AccountId: 011433970860 ContactId: f1c59d5d-7832-44f7-aac8-5d39bfc630c8 Channel: VOICE LanguageCode: en-US Total Conversation Duration: 190589 ms Total Talk Time (AGENT): 83339 ms Total Talk Time (CUSTOMER): 66962 ms Interruptions: 0 Overall Sentiment: AGENT=1.3, CUSTOMER=0.3 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/03/28/f1c59d5d-7832-44f7-aac8-5d39bfc630c8_20250328T13:48_UTC.wav -------------------------------------------- [AGENT][NEUTRAL] Morning. Thank you for calling APL. This is [PII]. How may I assist you? [CUSTOMER][NEUTRAL] Hi, so, uh, I am checking benefits for a patient. They have the APL as secondary. What information do you need from me? [AGENT][NEUTRAL] OK. [AGENT][POSITIVE] Sure, yes, I can assist you with benefits. May I have your name and a callback number just in case we get disconnected? [CUSTOMER][NEUTRAL] Sure, uh my name is [PII] [AGENT][NEUTRAL] Mhm. [AGENT][NEUTRAL] A callback number just in case we get disconnected. [CUSTOMER][NEUTRAL] [PII]. [CUSTOMER][NEUTRAL] [PII] [AGENT][NEUTRAL] OK, thank you. And Miss [PII], you're calling from which facility for my notation? [CUSTOMER][NEUTRAL] I'm calling from Gastro Health LLC in [PII]. [AGENT][NEUTRAL] Thank you. And may I have the patient's policy number? [CUSTOMER][NEUTRAL] Uh, I have 021 92. [CUSTOMER][NEUTRAL] 328 the letters M. [CUSTOMER][NEUTRAL] L and number 8. [AGENT][NEUTRAL] Thank you. And may I have the name and date of birth of the patient, ma'am? [CUSTOMER][NEUTRAL] Uh [PII], that's [PII] Last name is [PII] Date of birth is [PII]. [AGENT][NEUTRAL] All right, thank you. Before I give you any benefit information, I need to let you know that this is not a guarantee of payment, just a verification of coverage and that's just a disclaimer. And this is a secondary supplemental plan to the major medical and we have an outpatient maximum of 1500 per covered person per calendar year. [CUSTOMER][NEUTRAL] OK. [CUSTOMER][NEUTRAL] OK [CUSTOMER][NEUTRAL] Uh, is there a, uh, group number to the plan? [AGENT][POSITIVE] Mhm. Yes, let me get that for you. [AGENT][NEUTRAL] OK, the group number is 23806. [CUSTOMER][NEUTRAL] OK, now what is the actual uh or correct uh claims address? [AGENT][NEUTRAL] It is the one in [PII], so it's [PII]. [AGENT][NEUTRAL] [PII]. [AGENT][NEUTRAL] The zip code [PII]. [CUSTOMER][NEUTRAL] OK. [CUSTOMER][NEUTRAL] Got it. OK, and all I need is the initial to your last name and a reference number? [AGENT][NEUTRAL] Mm [AGENT][NEUTRAL] [PII], and we don't have reference numbers. You can use my name in today's date if you would like. Is there anything else I can help you with today, Ms. [PII]? [CUSTOMER][POSITIVE] Uh, not at this time, no, ma'am. Thank you so much. [AGENT][POSITIVE] Alright, well thank you. You're welcome and thank you for calling APL. Have a good day. [CUSTOMER][NEUTRAL] You too bye bye. [AGENT][POSITIVE] Thank you. Bye bye.