AccountId: 011433970860 ContactId: f3403378-76b3-4cee-ab39-3fa83529a268 Channel: VOICE LanguageCode: en-US Total Conversation Duration: 141119 ms Total Talk Time (AGENT): 56721 ms Total Talk Time (CUSTOMER): 52161 ms Interruptions: 0 Overall Sentiment: AGENT=0.8, CUSTOMER=0.2 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/06/23/f3403378-76b3-4cee-ab39-3fa83529a268_20250623T15:13_UTC.wav -------------------------------------------- [AGENT][POSITIVE] Thank you for contacting ATO. My name is [PII]. May I help you? [CUSTOMER][NEUTRAL] Hi, good morning. My name is [PII] I'm calling from Nicklas Children West Kendal Urgent Care. How are you? [AGENT][NEUTRAL] Yes, I'm fine how are you? [CUSTOMER][NEUTRAL] Good, and yourself? [AGENT][NEUTRAL] That's fine. How can I help you? [CUSTOMER][NEUTRAL] Hi, um, I have a patient that I needed to verify the eligibility of um the insurance. [AGENT][NEUTRAL] Yes, I can help with eligibility. What is that policy number, please? [CUSTOMER][NEUTRAL] So I have here 016. [CUSTOMER][NEUTRAL] 11 [CUSTOMER][NEUTRAL] 84 [CUSTOMER][NEUTRAL] 3 [CUSTOMER][NEUTRAL] MI I think. [AGENT][NEUTRAL] Thank you and the patient's name and date of birth, please? [CUSTOMER][NEUTRAL] [PII]? [CUSTOMER][NEUTRAL] It's um [CUSTOMER][NEUTRAL] [PII] [CUSTOMER][NEUTRAL] [PII]. [AGENT][NEUTRAL] OK, thank you. And is there a callback number I can have in the event that we're disconnected? [CUSTOMER][NEUTRAL] Um, yeah, [PII]. [CUSTOMER][NEUTRAL] [PII] [CUSTOMER][NEUTRAL] [PII]. [AGENT][NEUTRAL] Thank you. Their policy went into effect on [PII]. It is active. Is there anything else at all that I can tell you about the secondary gap insurance? [CUSTOMER][NEUTRAL] I [CUSTOMER][NEUTRAL] OK. [CUSTOMER][NEUTRAL] Yeah, um, they don't have anything like um copay or anything, right? This is just. [AGENT][NEUTRAL] Well, there's, there is. [CUSTOMER][NEUTRAL] For outpatient? [AGENT][NEUTRAL] It's for outpatient hospital. Now, it, it's, uh, the benefits are also for treatment within a physician's office. [AGENT][NEUTRAL] Um, we will pick up the deductible to co-insurance up to $1500 for treatment within a physician's office, and that's just the verification of the benefits, not a guarantee of payment, but, uh, the office visit co-pay is not covered. [CUSTOMER][NEUTRAL] Oh, OK. [CUSTOMER][NEUTRAL] OK. [AGENT][NEUTRAL] The treatment is [CUSTOMER][NEUTRAL] OK. [AGENT][NEUTRAL] Would you like to know where to send your, uh, your claim or is there anything else at all that I can help with? [CUSTOMER][POSITIVE] Perfect. [CUSTOMER][NEUTRAL] Uh [CUSTOMER][NEUTRAL] No, that was all. I just wanted to verify. [AGENT][POSITIVE] OK, well, thank you very much for contacting ATL. You have a very good morning. [CUSTOMER][NEUTRAL] Do you have a