tiesan/cuvris-sample-dataset · Datasets at Hugging Face

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Insurance_Agent: : I'm sorry, I cannot do that. Is it OK if you will confirm and then I'll say yes.

Amy: OK. Is that 305083320?

Insurance_Agent: Yes, yes.

Amy: No letters before the numbers or no any additional numbers?

Insurance_Agent: No additional numbers, just that the one you provided.

Amy: OK.Will you be able to check the procedure code if the plan will, if it will be payable
by the plan or if any prior authorisation will be required?

Insurance_Agent: Let me check what is the code

Amy: .N for Nancy, 2920.

Insurance_Agent: 2920 Let me check.Hold on a second.2920 that is 80%, one in 24 consecutive months to the month, no age limit

Insurance_Agent: And for Nancy, right the the letter of the code, it's not D, it's N


Insurance_Agent: 2920

Amy: so I'm not sure about the number you provided that I'm sorry I'm not sure about the letter you provided because you're in MetLife. We have the the 09200140, something like that. I'm not sure about the end.

Insurance_Agent: What is the description of the 2920 on your end to make sure that we're on the same page?

Amy: Let me check. Hold on 2920 space maintain. Hold on. No, no, no. Give me a second. Let me just check what this is 2920. Give me a second, I cannot find it 2920.Resumes crown. Is that right? Three cement crown.

Insurance_Agent: Yeah, that's what I have. Resumed crown.

Amy: Perfect. And you said it's the maximum will be 80% to be to be paid by the plan, right?

Insurance_Agent: Yeah, the coverage is 80% correct based on carrying, uh, sorry, connection dental fee schedule

Amy: : Alright. And there's no other copay or deductible aside from that?

Insurance_Agent: Uh, there, let me just check hold on a second. There is a deductible that will apply because this is basic service

Amy: : How much is the deductible that they need to met?

Insurance_Agent: Umm. Upon checking here, the deductible is $50.

Amy: No accumulation yet for that

Insurance_Agent: exactly. Yeah, it hasn't been, umm, it hasn't been satisfied.

Amy: OK, so the number will be needing first to satisfy the $50 before they will be covered at 80%

Insurance_Agent: No, Umm oh hold on. Yeah you need, they need to apply first the $50.00 and then they will apply the 80%.

Amy: OK, is there any prior authorization required for the code?

Insurance_Agent: Uh we suggest for authorization for our procedures above $300.00? It's still update if you would like to pre authorize the the procedure.

Amy: Alright. Is there any dollar limit or maximum dollar limit on this account by year or lifetime?

Insurance_Agent: $1000 is the annual Max $1000.

Amy: The the the plan runs per calendar year.

Insurance_Agent:: Yes.

Amy: Is there any accumulation to the $1000 already?

Insurance_Agent: Nothing has been oh hold on, let me double check. Nothing has been used yet from the $1000 Max
.
Amy: : OK umm is there any visit limit or frequency limit for this code?

Insurance_Agent: One in 24 consecutive months for the month.

Amy: Sorry, can you explain it?

Insurance_Agent: One in 24 months is the coverage

Amy: 01 in 24 months and there's no procedure that has been performed yet in the past 24 months.

Insurance_Agent:: No history. Yeah, no history for the code 2920.

Amy:: OK. I just want to make sure that there's no 2920 umm claim yet in the past two years, right?
Insurance_Agent: Right. There's nothing yet on file for the 2920 yet.

Amy: Is it possible for you to fax the the benefit information as well?

Insurance_Agent: Umm, yes, but I need the address of Mark Muma. Do you have the address of Mark?

Amy: Yes, I do have it here. Umm, so the one that Mark provided to us is that 228 Rockwood St. La Porte, 465 Zero, Indiana.

Insurance_Agent: Mm-hmm. And. Zip code please

Amy: 465 zero is the zip code

Insurance_Agent: 46350 OK, great. Let me just send it to you. Bear with me a second. Give me a second. Yeah, yeah. You're welcome. So the dentist is in direct. I also have an option for the e-mail. Would you like an e-mail or still fax?

Amy:: Can we? Yeah. Can you do the fax instead?

Insurance_Agent: Sure. What is your fax number?

Insurance_Agent: : I'm sorry, I cannot do that. Is it OK if you will confirm and then I'll say yes.

Amy: OK. Is that 305083320?

Insurance_Agent: Yes, yes.

Amy: No letters before the numbers or no any additional numbers?

Insurance_Agent: No additional numbers, just that the one you provided.

Amy: OK.Will you be able to check the procedure code if the plan will, if it will be payable

by the plan or if any prior authorisation will be required?

Insurance_Agent: Let me check what is the code

Amy: .N for Nancy, 2920.

Insurance_Agent: 2920 Let me check.Hold on a second.2920 that is 80%, one in 24 consecutive months to the month, no age limit

Insurance_Agent: And for Nancy, right the the letter of the code, it's not D, it's N

Insurance_Agent: 2920

Amy: so I'm not sure about the number you provided that I'm sorry I'm not sure about the letter you provided because you're in MetLife. We have the the 09200140, something like that. I'm not sure about the end.

Insurance_Agent: What is the description of the 2920 on your end to make sure that we're on the same page?

Amy: Let me check. Hold on 2920 space maintain. Hold on. No, no, no. Give me a second. Let me just check what this is 2920. Give me a second, I cannot find it 2920.Resumes crown. Is that right? Three cement crown.

Insurance_Agent: Yeah, that's what I have. Resumed crown.

Amy: Perfect. And you said it's the maximum will be 80% to be to be paid by the plan, right?

Insurance_Agent: Yeah, the coverage is 80% correct based on carrying, uh, sorry, connection dental fee schedule

Amy: : Alright. And there's no other copay or deductible aside from that?

Insurance_Agent: Uh, there, let me just check hold on a second. There is a deductible that will apply because this is basic service

Amy: : How much is the deductible that they need to met?

Insurance_Agent: Umm. Upon checking here, the deductible is $50.

Amy: No accumulation yet for that

Insurance_Agent: exactly. Yeah, it hasn't been, umm, it hasn't been satisfied.

Amy: OK, so the number will be needing first to satisfy the $50 before they will be covered at 80%

Insurance_Agent: No, Umm oh hold on. Yeah you need, they need to apply first the $50.00 and then they will apply the 80%.

Amy: OK, is there any prior authorization required for the code?

Insurance_Agent: Uh we suggest for authorization for our procedures above $300.00? It's still update if you would like to pre authorize the the procedure.

Amy: Alright. Is there any dollar limit or maximum dollar limit on this account by year or lifetime?

Insurance_Agent: $1000 is the annual Max $1000.

Amy: The the the plan runs per calendar year.

Insurance_Agent:: Yes.

Amy: Is there any accumulation to the $1000 already?

Insurance_Agent: Nothing has been oh hold on, let me double check. Nothing has been used yet from the $1000 Max

.

Amy: : OK umm is there any visit limit or frequency limit for this code?

Insurance_Agent: One in 24 consecutive months for the month.

Amy: Sorry, can you explain it?

Insurance_Agent: One in 24 months is the coverage

Amy: 01 in 24 months and there's no procedure that has been performed yet in the past 24 months.

Insurance_Agent:: No history. Yeah, no history for the code 2920.

Amy:: OK. I just want to make sure that there's no 2920 umm claim yet in the past two years, right?

Insurance_Agent: Right. There's nothing yet on file for the 2920 yet.

Amy: Is it possible for you to fax the the benefit information as well?

Insurance_Agent: Umm, yes, but I need the address of Mark Muma. Do you have the address of Mark?

Amy: Yes, I do have it here. Umm, so the one that Mark provided to us is that 228 Rockwood St. La Porte, 465 Zero, Indiana.

Insurance_Agent: Mm-hmm. And. Zip code please

Amy: 465 zero is the zip code

Insurance_Agent: 46350 OK, great. Let me just send it to you. Bear with me a second. Give me a second. Yeah, yeah. You're welcome. So the dentist is in direct. I also have an option for the e-mail. Would you like an e-mail or still fax?

Amy:: Can we? Yeah. Can you do the fax instead?

Insurance_Agent: Sure. What is your fax number?