AccountId: 011433970860 ContactId: 1b15352a-dfef-48dc-806a-a81a819375c0 Channel: VOICE LanguageCode: en-US Total Conversation Duration: 494600 ms Total Talk Time (AGENT): 231219 ms Total Talk Time (CUSTOMER): 147698 ms Interruptions: 2 Overall Sentiment: AGENT=0.5, CUSTOMER=0.2 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/06/04/1b15352a-dfef-48dc-806a-a81a819375c0_20250604T22:27_UTC.wav -------------------------------------------- [AGENT][POSITIVE] Good afternoon thank you for calling [AGENT][NEUTRAL] And APL, this is [PII]. May I help you? [CUSTOMER][NEUTRAL] Yes ma'am. My name is [PII]. [AGENT][POSITIVE] Good afternoon. [CUSTOMER][NEUTRAL] Hi, hey, I need to check, I need to check on my claim, please. [AGENT][NEUTRAL] OK. [AGENT][NEUTRAL] OK, and Mr. [PII], what is your policy number, please? [CUSTOMER][NEUTRAL] But I got a claim number. [AGENT][NEUTRAL] OK, what's the claim number? [CUSTOMER][NEUTRAL] 356. [CUSTOMER][NEUTRAL] 656 2. [AGENT][POSITIVE] OK, thank you, give me one moment please. [CUSTOMER][NEUTRAL] OK. [AGENT][NEUTRAL] OK, and give me a moment. [AGENT][NEUTRAL] OK, and Mr. [PII], verify your date of birth, mailing address and email address for me, please. [CUSTOMER][NEUTRAL] [PII]. [CUSTOMER][NEUTRAL] Address [PII]. [CUSTOMER][NEUTRAL] Email [PII]. [AGENT][NEUTRAL] I see a different email. It looks like a work email address in our system. [CUSTOMER][NEUTRAL] Would that be [CUSTOMER][NEUTRAL] [PII]. [AGENT][NEUTRAL] Uh yes sir. [CUSTOMER][NEUTRAL] OK. [AGENT][NEUTRAL] And do you have a callback number in case the call drops? [CUSTOMER][NEUTRAL] [PII]. [CUSTOMER][NEUTRAL] [PII]. [CUSTOMER][NEUTRAL] [PII]. [AGENT][NEUTRAL] OK, thank you, sir. Give me one moment please see. [AGENT][NEUTRAL] Because it looks like a claim was recently processed, uh, like for preventative, um, for data service for 12 of 24. [CUSTOMER][NEUTRAL] Preventative [AGENT][NEUTRAL] Yes, sir. [CUSTOMER][NEUTRAL] I mean, I've had prostate cancer. [CUSTOMER][NEGATIVE] I went in and planted radioactive seeds and I filed a claim on it. So far I've gotten two checks for $50 and I'm still paying on a $3000 bill I owe. That's not worth what I'm paying y'all every month to have the policy. [AGENT][NEUTRAL] OK. [AGENT][NEUTRAL] Well I can transfer you to a representative and they can verify how the claim was processed. [CUSTOMER][POSITIVE] Somebody was so well. [CUSTOMER][NEUTRAL] Somebody was supposed to check on it and call me back months ago and I hadn't, so. [CUSTOMER][NEGATIVE] Anyway, coming up for renewal if I still want my business, I better hear something from somebody. [AGENT][NEUTRAL] OK, what would you like me to transfer you to a claims representative? [CUSTOMER][NEUTRAL] Sure. [AGENT][NEUTRAL] OK, one moment please. [CUSTOMER][NEGATIVE] You are on hold. [AGENT][NEGATIVE] To calm down. [CUSTOMER][NEUTRAL] Transferring. [CUSTOMER][POSITIVE] Good afternoon. Thanks for calling APO. This is [PII]. How can I help you? [AGENT][POSITIVE] Oh my gracious, [PII]. [CUSTOMER][NEUTRAL] What's going on [PII]? [AGENT][NEUTRAL] I'm burning up. It's hot. [CUSTOMER][NEUTRAL] Why are you burning up, girl? [AGENT][NEUTRAL] I need to [AGENT][NEUTRAL] Cause my office is in the garage. I need to hurry up, get my room situated so I can have an office in my room so I could be where the air conditioner is. [CUSTOMER][POSITIVE] Oh bless your heart. [AGENT][POSITIVE] I want to be where the air is because I have, and then, you know what's funny, I know I got answered on the phone. I'll tell you this real quick. I went to this I had donuts and more. They sell like burgers which are delicious and they have stir fry like fried rice and shrimp and chicken and everything. [CUSTOMER][NEUTRAL] Mhm. [AGENT][POSITIVE] So I went there, ordered me some food. I had to wait because they didn't have it ready. And this chick told me I smelled good. I was thinking, oh, you're so sweet. It's like I'm sweating my booty off. I know I, I took a shower earlier today, but I don't know. And she was like, are you wearing um [AGENT][NEUTRAL] What you call it, uh, something about, um, ironic, um. [AGENT][NEUTRAL] Ariana Grande, I was like, no, I just have cocoa butter on. [AGENT][NEUTRAL] I don't know why they just cracked me up. I was like, uh, no, ma'am, I just got cocoa butter. I don't know what you're smelling, but thank you. Good because you're in a donut shop. I don't know. [CUSTOMER][NEUTRAL] There. [CUSTOMER][NEUTRAL] Yeah [AGENT][POSITIVE] But I just thought it was so, I thought it was sweet but funny. Anyway. [AGENT][NEUTRAL] Um, I have an insured on the phone. He's a hot one. [AGENT][NEUTRAL] Um, [CUSTOMER][NEUTRAL] OK. [AGENT][NEUTRAL] It's not a cancer policy. [AGENT][NEUTRAL] And [AGENT][NEUTRAL] Oh, [AGENT][NEUTRAL] And I told him he was calling about a recent claim and I told him his claim was processed and well the claim paid $50 for wellness, and he said, wellness, I just had um prostate cancer and they put radiation in my, you know. [AGENT][NEUTRAL] But the other claim he had, the one that he called about, it shows benefits of Max further. [AGENT][NEUTRAL] Lifetime max for the first occurrence, but I'm trying to find it but I can't help this man. I can but. [CUSTOMER][NEUTRAL] What's the policy number? [AGENT][NEUTRAL] Um, 238-37772. [AGENT][NEUTRAL] OK [CUSTOMER][NEUTRAL] No. [AGENT][NEUTRAL] When did he start having prostate cancer? [CUSTOMER][NEUTRAL] So we did the wellness. [CUSTOMER][NEUTRAL] Alright [AGENT][NEUTRAL] It's so what does that sound? [CUSTOMER][NEUTRAL] So for the radiation therapy, we need, oh, that was probably me because I uh when I clicked on. [CUSTOMER][NEUTRAL] This remark code, so we need the uh itemized bill showing the procedure codes and charge amounts for the radiation. [AGENT][NEGATIVE] 58, no, that's not it. I'm gonna send the wrong number. [CUSTOMER][NEUTRAL] Hold on. [AGENT][NEGATIVE] So I better talk to somebody if y'all want continue my business. [CUSTOMER][NEUTRAL] Mm. [AGENT][NEUTRAL] Yeah. Well, the policy alread[PII] turned [PII], sir. [AGENT][NEUTRAL] So I don't know what business you're trying. [CUSTOMER][NEUTRAL] And my time but I think that. [AGENT][NEUTRAL] Oh wait, he does have an accident policy. Oh well. [AGENT][POSITIVE] Oh, I'm sorry. [CUSTOMER][NEUTRAL] So did they use the wrong remark code for the one in uh. [AGENT][NEUTRAL] I have [CUSTOMER][NEUTRAL] In February, let me pull this claim up and see something because we haven't paid anything. [AGENT][NEUTRAL] 53. [CUSTOMER][NEUTRAL] When they said he used the Lifetime max. [AGENT][NEUTRAL] That's so weird. So all the [CUSTOMER][NEUTRAL] I think she used the wrong one. [AGENT][NEUTRAL] I have no idea. [CUSTOMER][NEUTRAL] Looks like we need to um [AGENT][NEUTRAL] Why am I taking this call anyway? It's tough for me to go. I'm sorry. I had to say that loud. [CUSTOMER][NEUTRAL] Let me see. [AGENT][NEUTRAL] Yeah. [CUSTOMER][NEUTRAL] What did you say? I'm sorry. [AGENT][NEGATIVE] Nothing, nothing. [CUSTOMER][NEUTRAL] Oh, I didn't hear what you said. [AGENT][NEUTRAL] I said I just looked at the time and so it was time for me to go. I didn't even, well. [CUSTOMER][NEUTRAL] OK [CUSTOMER][NEUTRAL] OK. [AGENT][NEUTRAL] It can help to got a call before [PII]. 0 well. [CUSTOMER][POSITIVE] I'm gonna get it. [CUSTOMER][NEUTRAL] Uh, I was like that with a guy last week. It somebody sent me a call at [PII]. I'm on the phone with him at [PII]. [AGENT][NEUTRAL] Mhm. [CUSTOMER][NEUTRAL] Yes. [CUSTOMER][NEUTRAL] Come on [CUSTOMER][NEUTRAL] You can go ahead and send them over, but looks like we need the itemized billing and stuff for the radiation. [AGENT][POSITIVE] All right, sweet peep, just let him know he's hot, so. [CUSTOMER][NEUTRAL] I'm, I'm sure if, if he's thinking that his benefit is max and we haven't paid anything. [AGENT][POSITIVE] Yeah, well, I appreciate you. Have a great day, great night. [CUSTOMER][POSITIVE] All right, no problem. [AGENT][NEUTRAL] Alright, bye. [CUSTOMER][NEUTRAL] Bye bye.