AccountId: 011433970860 ContactId: 2a124fbf-a000-4d54-b34d-aaabdbbae44a Channel: VOICE LanguageCode: en-US Total Conversation Duration: 431359 ms Total Talk Time (AGENT): 100294 ms Total Talk Time (CUSTOMER): 255194 ms Interruptions: 13 Overall Sentiment: AGENT=0.3, CUSTOMER=0.1 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/02/13/2a124fbf-a000-4d54-b34d-aaabdbbae44a_20250213T14:42_UTC.wav -------------------------------------------- [AGENT][NEUTRAL] Thanks for calling APL. This is [PII]. How may I assist you? [CUSTOMER][NEUTRAL] So. [CUSTOMER][NEUTRAL] Hi, this is [PII] from provider office. I needed a claim status regarding a member. Uh, can you help me with that? [AGENT][POSITIVE] Sure, [PII], I can assist you with that. Can I have a callback number for you and that policy number, and I'll be able to assist you. [CUSTOMER][NEUTRAL] Sure, uh, call back number is [PII]. [CUSTOMER][NEUTRAL] Policy number is. [AGENT][NEUTRAL] Yes. [CUSTOMER][NEUTRAL] Are you ready? Uh, 001033518. [AGENT][POSITIVE] I'm ready. [AGENT][NEUTRAL] And what is that member's name and date of? Give me that policy number one more time. [CUSTOMER][NEUTRAL] Yeah [CUSTOMER][NEUTRAL] Sure. [CUSTOMER][NEUTRAL] 001033518. [AGENT][NEUTRAL] What is this member's name? [CUSTOMER][NEUTRAL] [PII]. [AGENT][NEUTRAL] Oh, so you gave me 01033518. [CUSTOMER][NEUTRAL] Oh, so 01033518. [CUSTOMER][NEUTRAL] Uh, that is 20, uh, in the beginning, 001033518. [CUSTOMER][NEUTRAL] Yeah [AGENT][NEUTRAL] That's not pulling up a policy. [CUSTOMER][NEUTRAL] That's not. [AGENT][NEUTRAL] Could you verify the policy number to make sure the numbers are correct? [CUSTOMER][NEUTRAL] Mm. [CUSTOMER][NEUTRAL] Um, [CUSTOMER][NEUTRAL] OK, give me a second. [CUSTOMER][NEUTRAL] OK. [CUSTOMER][NEUTRAL] OK. [CUSTOMER][NEUTRAL] I have this. [CUSTOMER][NEUTRAL] Number [CUSTOMER][NEUTRAL] OK. [CUSTOMER][NEUTRAL] Can we open uh by without policy number? [AGENT][NEUTRAL] Do you have a social? [CUSTOMER][NEUTRAL] That's claim. [CUSTOMER][NEUTRAL] Sure. [CUSTOMER][NEUTRAL] Yes, just give me a second. Sure, sure. [CUSTOMER][NEUTRAL] Really [CUSTOMER][NEUTRAL] Uh [CUSTOMER][NEUTRAL] Just [CUSTOMER][NEUTRAL] Mhm. [CUSTOMER][NEUTRAL] Oh, OK, I don't have the. [CUSTOMER][NEUTRAL] Sure, sure. [CUSTOMER][NEUTRAL] Mm let me check here. [CUSTOMER][NEUTRAL] This one, this one. [CUSTOMER][NEUTRAL] And [CUSTOMER][NEUTRAL] Mm. [CUSTOMER][NEUTRAL] Yeah [CUSTOMER][NEUTRAL] Uh, looking the. [CUSTOMER][NEUTRAL] Document. [CUSTOMER][NEUTRAL] Mhm [CUSTOMER][NEUTRAL] Yeah [CUSTOMER][NEUTRAL] Yeah [CUSTOMER][NEUTRAL] Yeah [CUSTOMER][NEUTRAL] So blank, blank. [CUSTOMER][POSITIVE] Uh, so you just taking your time. [AGENT][NEUTRAL] Do you have a copy of the card? [CUSTOMER][NEUTRAL] Sorry. [CUSTOMER][NEUTRAL] Copy of card? [AGENT][NEUTRAL] Mhm, the copy of the policy, the card, the membership card. [CUSTOMER][NEUTRAL] Yeah. Uh. [CUSTOMER][NEUTRAL] No, uh, I think I don't have the copy of the card in the. The last name? [AGENT][NEUTRAL] Could you spell her last name? because the policy number that you provided is not correct. [AGENT][NEUTRAL] Yes, spell her last name. [CUSTOMER][NEUTRAL] Yeah. [PII]. [AGENT][NEUTRAL] First name [CUSTOMER][NEUTRAL] First name [CUSTOMER][NEUTRAL] [PII] [CUSTOMER][NEUTRAL] OK. [AGENT][NEUTRAL] [PII]. [CUSTOMER][NEUTRAL] Yeah. [CUSTOMER][NEUTRAL] [PII] from [AGENT][NEUTRAL] What city and state does [PII] live in? [CUSTOMER][NEUTRAL] [PII]. [AGENT][NEUTRAL] Could you repeat that state again? [CUSTOMER][NEUTRAL] [PII]. [AGENT][NEUTRAL] You're saying [PII]. [CUSTOMER][NEUTRAL] Yes, [PII]. [AGENT][NEUTRAL] OK, so [PII]'s name is [PII]. I'm gonna either need a social or the correct policy number. Do you have a claim number? [CUSTOMER][NEUTRAL] OK so. [CUSTOMER][NEGATIVE] I don't the correct time. [CUSTOMER][NEUTRAL] Uh, the claim number. [CUSTOMER][NEUTRAL] No, uh, I don't have the same number. [AGENT][NEUTRAL] So, her name is [PII]. There's a lot of [PII]'s in the system. [CUSTOMER][NEUTRAL] OK. [AGENT][NEUTRAL] And you're gonna either need her social or her correct policy number for us to pull up the policy. [CUSTOMER][NEUTRAL] OK. Uh, the, uh. [CUSTOMER][NEUTRAL] So, so, I'm looking uh [AGENT][NEUTRAL] Maybe the policy number is missing a number out of it or something. [CUSTOMER][NEUTRAL] Because the one that you put. [AGENT][NEUTRAL] Because the one that you provided is not pulling up a [PII]. [CUSTOMER][NEUTRAL] OK. [CUSTOMER][NEUTRAL] Uh, [CUSTOMER][NEUTRAL] The social social social. [CUSTOMER][NEUTRAL] Mm [CUSTOMER][NEUTRAL] This one is. [CUSTOMER][NEUTRAL] Yeah, OK. I got the card. [CUSTOMER][NEUTRAL] copy of card and [CUSTOMER][NEUTRAL] Here, the number is [PII]. [CUSTOMER][NEUTRAL] Mm, that's the same. [AGENT][NEUTRAL] No, is this for American? Read the card. What the, what's the name of the company? [CUSTOMER][NEUTRAL] So what's the name of the. [CUSTOMER][NEUTRAL] I [CUSTOMER][NEUTRAL] Uh, [CUSTOMER][NEUTRAL] Claim administrated by WebTPA. [CUSTOMER][NEUTRAL] OK [AGENT][NEUTRAL] Is and by the the number that you provided do it say um. [CUSTOMER][NEUTRAL] Yeah. [AGENT][NEUTRAL] Policy or certain number? [CUSTOMER][NEUTRAL] There are 2 [CUSTOMER][NEUTRAL] Two card copy. Uh, one is Blue Cross Preferred Care. [CUSTOMER][NEUTRAL] Blue Cross Blue Shield of Alabama. The second one is from copy of Alliance Health. [CUSTOMER][NEUTRAL] Uh, what is this? Health Connect? [AGENT][NEUTRAL] So this is not alliance. This is American public life. [CUSTOMER][NEUTRAL] Oh. [CUSTOMER][NEUTRAL] OK. [AGENT][NEGATIVE] You're calling the wrong insurance company, unfortunately. [CUSTOMER][NEUTRAL] OK. [CUSTOMER][NEUTRAL] Yeah. [CUSTOMER][NEUTRAL] Oh, [CUSTOMER][NEUTRAL] So. [AGENT][POSITIVE] No worries, thanks for calling APL and have a great day. [CUSTOMER][NEUTRAL] OK. [CUSTOMER][POSITIVE] Thank you. It's OK. Sorry. OK, bye. [AGENT][NEUTRAL] Bye. [AGENT][NEUTRAL] Bye.