AccountId: 011433970860 ContactId: eed803ff-eb41-4ec1-86fe-282a7425e66e Channel: VOICE LanguageCode: en-US Total Conversation Duration: 234229 ms Total Talk Time (AGENT): 101991 ms Total Talk Time (CUSTOMER): 127676 ms Interruptions: 2 Overall Sentiment: AGENT=1.4, CUSTOMER=2.2 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/05/20/eed803ff-eb41-4ec1-86fe-282a7425e66e_20250520T15:22_UTC.wav -------------------------------------------- [AGENT][NEUTRAL] Thank you for calling APL. This is [PII]. How may I help you? [CUSTOMER][NEUTRAL] Hi [PII], um, good morning. This is [PII] and I'm a provider. How are you [PII]? [AGENT][POSITIVE] I'm doing well, Ms. [PII]. How are you doing today? [CUSTOMER][NEUTRAL] Mhm. [CUSTOMER][POSITIVE] I'm good. So far so good. Thank you, [PII] for asking me. [AGENT][NEUTRAL] Yes. [CUSTOMER][POSITIVE] And I hope you're gonna help us with it to check benefits my love for this uh gap insurance patient is here in uh. [AGENT][POSITIVE] You're welcome. [CUSTOMER][NEUTRAL] In our office and um it's subject to the co-payment with the primary insurance um. [AGENT][POSITIVE] OK, I can absolutely. [CUSTOMER][POSITIVE] I have to know if it's gonna waive or not. Thank you so much, [PII]. [AGENT][POSITIVE] Yes, I understand Ms. [PII], um, and I can help you with the benefits. What is your callback number just in case the calls dropped, I'll be able to call you. [CUSTOMER][POSITIVE] Thank you. Sure. [CUSTOMER][NEUTRAL] Absolutely sure my number is [PII]. [AGENT][NEUTRAL] OK and the name of the facility you're calling from? [CUSTOMER][NEUTRAL] Sure. It's plantation open MRI from [PII]. [AGENT][NEUTRAL] OK, and then may I get the patient's name, date of birth, and policy number? [CUSTOMER][NEUTRAL] Absolutely I will start with the policy number [PII] maybe gonna locate it right away so I do have 0207. [CUSTOMER][NEUTRAL] 3907 M Mary L Laurie number 8. [CUSTOMER][NEUTRAL] And I do have to, it's for Mr. [PII]. Date of birth is [PII]. [AGENT][NEUTRAL] OK, thank you. I appreciate that. All right, I do show that this policy for [PII] is no longer active. This policy did lapse on [PII]. [CUSTOMER][POSITIVE] My pleasure. [AGENT][NEUTRAL] But let me check. He may have a, he does. He has a new policy that is active. Let me give you that policy number. [CUSTOMER][NEUTRAL] Mhm. [CUSTOMER][POSITIVE] OK. I'm ready when you're ready. Yes, sorry. [AGENT][NEUTRAL] It's 235-9601. [CUSTOMER][NEUTRAL] 2359601. OK. This is the policy. OK. Mhm. [AGENT][NEUTRAL] Yes. [AGENT][NEUTRAL] And the [AGENT][NEUTRAL] Yes. [AGENT][NEUTRAL] And then the effective date of this policy is [PII], and it is active and current. [AGENT][NEUTRAL] And this is just to verify his benefits. It's not a guarantee of payment. He has an inpatient calendar year benefit amount of $5000. He also has an outpatient benefit amount per calendar. [CUSTOMER][NEUTRAL] OK. [AGENT][NEGATIVE] $2500 to use to deduct. [CUSTOMER][NEUTRAL] I'm sorry, it's breaking up. How much? I'm so sorry, sorry, it's breaking up. It's very bad connection. I'm so sorry. Could you please repeat the amount for outpatient benefits amount? [AGENT][NEUTRAL] Yes, it's $2500. [CUSTOMER][POSITIVE] $2500. Perfect. OK, [PII]. Thank you, my love. Do I need a reference number for this call, my love? If you don't mind. [AGENT][NEUTRAL] You can use my name [PII] and today's date. [CUSTOMER][POSITIVE] Thank you so much. I really appreciate it, Audie. I hope you have a beautiful day, my love, OK? Thanks a lot for your help. [AGENT][NEUTRAL] Yeah [AGENT][POSITIVE] Thank you, Ms. [PII]. You have a wonderful day too, and thank you for calling APL. [CUSTOMER][NEUTRAL] Mhm. [CUSTOMER][NEUTRAL] OK. Sure. Bye, bye-bye, sir. Bye. [AGENT][NEUTRAL] Hm, bye-bye.