AccountId: 011433970860 ContactId: fd467170-ebbe-4cf5-be21-6b095a49b653 Channel: VOICE LanguageCode: en-US Total Conversation Duration: 219320 ms Total Talk Time (AGENT): 69048 ms Total Talk Time (CUSTOMER): 58954 ms Interruptions: 1 Overall Sentiment: AGENT=0, CUSTOMER=0.6 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/03/05/fd467170-ebbe-4cf5-be21-6b095a49b653_20250305T13:58_UTC.wav -------------------------------------------- [CUSTOMER][NEUTRAL] That's [AGENT][NEUTRAL] Thank you for calling APL. This is [PII]. How may I help you? [CUSTOMER][NEUTRAL] Thank you [PII]. My name is [PII]. I'm calling from the doctor's office. I need to check benefits and eligibility for specialist office visit also for procedures on an office setting. [AGENT][NEUTRAL] OK, I can help you. Can you spell your first name for me? [CUSTOMER][NEUTRAL] [PII]. [AGENT][NEUTRAL] [PII], OK, what's a good phone number, [PII], and what's uh the policy number? [CUSTOMER][NEUTRAL] Policy number is 02462557 ML8. [AGENT][NEUTRAL] Mhm. [AGENT][NEUTRAL] And your phone number? Mhm. [CUSTOMER][NEUTRAL] Is [CUSTOMER][NEUTRAL] [PII]. [AGENT][NEUTRAL] OK. [AGENT][NEUTRAL] One moment please. [AGENT][NEUTRAL] Verify the patient's name and date of birth for me, [PII]. [CUSTOMER][NEUTRAL] Yes, [PII] [PII]. [AGENT][NEUTRAL] Alright, thank you for that information and we're checking eligibility and then benefits for the physician visit fee and then treatment in the office. [CUSTOMER][NEUTRAL] Yes. [AGENT][NEUTRAL] OK, so I'm showing the policy effective date of [PII]. Um, I show the policy is active at this time. [AGENT][NEUTRAL] And under this policy. [AGENT][NEGATIVE] I'm showing treatment in the office is not covered and then the physician's office fee is not covered. Um, what is the cheap complaint or diagnosis? [CUSTOMER][NEUTRAL] Uh, one second. [CUSTOMER][NEUTRAL] Um [CUSTOMER][NEUTRAL] Oh OK. [CUSTOMER][NEUTRAL] Can it's done. [AGENT][NEUTRAL] OK. And so under this policy, the physician visit fee and then treatment in the office is not covered under this policy? [CUSTOMER][POSITIVE] Perfect thank you so much. Your name is? [AGENT][NEUTRAL] You in today's status reference for today's call [PII] and first initial of my oh. [CUSTOMER][NEUTRAL] Oh wait, wait, wait, it, it, it, it cut, cut off your name, can you repeat it? [AGENT][NEUTRAL] It's [PII] [CUSTOMER][NEUTRAL] Mhm. [AGENT][NEUTRAL] First initial of my last name is [PII], and you'll use my name and today's status reference for today's call. [CUSTOMER][POSITIVE] Thank you so much for your help appreciate it. [AGENT][POSITIVE] You're welcome and thank you for calling APL. Have a good day. [CUSTOMER][NEUTRAL] Bye bye.