AccountId: 011433970860 ContactId: edfb104e-a1e1-4aaf-bbdd-5d9aff106c37 Channel: VOICE LanguageCode: en-US Total Conversation Duration: 137059 ms Total Talk Time (AGENT): 56272 ms Total Talk Time (CUSTOMER): 53142 ms Interruptions: 1 Overall Sentiment: AGENT=0.4, CUSTOMER=1.2 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/03/27/edfb104e-a1e1-4aaf-bbdd-5d9aff106c37_20250327T14:40_UTC.wav -------------------------------------------- [AGENT][NEUTRAL] Thank you for calling ATL. This is [PII]. How can I help you? [CUSTOMER][NEUTRAL] Hi, I'm just calling from a provider's office to verify benefits and eligibility. [AGENT][NEUTRAL] Um, yes, ma'am. I can assist you with benefits. Um, first, could I get your name and a good callback number? [CUSTOMER][NEUTRAL] Yes, it's [PII] Good back call number will be [PII]. [AGENT][NEUTRAL] OK. Thank you, [PII]. Now I need the policy number, please. [CUSTOMER][NEUTRAL] Policy number that I have on the card is 02583072. [AGENT][NEUTRAL] Thank you. Now, please verify the patient's name and date of birth. [CUSTOMER][NEUTRAL] Um, I actually have a few patients, but I just need benefits for one of them. I just need to make sure that the ones are active. [AGENT][NEUTRAL] OK. [CUSTOMER][NEUTRAL] So I have [PII] [PII]. [AGENT][NEUTRAL] OK, thank you. And just let me advise you that verification of coverage does not guarantee payment of claims. The effective date on this policy was [PII] and the policy is still active. [CUSTOMER][POSITIVE] Perfect. [CUSTOMER][NEUTRAL] And what is the maximum deductibles? [AGENT][NEUTRAL] OK. And what type of service is this for? Is it for an office visit or inpatient or outpatient hospital? [CUSTOMER][NEUTRAL] It's for in office we're we're for dental. [AGENT][NEUTRAL] Oh, for dance, let's see. [CUSTOMER][NEUTRAL] Mhm. [AGENT][NEUTRAL] OK. I apologize. This is actually a policy for medical, for secondary um medical gap insurance, and I'm not showing a dental policy on file. [CUSTOMER][NEUTRAL] Oh [CUSTOMER][NEUTRAL] Oh, so [CUSTOMER][NEUTRAL] Medical only, OK, that's OK. [AGENT][NEUTRAL] Right, not, yeah. Mhm. [CUSTOMER][POSITIVE] I will reach out to parents, thank you so much. [AGENT][NEUTRAL] OK. Is there anything else that I can assist you with? [CUSTOMER][POSITIVE] No, that's it, thank you. [AGENT][POSITIVE] Mhm. Thank you again, [PII], for calling APL. Have a great day. Mm bye. [CUSTOMER][NEUTRAL] You too bye. [CUSTOMER][NEUTRAL] See that.