AccountId: 011433970860 ContactId: efaf5fbc-85b9-4049-9f21-833b484a87c0 Channel: VOICE LanguageCode: en-US Total Conversation Duration: 148460 ms Total Talk Time (AGENT): 48809 ms Total Talk Time (CUSTOMER): 52568 ms Interruptions: 0 Overall Sentiment: AGENT=0.6, CUSTOMER=1.1 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/03/21/efaf5fbc-85b9-4049-9f21-833b484a87c0_20250321T18:31_UTC.wav -------------------------------------------- [AGENT][NEUTRAL] Thank you for calling APL. This is [PII]. How can I help you? [CUSTOMER][NEUTRAL] Yes, hi, good afternoon, my name is [PII], and I am calling for um eligibility and benefits. [AGENT][NEUTRAL] OK, [PII], can I get a good callback number for you? [CUSTOMER][NEUTRAL] [PII]. [AGENT][NEUTRAL] OK, I'll get you eligibility and benefits. Do you have the policy ID? [CUSTOMER][NEUTRAL] Um, it'll be 02243512. [AGENT][NEUTRAL] And patient name and date of birth? [CUSTOMER][NEUTRAL] [PII], date of birth [PII]. [AGENT][POSITIVE] OK, thank you. [CUSTOMER][NEUTRAL] Because you're on the [AGENT][NEUTRAL] OK, this is not a guarantee of payment, just a basic outline of the policy. I show her active and effective [PII]. [CUSTOMER][NEUTRAL] OK. [AGENT][NEUTRAL] And are you needing outpatient benefits? [CUSTOMER][NEUTRAL] Yes. [AGENT][NEUTRAL] OK. [CUSTOMER][NEUTRAL] Yeah [AGENT][NEUTRAL] Get those pulled up. [CUSTOMER][NEUTRAL] You [CUSTOMER][POSITIVE] Thank you. [AGENT][NEUTRAL] OK, for her outpatient benefit she has a $2550 calendar year maximum. [CUSTOMER][NEUTRAL] OK. [CUSTOMER][NEUTRAL] We're [CUSTOMER][NEUTRAL] Has she used towards it at the end of the day we'll go. [AGENT][NEUTRAL] Um, let's see [AGENT][NEUTRAL] I do not show that she's used anything so far this year. [CUSTOMER][NEUTRAL] Got it. [CUSTOMER][NEUTRAL] And I'm sorry, what was your name again? [AGENT][NEUTRAL] Uh, my name is [PII]. Last initial [PII], and then just please note that we'll need a primary explanation of benefits when you do file that claim. [CUSTOMER][NEUTRAL] Yes, got it. OK, and let me go ahead and get a reference number for this call, please. [AGENT][NEUTRAL] Uh, it's just my first name, last initial, and then today's date. [CUSTOMER][POSITIVE] Got it. Alrighty then well thank you very much. [AGENT][POSITIVE] OK thank you [PII] have a great weekend and thank you for calling APL. [CUSTOMER][POSITIVE] Likewise thank you. [AGENT][NEUTRAL] Mhm