AccountId: 011433970860 ContactId: 1d0155f1-b872-4535-99c3-4a2787834995 Channel: VOICE LanguageCode: en-US Total Conversation Duration: 170419 ms Total Talk Time (AGENT): 78294 ms Total Talk Time (CUSTOMER): 46559 ms Interruptions: 0 Overall Sentiment: AGENT=0.8, CUSTOMER=0.7 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/06/10/1d0155f1-b872-4535-99c3-4a2787834995_20250610T20:56_UTC.wav -------------------------------------------- [AGENT][NEUTRAL] Afternoon. Thank you for calling APO. This is [PII]. May I help you? [CUSTOMER][NEUTRAL] Hi [PII]. Good afternoon. My name is [PII], and I'm calling for some help with a claim. [AGENT][NEUTRAL] OK, I can verify claim status for you. And Ms. [PII], what is the policy number, please? [CUSTOMER][POSITIVE] Thank you. [CUSTOMER][NEUTRAL] 02585605 [AGENT][NEUTRAL] Thank you, ma'am. Give me one moment. And do you have a callback number in case the call drops? [CUSTOMER][NEUTRAL] Yes, it's [PII]. [AGENT][NEUTRAL] Thank you. And the patient's name, date of birth? [CUSTOMER][NEUTRAL] [PII] [PII]. [AGENT][NEUTRAL] OK, and this is for dental? [CUSTOMER][NEUTRAL] Dental, yes. [AGENT][NEUTRAL] OK, and what was the date of service and amount of the charge? [CUSTOMER][NEUTRAL] It's from [PII] for $914. [AGENT][POSITIVE] OK, thank you. [AGENT][NEUTRAL] It was for a periodontal scaling. [CUSTOMER][NEUTRAL] Yes. [AGENT][NEUTRAL] OK, let me see. [AGENT][NEUTRAL] And you're calling from? [CUSTOMER][NEUTRAL] Mint dentistry. [AGENT][NEUTRAL] OK. [AGENT][NEUTRAL] Um, says the policy requires a waiting period of 12 months for major services has not been met. [AGENT][NEUTRAL] Uh, the patient's policy effective date is [PII]. So for major services, there is a twelve-month waiting period, so you wouldn't be eligible until [PII]. [CUSTOMER][NEUTRAL] OK, can you send me that EOB? [AGENT][NEUTRAL] Sure. Uh, let's see, what is your fax number? [CUSTOMER][NEUTRAL] It's actually the same as my callback number. It's [PII]. [AGENT][NEUTRAL] [PII]. [AGENT][NEUTRAL] OK. [AGENT][POSITIVE] I will send this off to you in a few moments. Uh, is there anything else I can assist you with today? [CUSTOMER][NEUTRAL] No, that's all I had. I appreciate your help. um, before you go, can I just have a reference number? [AGENT][POSITIVE] Oh you're welcome. [AGENT][NEUTRAL] Mhm. [AGENT][NEUTRAL] Uh, if you like, you can use my name at today's date. [AGENT][NEGATIVE] I'm sorry, I mean coughing your ear. [CUSTOMER][NEUTRAL] Alright. [AGENT][POSITIVE] OK, uh thank you for calling APL. You have a great day. [CUSTOMER][NEUTRAL] Mhm. [CUSTOMER][POSITIVE] Thank you you too bye bye. [AGENT][NEUTRAL] Bye.