AccountId: 011433970860 ContactId: 10ec9383-36e2-430d-bc6f-b60cef604998 Channel: VOICE LanguageCode: en-US Total Conversation Duration: 356239 ms Total Talk Time (AGENT): 107942 ms Total Talk Time (CUSTOMER): 129805 ms Interruptions: 1 Overall Sentiment: AGENT=-0.8, CUSTOMER=0.2 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/01/09/10ec9383-36e2-430d-bc6f-b60cef604998_20250109T20:52_UTC.wav -------------------------------------------- [AGENT][NEUTRAL] Good afternoon. Thank you for calling APL. This is [PII]. May I help you? [CUSTOMER][NEUTRAL] Yeah, hi, [PII]. This is [PII]. I'm calling from behalf of card service, and can you please help me to check the status for me. [AGENT][NEUTRAL] OK. How do you spell your name? [CUSTOMER][NEUTRAL] [PII]. [CUSTOMER][NEUTRAL] And my last insurance where for the IT. [AGENT][NEUTRAL] [PII] [AGENT][NEUTRAL] [PII] [CUSTOMER][POSITIVE] Yes, exactly right. [AGENT][NEUTRAL] And do you have a callback number? [CUSTOMER][NEUTRAL] [PII] [PII]. [AGENT][NEUTRAL] And do you have the policy number? [CUSTOMER][NEUTRAL] I have the mobile ID is 152883. [CUSTOMER][NEUTRAL] 2 [AGENT][NEUTRAL] Hold on one moment, please. [CUSTOMER][NEUTRAL] Yeah, sure. [CUSTOMER][NEUTRAL] OK [CUSTOMER][NEUTRAL] Mm [AGENT][NEUTRAL] And what's the patient's name? [CUSTOMER][NEUTRAL] The first name is [PII], the last name is [PII]. [CUSTOMER][NEUTRAL] And the date of birth is [PII]. [AGENT][NEUTRAL] Uh, what's the date of birth again? [CUSTOMER][NEUTRAL] [PII]. [AGENT][NEUTRAL] That's the date of birth? [CUSTOMER][NEUTRAL] Yes. [AGENT][NEUTRAL] And what was the name? [CUSTOMER][NEUTRAL] Which name you're asking? [AGENT][NEUTRAL] What was the patient's name? [CUSTOMER][NEUTRAL] Yeah, it was [PII]. And yeah, the last name is [PII] [AGENT][NEUTRAL] [PII] [AGENT][NEUTRAL] OK, hold on one moment, please. [CUSTOMER][NEUTRAL] Yeah, sure. [CUSTOMER][NEUTRAL] What [AGENT][NEGATIVE] OK, this policy canceled [PII] and they do not have any other active coverage, so he doesn't have any coverage. He wasn't even on this policy. It lapsed [PII]. [CUSTOMER][NEUTRAL] Can you please, uh, give me the effective date one more time? [AGENT][NEUTRAL] The effective date is [PII]. [CUSTOMER][NEUTRAL] Yeah [AGENT][NEGATIVE] It canceled [PII]. [CUSTOMER][NEUTRAL] Mhm. [CUSTOMER][NEUTRAL] We need [CUSTOMER][NEUTRAL] Mhm. [AGENT][NEUTRAL] And what else were you needing? [CUSTOMER][NEUTRAL] So the patient was not active on the service. [AGENT][NEUTRAL] No. [CUSTOMER][NEUTRAL] Uh, may I know the status of this claim? [CUSTOMER][NEUTRAL] Shatter data service. [AGENT][NEUTRAL] The status of the claim we did not have because the policy canceled. [AGENT][NEGATIVE] This child is wasn't even born. The child wasn't even born. [CUSTOMER][NEUTRAL] So that is the reason the claiming. [AGENT][NEUTRAL] When the policy canceled, are you understanding me? [CUSTOMER][NEUTRAL] Yeah, and this is that thisation plan that has been uh why so in this case, uh that, that's the reason the game was be denied them right. [AGENT][NEGATIVE] We have not received it. It was not denied. [CUSTOMER][NEUTRAL] Oh, that means you didn't receive any claim. [AGENT][NEUTRAL] Uh [AGENT][NEGATIVE] No, I can't understand what you're saying. I can barely hear you. [CUSTOMER][NEUTRAL] Now I'm audible. That means you didn't do any claim from here from my end. [AGENT][NEUTRAL] I still didn't hear you. [CUSTOMER][NEUTRAL] And now I'm audible? [CUSTOMER][NEUTRAL] Just to make sure, did you receive any claim or not? [AGENT][NEUTRAL] There's no claim. [CUSTOMER][NEGATIVE] We have to rebuild the claim. [CUSTOMER][NEUTRAL] Or we have to contact the patient to update any new policy because the data service was not active on the. [CUSTOMER][NEUTRAL] That means the patient was not active on the data service right so in this. [AGENT][NEUTRAL] You would have to contact the insurer because he wouldn't be covered under this policy. [CUSTOMER][NEUTRAL] Yeah, OK. [CUSTOMER][NEUTRAL] And may I get the call reference number for this? [AGENT][NEUTRAL] We do not have call reference numbers you can use my name in today's date. [CUSTOMER][NEUTRAL] May I get the claim num mailing address? [AGENT][NEUTRAL] The claim's mailing address is [PII]. [CUSTOMER][NEUTRAL] Mhm. [AGENT][NEUTRAL] 248. [AGENT][NEUTRAL] 950. [CUSTOMER][NEUTRAL] Mhm. [AGENT][NEUTRAL] [PII]. [CUSTOMER][NEUTRAL] Mhm. [CUSTOMER][NEUTRAL] OK. [AGENT][NEUTRAL] [PII]. [CUSTOMER][NEUTRAL] Mhm. [AGENT][NEUTRAL] 73 1 24. [CUSTOMER][NEUTRAL] Mhm. [CUSTOMER][NEUTRAL] I get to pay ID. [AGENT][NEUTRAL] 60801. [CUSTOMER][POSITIVE] And I get the time to sign in. [AGENT][NEGATIVE] We don't have timely filing. [AGENT][NEGATIVE] But that claim is not gonna be covered. [CUSTOMER][NEUTRAL] Yeah, OK. And can you please spell your name? [AGENT][NEUTRAL] [PII] [AGENT][NEUTRAL] [PII] [CUSTOMER][POSITIVE] Yeah, OK, got it. Thanks for so for this, and I think that's all for today. Have a good day. [AGENT][POSITIVE] Thank you, [PII] for calling APL. You as well. Bye-bye. [CUSTOMER][NEUTRAL] Yeah, that.