AccountId: 011433970860 ContactId: e5f345ae-e397-4d4d-b4ca-581e1c8ac254 Channel: VOICE LanguageCode: en-US Total Conversation Duration: 113639 ms Total Talk Time (AGENT): 56379 ms Total Talk Time (CUSTOMER): 34966 ms Interruptions: 0 Overall Sentiment: AGENT=1.7, CUSTOMER=0.7 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/03/17/e5f345ae-e397-4d4d-b4ca-581e1c8ac254_20250317T16:39_UTC.wav -------------------------------------------- [AGENT][POSITIVE] Good morning. Thanks for calling APL. This is [PII]. May I help you? [CUSTOMER][NEUTRAL] Hey, my name is [PII] calling from Claremont. [CUSTOMER][NEUTRAL] How to verify eligibility and benefits on a patient please. [AGENT][NEUTRAL] OK, well, I can verify benefits and eligibility for you, Ms. [PII], and what is that policy number, please? [CUSTOMER][NEUTRAL] It is 02606260. [AGENT][NEUTRAL] OK, thank you, ma'am. Give me a moment. And do you have a callback number in case the call drops? [CUSTOMER][NEUTRAL] Sure. [CUSTOMER][NEUTRAL] Sure, [PII]. [AGENT][NEUTRAL] OK, thank you. And please verify that patient's name, date of birth. [CUSTOMER][NEUTRAL] [PII] [PII]. [AGENT][NEUTRAL] OK, I so effective date of [PII] policy is active and what benefits are you needing for this patient? [CUSTOMER][NEUTRAL] Uh huh. [CUSTOMER][NEUTRAL] Do you need a CPT code or just uh he's having a lumbar spine X-ray? [AGENT][NEUTRAL] Um, let's see. [AGENT][NEUTRAL] He has diagnostic benefits, but I don't believe it's covered. Give me one quick moment to pull up the policy, OK? [CUSTOMER][NEUTRAL] Sure. [AGENT][POSITIVE] Alright thank you. [CUSTOMER][NEUTRAL] Mhm. [AGENT][NEUTRAL] Mhm. [AGENT][MIXED] It's not covered. They, like I said, they do have a diagnostic benefit, but it covers for MRI, CT, CAT scan, PET scan, um. [CUSTOMER][NEUTRAL] Mhm. [AGENT][NEUTRAL] But not for that procedure. [CUSTOMER][NEUTRAL] OK. [CUSTOMER][POSITIVE] Uh, covered alrighty thank you so much. [AGENT][POSITIVE] You are welcome. And is there anything else I can assist you with today, Ms. [PII]? [CUSTOMER][NEUTRAL] That's all. [AGENT][POSITIVE] OK, thank you for calling APL. You have a great day. [CUSTOMER][POSITIVE] Thanks you too. [AGENT][NEUTRAL] Bye.