AccountId: 011433970860 ContactId: fde173cb-198d-4077-ac93-d2ec929454c7 Channel: VOICE LanguageCode: en-US Total Conversation Duration: 126319 ms Total Talk Time (AGENT): 43829 ms Total Talk Time (CUSTOMER): 51671 ms Interruptions: 0 Overall Sentiment: AGENT=1.4, CUSTOMER=1.5 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/03/12/fde173cb-198d-4077-ac93-d2ec929454c7_20250312T19:10_UTC.wav -------------------------------------------- [AGENT][NEUTRAL] Calling APL, my name is [PII]. How can I assist you today? [CUSTOMER][NEUTRAL] Good afternoon, [PII]. My name is [PII] and I'm calling to um verify the benefits and coverage for a patient that we have in common. [AGENT][POSITIVE] I'd be happy to assist with benefits and eligibility today [PII], if I can get a good call back number for you. [CUSTOMER][NEUTRAL] That will be [PII]. [AGENT][NEUTRAL] And what is the policy number? [CUSTOMER][NEUTRAL] That will be 254-9483. [AGENT][NEUTRAL] Patient's name and date of birth? [CUSTOMER][NEUTRAL] That would be [PII] and her date of birth is [PII]. [AGENT][NEUTRAL] Thank you for that information. Please be advised the verification of coverage is not a guarantee of payment. I do show the policy is currently active. Effective date is [PII]. And is this for inpatient or outpatient benefits? [CUSTOMER][NEUTRAL] Um [CUSTOMER][NEUTRAL] This will be outpatient. [AGENT][NEUTRAL] OK, and I'm showing that the outpatient calendar, your max is $6000. [CUSTOMER][POSITIVE] Oh yes [CUSTOMER][NEUTRAL] And how much has she accumulated? [CUSTOMER][NEUTRAL] 6000 [AGENT][NEUTRAL] She's only used $220.20 of that. [CUSTOMER][NEUTRAL] $220.20. [AGENT][POSITIVE] That's correct. [CUSTOMER][POSITIVE] OK perfect perfect so. [CUSTOMER][NEUTRAL] Uh, OK, so yeah, it'll cover her procedure alrighty, um, Ms. [PII], if. [CUSTOMER][NEUTRAL] Is there a way I can get a reference number for this call? [AGENT][NEUTRAL] Reference is just my name [PII] last initial [PII], and the date and time of the call. Was there anything else I can assist with today? [CUSTOMER][NEUTRAL] Date and time. [CUSTOMER][POSITIVE] That is all you've been great. [AGENT][POSITIVE] Thank you for calling APL you have a good day. [CUSTOMER][POSITIVE] Thank you you too. [AGENT][NEUTRAL] Mhm. Bye-bye.