AccountId: 011433970860 ContactId: ed35d4b1-8399-41b8-9b89-aa9a9033e408 Channel: VOICE LanguageCode: en-US Total Conversation Duration: 132839 ms Total Talk Time (AGENT): 64419 ms Total Talk Time (CUSTOMER): 49030 ms Interruptions: 0 Overall Sentiment: AGENT=1.4, CUSTOMER=1 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/01/30/ed35d4b1-8399-41b8-9b89-aa9a9033e408_20250130T20:26_UTC.wav -------------------------------------------- [AGENT][NEUTRAL] Thank you for calling APL. This is [PII]. How can I help you? [CUSTOMER][NEUTRAL] Hi, my name is [PII]. I'm calling from the University of Iowa Healthcare just to check eligibility and benefits on the policy. [AGENT][NEUTRAL] I'm sure, [PII] I can assist you with benefits. Um, first, I'll need to go callback number just in case we're disconnected. [CUSTOMER][NEUTRAL] Yep it's [PII]. [AGENT][NEUTRAL] Thank you. Now I need the policy number, please. [CUSTOMER][NEUTRAL] Policy number is 01848869. [AGENT][NEUTRAL] Please verify the patient's name and date of birth. [CUSTOMER][NEUTRAL] [PII] [PII]. [AGENT][NEUTRAL] And just let me advise you that verification of coverage does not guarantee payment of claims. Um, the effective date on this policy was [PII]. The policy is still active. [AGENT][NEUTRAL] Um, is this for inpatient or outpatient benefits or an office visit? [CUSTOMER][NEUTRAL] Um, nothing specific, just general benefits. [AGENT][NEUTRAL] OK. Um, this is for a secondary gap insurance. What we do is cover the copay, the co-insurance and deductible after the primary insurance processes theline. [CUSTOMER][NEUTRAL] OK. [CUSTOMER][NEUTRAL] OK, and it's an open access still? [AGENT][NEUTRAL] Yes, ma'am. [CUSTOMER][NEUTRAL] OK, and then I know you kind of went over this, but there's not really any deductible, um, is there still a $2000 max benefit per year? [AGENT][NEUTRAL] Yes, for outpatient services. [CUSTOMER][NEUTRAL] Um, is [CUSTOMER][NEUTRAL] Claims address still the [PII]? [AGENT][POSITIVE] Yes, that's correct. Mhm. [CUSTOMER][NEUTRAL] OK, and still no referral or anything needed? [AGENT][POSITIVE] That's correct. [CUSTOMER][NEUTRAL] OK, do you have a call reference number? [AGENT][NEUTRAL] Yes, for the reference number, you can use my name and today's date. My name is [PII]. Um it's spelled [PII] My last initial is [PII] and today's date. Is there anything else that I can assist you with? [CUSTOMER][POSITIVE] No, that is it have a great day. [AGENT][POSITIVE] You do the same with me. Thank you for calling ATL. Mm bye. [CUSTOMER][POSITIVE] Thank you bye.