AccountId: 011433970860 ContactId: e70f7024-5c76-48cc-b454-61632959c4eb Channel: VOICE LanguageCode: en-US Total Conversation Duration: 146660 ms Total Talk Time (AGENT): 64611 ms Total Talk Time (CUSTOMER): 50230 ms Interruptions: 0 Overall Sentiment: AGENT=0.9, CUSTOMER=0.3 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/06/19/e70f7024-5c76-48cc-b454-61632959c4eb_20250619T13:58_UTC.wav -------------------------------------------- [AGENT][NEUTRAL] Thank you for calling American Public Life. This is [PII]. How may I help you? [AGENT][POSITIVE] Good morning. Thank you for calling American Public Life. This is [PII]. How may I help you? [CUSTOMER][NEUTRAL] Hi, my name, this is [PII] Health. I'm calling to get secondary coverage on a patient. [AGENT][NEUTRAL] I can verify eligibility, [PII]. May I have a policy number? [CUSTOMER][NEUTRAL] Uh yes ma'am. [CUSTOMER][NEUTRAL] It is 02455054. [AGENT][NEUTRAL] May I have a good call back number for you? [CUSTOMER][NEUTRAL] [PII] [AGENT][NEUTRAL] Thank you. May I have the patient's name and date of birth? [CUSTOMER][NEUTRAL] Uh-huh. [PII]. Date of birth. [CUSTOMER][NEUTRAL] [PII] [AGENT][NEUTRAL] Thank you for verifying that information. Please be advised the verification of coverage does not guarantee the payment of a claim. This policy is effective [PII] and it is active. [CUSTOMER][NEUTRAL] OK. [AGENT][NEUTRAL] Which benefit can I provide for you? [CUSTOMER][NEUTRAL] Uh-huh. [CUSTOMER][NEUTRAL] Yeah, the patient's coming in for a sleep study. [CUSTOMER][NEUTRAL] And [AGENT][NEUTRAL] Would that be [CUSTOMER][NEUTRAL] They have a primary insurance. [AGENT][NEUTRAL] Would it be inpatient, outpatient? [CUSTOMER][NEUTRAL] It's outpatient. [AGENT][NEUTRAL] And it's a, it's a sleep study facility. [CUSTOMER][NEUTRAL] Mhm. Yes, well, it's the hospital, but they're having a sleep study, outpatient hospital. [AGENT][NEUTRAL] OK. [AGENT][NEUTRAL] OK, so outpatient calendar year allows 4500. [CUSTOMER][NEUTRAL] Mhm. [CUSTOMER][NEUTRAL] Mhm. [AGENT][NEUTRAL] So we'll pick up the copays, the co-insurance, and our deductibles up to the $4500. [CUSTOMER][NEUTRAL] OK, OK, and you all don't require authorization research, do you? [AGENT][POSITIVE] That is correct. [CUSTOMER][NEUTRAL] OK, [PII], and is there a last initial, do you have a reference number for me? [AGENT][NEUTRAL] Yes, the reference will be my name, which is [PII]. Last initial is [PII] along with today's date. [CUSTOMER][NEUTRAL] Mhm. [CUSTOMER][POSITIVE] Got you. OK, thank you so much have a wonderful day. [AGENT][POSITIVE] [PII], you're so welcome. And thank you for calling American Public Life. Have a great day. Bye-bye. [CUSTOMER][NEUTRAL] You bye bye.