AccountId: 011433970860 ContactId: 28fa929f-c186-4b42-b876-83336be6cf5a Channel: VOICE LanguageCode: en-US Total Conversation Duration: 330390 ms Total Talk Time (AGENT): 75769 ms Total Talk Time (CUSTOMER): 85855 ms Interruptions: 0 Overall Sentiment: AGENT=0.7, CUSTOMER=0 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/05/20/28fa929f-c186-4b42-b876-83336be6cf5a_20250520T14:32_UTC.wav -------------------------------------------- [AGENT][NEUTRAL] Thank you for calling APL. This is [PII]. How can I help you? [CUSTOMER][NEUTRAL] [PII], I, uh, just received. [CUSTOMER][NEUTRAL] A message from y'all. [CUSTOMER][NEUTRAL] And it says we need medical records from the hospital missions with the results. [CUSTOMER][NEUTRAL] Uh, [CUSTOMER][NEUTRAL] As well again just give us a call back, but it doesn't tell me who or anything like that. [AGENT][NEUTRAL] OK. Do you have your policy number? [CUSTOMER][NEUTRAL] Um [CUSTOMER][NEUTRAL] Uh, I'm driving, so that's difficult, but yes, I can probably. [AGENT][NEUTRAL] Um, I can look it up by your last name or social. [CUSTOMER][NEUTRAL] All right, the last four of my social? [AGENT][NEUTRAL] Uh, it have to be your entire social or I can look it up by your last name. [CUSTOMER][NEUTRAL] [PII] [AGENT][NEUTRAL] And your first name? [CUSTOMER][NEUTRAL] [PII] [AGENT][NEUTRAL] And what are the last 4 of your social? [CUSTOMER][NEUTRAL] [PII]. [AGENT][NEUTRAL] OK, give me just a moment. [CUSTOMER][POSITIVE] I sent all that in yesterday and Misty D called me back and told me she had everything perfect. [AGENT][NEUTRAL] OK, so you spoke with someone yesterday? [CUSTOMER][NEUTRAL] Yes I did. [AGENT][NEUTRAL] OK. Uh, let me look on here. [AGENT][POSITIVE] OK, I found your policy. Let me get that pulled up real quick. Sorry about that. [CUSTOMER][NEUTRAL] Critical care is what we're looking at. [AGENT][NEUTRAL] OK, and this is a claim for yourself? [CUSTOMER][NEUTRAL] No, it's for my wife [AGENT][NEUTRAL] OK. [CUSTOMER][NEUTRAL] My spouse, [PII]. [AGENT][NEUTRAL] OK, can you verify your uh a good callback number in case we're disconnected? [CUSTOMER][NEUTRAL] [PII] [AGENT][POSITIVE] Great [AGENT][NEUTRAL] And then what's your date of birth, Mr. [PII]? [CUSTOMER][NEUTRAL] [PII]. [AGENT][NEUTRAL] And then your address? [CUSTOMER][NEUTRAL] [PII]. [AGENT][NEUTRAL] OK, and then lastly your email address. [CUSTOMER][NEUTRAL] [PII]. [AGENT][POSITIVE] OK, thank you. [AGENT][NEUTRAL] OK. [CUSTOMER][NEUTRAL] Oh. [AGENT][NEUTRAL] Was this for an accident claim, or? [CUSTOMER][NEGATIVE] Heart attack. It was a critical illness time. [AGENT][NEUTRAL] OK. [CUSTOMER][NEGATIVE] Critical care whatever [AGENT][NEUTRAL] OK, sorry, I had a different policy pulled up. OK, um, let's see. [AGENT][NEUTRAL] OK, so someone yesterday, Misty, let me read what she put. [CUSTOMER][NEUTRAL] Oh, wait a minute. This, this may be old. This is, this is [PII], today is the [PII]. [CUSTOMER][NEUTRAL] That was a week ago. [CUSTOMER][NEUTRAL] Why did it just come up now? [AGENT][NEUTRAL] Uh, it looks like, yeah, you had spoke with someone yesterday, um. [AGENT][NEUTRAL] We let you know that we were. [CUSTOMER][NEUTRAL] They should have everything they need. [AGENT][NEUTRAL] Yes, we have everything we need. It's been sent through for review, so it's being currently reviewed. [CUSTOMER][NEUTRAL] Very [AGENT][NEUTRAL] Reimbursement. [CUSTOMER][POSITIVE] All right, very good. [AGENT][NEUTRAL] Yeah, it just takes [CUSTOMER][NEUTRAL] So you don't need anything else? [AGENT][NEUTRAL] It doesn't look like we need anything else at this time. Uh, give it about 7 business days and we should have a determination made. [CUSTOMER][POSITIVE] Very good thank you ma'am. [AGENT][POSITIVE] OK, thanks for calling [PII]. I hope you have a good day.