AccountId: 011433970860 ContactId: fff3a31c-3dbf-464e-b890-e4c31c47cf27 Channel: VOICE LanguageCode: en-US Total Conversation Duration: 129038 ms Total Talk Time (AGENT): 61520 ms Total Talk Time (CUSTOMER): 60911 ms Interruptions: 0 Overall Sentiment: AGENT=1.8, CUSTOMER=0.8 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/05/12/fff3a31c-3dbf-464e-b890-e4c31c47cf27_20250512T16:18_UTC.wav -------------------------------------------- [AGENT][POSITIVE] Good morning. Thank you for calling APL. This is [PII]. May I help you? [CUSTOMER][NEUTRAL] Good morning. My name is [PII]. I'm calling from Jackson South Medical Center. I'm calling to check uh members um benefits. [AGENT][NEUTRAL] OK, I can verify benefits for you. And Miss [PII], what is that policy number, please? [CUSTOMER][NEUTRAL] 02462491 [CUSTOMER][NEUTRAL] M as in Mary, L as in Larry, the number 8. [AGENT][POSITIVE] Thank you so much. And do you have a callback number in case the call drops? [CUSTOMER][NEUTRAL] Yes, [PII] and that's a direct number. [AGENT][NEUTRAL] OK, thank you, ma'am. And verify the patient's name, date of birth. [CUSTOMER][NEUTRAL] [PII] and her date of birth is [PII]. [AGENT][NEUTRAL] OK, thank you. I'm showing her effective date is [PII]. She is active on the policy. And what benefits are you needing for this patient? [CUSTOMER][NEUTRAL] Hospital outpatient. [AGENT][NEUTRAL] OK. [AGENT][NEUTRAL] Let's see, not a guarantee of payment, just a verification of coverage. With this policy, we are secondary. We help with major medicals, deductibles, co-pay or co-insurance, and she has an outpatient benefit that pays up to $500 per calendar day. [CUSTOMER][NEUTRAL] OK. [CUSTOMER][POSITIVE] Correct. [CUSTOMER][NEUTRAL] So it's $500 max per calendar day. [AGENT][POSITIVE] Correct. Correct. Yes, ma'am. [CUSTOMER][NEUTRAL] Oh, OK, so I'm assuming she still has the 500 for that day since it hasn't happened yet. Alright, perfect, um, and I'm sorry, who am I speaking to? [AGENT][NEUTRAL] My name is [PII], last initial [PII] And Ms. [PII], is there anything else I can assist you with today? [CUSTOMER][NEUTRAL] Do I get a reference number or it's just your name and today's date? [AGENT][NEUTRAL] Uh, you can use my name at today's date if you like. [CUSTOMER][POSITIVE] Perfect thank you [PII] appreciate it have a great day. [AGENT][POSITIVE] Oh, you too. Thank you for calling APL bye. [CUSTOMER][NEUTRAL] Mhm bye bye.