AccountId: 011433970860 ContactId: f74e37bf-b80e-460f-b38c-de837b42f4a7 Channel: VOICE LanguageCode: en-US Total Conversation Duration: 209139 ms Total Talk Time (AGENT): 92158 ms Total Talk Time (CUSTOMER): 53350 ms Interruptions: 0 Overall Sentiment: AGENT=1, CUSTOMER=1.1 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/02/13/f74e37bf-b80e-460f-b38c-de837b42f4a7_20250213T19:57_UTC.wav -------------------------------------------- [AGENT][NEUTRAL] Good afternoon. Thank you for calling APL. This is [PII]. How may I assist you? [CUSTOMER][NEUTRAL] Hi, so, my name's [PII]. I'm calling from Baptist Outpatient Services. I'm calling to see the outpatient benefits for a member. [AGENT][NEUTRAL] OK, sure, I can assist you with that patient benefits, Mr. [PII], and may I have a callback number just in case we get disconnected? [CUSTOMER][NEUTRAL] Yes, of course, [PII] direct line. [AGENT][NEUTRAL] Thank you. And may I have the patient's policy number? [CUSTOMER][NEUTRAL] Yes, the policy number we have on file is 60801. [AGENT][NEUTRAL] OK. That, that number is a payer ID. Do you have the copy of the card? [CUSTOMER][NEUTRAL] No, I don't. [AGENT][NEUTRAL] Mm OK. All right, we will have to do a name search. Um, bear with me just a second. Let me pull this other system. [CUSTOMER][NEUTRAL] OK. [AGENT][NEUTRAL] May I have the spelling of the last name? [CUSTOMER][NEUTRAL] Yes, the last name is spelled [PII] [AGENT][NEUTRAL] [PII] [CUSTOMER][NEUTRAL] [PII] [AGENT][NEUTRAL] OK. [AGENT][NEUTRAL] OK. And what's the spelling of the first name? [CUSTOMER][NEUTRAL] It's [PII] [AGENT][NEUTRAL] [PII]. [AGENT][NEUTRAL] Alright. [AGENT][NEUTRAL] OK, may I have the date of birth? [CUSTOMER][NEUTRAL] Yes, the date of birth is [PII]. [AGENT][POSITIVE] Perfect thank you. [AGENT][NEUTRAL] And you said you need outpatient benefits and let me go ahead and give you the correct policy number. Let me know when you, you're ready for your policy. [CUSTOMER][NEUTRAL] OK. [CUSTOMER][POSITIVE] Yes I'm ready whenever. [AGENT][NEUTRAL] OK, so the policy number is 0249. [AGENT][NEUTRAL] 658 5. [CUSTOMER][NEUTRAL] 02496585. OK, thank you. [AGENT][NEUTRAL] Mhm. You're welcome. And 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. [AGENT][NEUTRAL] And [AGENT][NEUTRAL] That is outpatient maximum 6600 per covered person per calendar year. [CUSTOMER][NEUTRAL] OK, and has the, has she accumulated any so far? [AGENT][POSITIVE] I can check for you, bear with me. [CUSTOMER][NEUTRAL] OK. [AGENT][NEUTRAL] As of today, she has not used her benefits, so she still have the full amount available. [CUSTOMER][POSITIVE] OK, alright, thank you so much for all your help today. So could I have the initial to your last name please and a reference number for this call? [AGENT][NEUTRAL] Mhm. [AGENT][NEUTRAL] Um, sure, the initial to my last name is [PII], and we don't have reference numbers. You can use, um, my name in today's date. [CUSTOMER][POSITIVE] OK, thank you for all your help today. [AGENT][POSITIVE] You're welcome and thank you for calling APO. Have a good afternoon. [CUSTOMER][NEUTRAL] You as well. [AGENT][POSITIVE] Thank you. Bye-bye.