AccountId: 011433970860 ContactId: ecb5ff2f-8617-4577-9be5-ed6d6c91aeaf Channel: VOICE LanguageCode: en-US Total Conversation Duration: 104739 ms Total Talk Time (AGENT): 48529 ms Total Talk Time (CUSTOMER): 44402 ms Interruptions: 0 Overall Sentiment: AGENT=0, CUSTOMER=0.5 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/04/16/ecb5ff2f-8617-4577-9be5-ed6d6c91aeaf_20250416T17:28_UTC.wav -------------------------------------------- [AGENT][NEUTRAL] I know I I my sister. [CUSTOMER][NEUTRAL] Hi, my name is [PII] and I'm calling with the provider's office. I just need to check to see if a patient is uh eligible for the uh American Public Life. [AGENT][NEUTRAL] Sure, [PII], I can assist you with that. [AGENT][NEUTRAL] Can I have a callback number for you and that policy number. Sure, I can assist you with that. Can I have a callback number and the policy number? [CUSTOMER][NEUTRAL] I'm sorry? [CUSTOMER][NEUTRAL] Yeah [CUSTOMER][NEUTRAL] Sure it's [PII] and I'm at [PII] and then the uh policy number is 02456843. [AGENT][NEUTRAL] Can you verify that patient's name and date of birth for me [PII]? [CUSTOMER][NEUTRAL] Sure, [PII] uh [PII]. [AGENT][NEUTRAL] And you're calling to verify benefits and eligibility for what place of service? [CUSTOMER][NEUTRAL] Um, it'll be outpatient surgery. [AGENT][NEUTRAL] So this member has [AGENT][NEUTRAL] A gap insurance that's been active since [PII] and is currently active. He has outpatient benefits of $2400 per calendar year with a $100 deductible, and this is not a guaranteed benefits, just a disclaimer of the policy's coverage. [AGENT][NEGATIVE] He has not utilized any of his benefits for 25 or met his deductible. [CUSTOMER][NEUTRAL] OK. [CUSTOMER][NEUTRAL] OK. [CUSTOMER][NEUTRAL] and what was your name again hon? [AGENT][NEUTRAL] [PII], today, today's date as a reference. [CUSTOMER][POSITIVE] Perfect all right honey, thank you so much. I really appreciate it. You have a wonderful day, OK? [AGENT][POSITIVE] You're welcome, [PII]. Thanks for calling APL. You have a great one as well. Thank you. [CUSTOMER][NEUTRAL] You too bye bye. [AGENT][NEUTRAL] Right