSTOMER][NEUTRAL] [PII]. [AGENT][NEUTRAL] And what's Ms. [PII]'s date of birth? [CUSTOMER][NEUTRAL] [PII] [AGENT][NEUTRAL] And her policy number, please? [CUSTOMER][NEUTRAL] 02566447 [AGENT][NEUTRAL] OK, let me pull that policy in for us real quick. [AGENT][NEUTRAL] OK, I do show that [PII] does have an active policy. Her effective date is [PII], and this is just to verify her coverage. It's not a guarantee of payment. This is a supplemental insurance policy that's billed secondary to the primary. It is a gap policy that helps with deductible, co-pay and co-insurance, and she has an. [AGENT][NEUTRAL] Inpatient benefit amount per calendar year of $3000 and also an outpatient benefit amount of $3000. [AGENT][NEUTRAL] There's no um network involved because we're not the major medical insurance, so she can use it anywhere she wants to. [CUSTOMER][NEUTRAL] Perfect. Um, do you, so an authorization wouldn't be required. It's just gonna follow whatever primary follows. [AGENT][POSITIVE] Exactly, yes, you got it. [CUSTOMER][POSITIVE] Awesome. OK, and, uh, may I please have your name and a reference number for this call? [AGENT][NEUTRAL] Yes ma'am. My name is [PII] and you can use my name and today's date as your reference. [CUSTOMER][POSITIVE] Awesome thank you so much have a wonderful day. [AGENT][POSITIVE] You too you have a good one thank you for calling APL. [CUSTOMER][POSITIVE] Thank you bye bye. [AGENT][NEUTRAL] Bye bye. [CUSTOMER][NEUTRAL] Mhm. [CUSTOMER][NEUTRAL] Welcome to our survey. [CUSTOMER][NEUTRAL] Overall, how satisfied were you with the customer service experience during your call today?