AccountId: 011433970860 ContactId: fc1a4c30-9b9c-4396-ab0e-4848fedea8e8 Channel: VOICE LanguageCode: en-US Total Conversation Duration: 144660 ms Total Talk Time (AGENT): 61452 ms Total Talk Time (CUSTOMER): 53983 ms Interruptions: 0 Overall Sentiment: AGENT=2, CUSTOMER=1.8 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/01/27/fc1a4c30-9b9c-4396-ab0e-4848fedea8e8_20250127T20:46_UTC.wav -------------------------------------------- [AGENT][POSITIVE] This is easy. Thank you for calling APL. This is [PII]. How can I help you? [CUSTOMER][NEUTRAL] Hello, yes, I'm calling from Baptist Hospital in [PII]. My name is [PII]. I'm just calling to see if a patient is currently active. [AGENT][POSITIVE] I'm sure [PII] I can assist you with benefits. Um, first, I'll need a good callback number just in case we're disconnected. [CUSTOMER][NEUTRAL] [PII]. [AGENT][NEUTRAL] OK, thank you. Now, I need the policy number, please. [CUSTOMER][NEUTRAL] Yes, the policy number is 02404592ML8. [AGENT][NEUTRAL] OK, thank you. Now, please verify the patient's name and date of birth. [CUSTOMER][NEUTRAL] Patient's name is [PII]. Date of birth is [PII]. [AGENT][NEUTRAL] Thank you and just let me advise you that verification of coverage does not guarantee payment of claims. Um, the effective date on this policy was [PII] and the policy is still active. [CUSTOMER][NEUTRAL] Uh-huh, so they're still active. [AGENT][NEUTRAL] Yes, it's still active. [CUSTOMER][NEUTRAL] OK. [CUSTOMER][NEUTRAL] Uh, OK, uh. [AGENT][NEUTRAL] OK. Is there anything else that I can assist you with? [CUSTOMER][NEUTRAL] OK [CUSTOMER][NEUTRAL] Since they're uh they're an outpatient facility, uh, what's their outpatient, uh, what's the outpatient uh uh out of pocket? [AGENT][NEUTRAL] Mhm. [AGENT][NEUTRAL] Um, for outpatient, we cover up to $500 per day, and that's for the co-pay, the co-insurance, and the deductible after the primary insurance processes the claim. [CUSTOMER][NEUTRAL] Bye. [CUSTOMER][POSITIVE] Alrighty, thank you. Could you give me your name? [AGENT][NEUTRAL] Um yes, my name is [PII]. It's spelled [PII] and my last initial is [PII] and my name and today's date will be your reference number. [CUSTOMER][POSITIVE] Alright thank you have a great day. [AGENT][NEUTRAL] OK. Is there anything else that I can assist you with? [CUSTOMER][POSITIVE] No, that'll be it thank you. [AGENT][POSITIVE] OK, thank you, [PII], for calling ATO. You have a great day as well. Mm bye. [CUSTOMER][NEUTRAL] You too bye bye. [AGENT][POSITIVE] Thank you