AccountId: 011433970860 ContactId: f077c484-b087-46f4-843b-43629379adec Channel: VOICE LanguageCode: en-US Total Conversation Duration: 252619 ms Total Talk Time (AGENT): 111768 ms Total Talk Time (CUSTOMER): 54938 ms Interruptions: 0 Overall Sentiment: AGENT=0.5, CUSTOMER=1.9 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/03/27/f077c484-b087-46f4-843b-43629379adec_20250327T15:21_UTC.wav -------------------------------------------- [AGENT][NEUTRAL] Thank you for APL. This is [PII] calling. How can I help you? [CUSTOMER][NEUTRAL] Hi, my name is [PII]. Last name initial, [PII]. I'm calling in regards to patients to get their outpatient hospital benefit for the for the year. [AGENT][NEUTRAL] OK, and may I have your name again? [CUSTOMER][NEUTRAL] [PII] name [PII]. [AGENT][NEUTRAL] [PII], thank you one moment. What is your callback number if we are disconnected? [CUSTOMER][NEUTRAL] [PII] [AGENT][NEUTRAL] Thank you, what is the policy number? [CUSTOMER][NEUTRAL] 02313057 MLA. [AGENT][NEUTRAL] OK, I have that as 02313057 ML8. Verify the patient's name and date of birth. [CUSTOMER][NEUTRAL] Patient's name is [PII], [PII]. [AGENT][NEUTRAL] OK, and you're calling for outpay benefits for hospitals. Give me one second please. I can help you with that. Now, did this particular policy shows that you're welcome. It shows that it turned as of [PII] for the patient. Um, give me one moment to check to see if she has an active policy, please. [CUSTOMER][POSITIVE] Thank you. [CUSTOMER][NEUTRAL] OK. [AGENT][NEUTRAL] OK, she does have an active policy, and that policy number is when you're ready. [CUSTOMER][POSITIVE] I'm ready. [AGENT][NEUTRAL] OK, it is 02467683 ML 8. [CUSTOMER][NEUTRAL] Um, A as in apple. [AGENT][NEUTRAL] The number 8 [CUSTOMER][NEUTRAL] Oh, the number 8. OK, I'm sorry. [AGENT][POSITIVE] No problem. [CUSTOMER][POSITIVE] Perfect thank you so much for that. [AGENT][NEUTRAL] You're welcome, and this policy shows effective as of [PII] it shows active and for outpatient benefits. [AGENT][NEUTRAL] One moment. [AGENT][NEUTRAL] OK, please note verification of benefits provided does not guarantee payment. We will pay up to $8500 for the calendar. [AGENT][NEUTRAL] And I can check to see if anything has been accumulated towards that one moment. [CUSTOMER][NEUTRAL] OK, you said it's 8500? [AGENT][NEUTRAL] Yes. [AGENT][NEUTRAL] In one moment, let me check to see any accumulation towards that. [AGENT][NEUTRAL] Currently she has accumulated $5,474.20. [CUSTOMER][NEUTRAL] I'm sorry, you said 5400? [AGENT][NEUTRAL] Yes, $5,474.20 has been used. [CUSTOMER][POSITIVE] $5,474.20. OK. Thank you so much for that. [AGENT][NEUTRAL] Mhm. [AGENT][NEUTRAL] Is there anything else? [CUSTOMER][NEUTRAL] Can I have your name again? I'm sorry? [AGENT][NEUTRAL] OK, my name is [PII]. We do not use reference numbers, but you can use my name and today's date. My last initial is [PII]. Anything else I can help you with, please? [CUSTOMER][POSITIVE] Uh no, that's gonna be it, [PII]. Thank you so much. [AGENT][POSITIVE] You're welcome, [PII]. Thank you for calling APL. Have a good day bye. [CUSTOMER][POSITIVE] You too thank you.