AccountId: 011433970860 ContactId: ee1f4de7-390e-4df7-9511-b79200a3344a Channel: VOICE LanguageCode: en-US Total Conversation Duration: 125860 ms Total Talk Time (AGENT): 52300 ms Total Talk Time (CUSTOMER): 77730 ms Interruptions: 1 Overall Sentiment: AGENT=2.3, CUSTOMER=1.2 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/03/05/ee1f4de7-390e-4df7-9511-b79200a3344a_20250305T16:29_UTC.wav -------------------------------------------- [CUSTOMER][NEUTRAL] Yeah. [AGENT][POSITIVE] Good morning. Thank you for calling APL. My name is [PII]. How may I help you? [CUSTOMER][NEUTRAL] Hi [PII], good morning. I'm [PII] calling from CMS Diagnosis Service. I have a patient coming up tomorrow. I need to check benefit eligibility, please. [AGENT][POSITIVE] OK, well I can definitely help you with both the eligibility and the benefits. And [PII], may I have a good contact num excuse me, number in case we're disconnected? [CUSTOMER][NEUTRAL] Mhm. [CUSTOMER][NEUTRAL] Sure, [PII]. [AGENT][NEUTRAL] Thank you for that and the member's policy number? [CUSTOMER][NEUTRAL] Mhm. It is 02519166. [AGENT][POSITIVE] Thank you for that. [CUSTOMER][NEUTRAL] [PII]. [CUSTOMER][NEUTRAL] And this patient born, I'll let you know right now because I go out for uh [PII], uh sorry, this time, yeah, [PII]. [AGENT][NEUTRAL] Thank you for that and all the information provided is a verification of benefits, not a guarantee of payment. I do see that the policy is active. It's been effective since [PII]. And what type of benefits did you want to go over today? [CUSTOMER][NEUTRAL] Mhm. [CUSTOMER][NEUTRAL] Mhm. [CUSTOMER][NEUTRAL] OK. [CUSTOMER][NEUTRAL] It's for a cardia pet that's a high tech procedure. [AGENT][NEUTRAL] Is it outpatient or inpatient? [CUSTOMER][NEUTRAL] Outpatient please mhm. [AGENT][NEUTRAL] OK. Um, so the outpatient benefit is up to $300 per calendar day. [CUSTOMER][NEUTRAL] OK. [CUSTOMER][POSITIVE] So 300 per calendar date perfect OK. [CUSTOMER][NEUTRAL] Kra day OK. [CUSTOMER][NEUTRAL] OK. [CUSTOMER][POSITIVE] So perfect. Do you have a call reference for this call, please? [AGENT][NEUTRAL] So there's no call reference number, but you can use my name in today's date. The first initial to my last name is [PII]. [CUSTOMER][NEUTRAL] Uh, and your name again? I'm sorry. [AGENT][NEUTRAL] My name is [PII] [CUSTOMER][POSITIVE] And and thank you so much and I have a wonderful day. So that's what I need. bye bye. [AGENT][POSITIVE] Thank you also and thanks for calling. All right and thanks for calling APL. Bye-bye. [CUSTOMER][POSITIVE] Thank you bye bye.