AccountId: 011433970860 ContactId: 2ab10768-b000-4eb2-8971-cee1c4f73e63 Channel: VOICE LanguageCode: en-US Total Conversation Duration: 1288069 ms Total Talk Time (AGENT): 407641 ms Total Talk Time (CUSTOMER): 444340 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/2025/01/13/2ab10768-b000-4eb2-8971-cee1c4f73e63_20250113T17:25_UTC.wav -------------------------------------------- [AGENT][NEUTRAL] Thank you for calling APL. This is [PII]. How may I help you? [CUSTOMER][NEUTRAL] Her to. [CUSTOMER][NEGATIVE] Excuse me, I was trying to go online to see, uh, check on a claim, but it won't let me online. [AGENT][NEUTRAL] Yes. [AGENT][NEUTRAL] OK, I can help you with claim status. Can you please give me your name and your callback number just in case our call gets disconnected. [CUSTOMER][NEUTRAL] OK, [PII], my number is uh [PII] let me correct you [PII]. [AGENT][NEUTRAL] OK, thank you. And then what is your policy number? [CUSTOMER][NEUTRAL] Every [CUSTOMER][NEUTRAL] Oh. [CUSTOMER][NEUTRAL] Policy number. [CUSTOMER][NEUTRAL] This woman is the [CUSTOMER][NEUTRAL] 01. [CUSTOMER][NEUTRAL] The [CUSTOMER][NEUTRAL] 888-560 [AGENT][NEUTRAL] OK. Let me pull your policy in real quick. [CUSTOMER][NEUTRAL] Mm. [CUSTOMER][NEUTRAL] Yes [CUSTOMER][NEUTRAL] We've been working up to it for a long time. [AGENT][NEUTRAL] OK, Miss [PII], can you please verify your date of birth for me? [CUSTOMER][NEUTRAL] [PII]. [CUSTOMER][POSITIVE] It's uh this is no ham bad thank you man [PII]. [AGENT][NEUTRAL] And then can you also verify your address, phone number? [AGENT][NEUTRAL] An email address that we have on file for you. [CUSTOMER][NEUTRAL] Address is [PII]. [CUSTOMER][NEUTRAL] [PII]. [CUSTOMER][NEUTRAL] Email is [PII]. [CUSTOMER][NEUTRAL] [PII]. She screaming. [AGENT][NEUTRAL] OK. [AGENT][NEUTRAL] And then the cell phone number that you gave me to call in case our call gets disconnected, that is your cell phone number, is that correct? [CUSTOMER][NEUTRAL] I do about it. [CUSTOMER][NEUTRAL] In case [CUSTOMER][NEUTRAL] Yes, [PII]. [AGENT][NEUTRAL] OK. [AGENT][NEUTRAL] Mhm. [AGENT][NEUTRAL] OK, um, the problem is we've got your email address at [PII]. [CUSTOMER][POSITIVE] Thanks. [CUSTOMER][NEUTRAL] OK. [AGENT][NEUTRAL] So you'll need to use that email address to get into the online service center. [CUSTOMER][NEUTRAL] Liberty. [CUSTOMER][NEUTRAL] Let me write that. [AGENT][NEUTRAL] Are you still using that email email address or would you like for me to update it to your. [CUSTOMER][NEUTRAL] Yeah, I update it to my address. That's my work, that's my work. [AGENT][NEUTRAL] OK. [AGENT][NEUTRAL] OK. All right. What would you like for your email address to be? [CUSTOMER][NEUTRAL] My email uh verse [PII]. [CUSTOMER][NEUTRAL] What's the one I'm using [PII] what? [CUSTOMER][NEGATIVE] My order you better questions. [AGENT][NEUTRAL] [PII] is the one that's on there. So, your new email address is going to be [PII] and I didn't get [PII] rest of it. [CUSTOMER][NEUTRAL] OK [CUSTOMER][NEUTRAL] [PII] [CUSTOMER][NEUTRAL] Yeah. [AGENT][NEUTRAL] [PII] [CUSTOMER][NEUTRAL] [PII]. [CUSTOMER][NEUTRAL] When [AGENT][NEUTRAL] [PII]. [AGENT][NEUTRAL] OK. [CUSTOMER][NEUTRAL] Mhm. [AGENT][NEUTRAL] Let me update that real quick for you. [CUSTOMER][NEUTRAL] Star Trek Enterprise tonight at [PII] 11 central part of all Star Trek on H&I. It's easy to save on car insurance with Insure. Insure I may getting coverage. [CUSTOMER][NEUTRAL] It still effort [CUSTOMER][NEUTRAL] That [CUSTOMER][NEUTRAL] Be sure [CUSTOMER][POSITIVE] Easy way to save on car insurance. [AGENT][NEUTRAL] OK, it's gonna be just a second while it takes. [CUSTOMER][NEUTRAL] I don't know [CUSTOMER][NEUTRAL] Could you give me, uh, they said my, uh, it was complete. Could you tell me what they decided. [AGENT][NEUTRAL] Yes ma'am, as soon as I get this email updated, I will make sure that I give you your claim information. [CUSTOMER][NEUTRAL] OK. He was [PII] when he got injured. [CUSTOMER][NEUTRAL] You walk in those intensive care room. [CUSTOMER][NEGATIVE] You don't even recognize [CUSTOMER][POSITIVE] The need for warrior project continues. Your support is even more important now because the greatest casualty is being forgotten. [CUSTOMER][NEGATIVE] It was a real hard time for us. [CUSTOMER][NEUTRAL] And then walks where. [AGENT][NEUTRAL] OK, I've got that email updated now. Now I'm gonna go over to your claims and look at those for you. [CUSTOMER][POSITIVE] That's right there. [CUSTOMER][NEUTRAL] Yeah [CUSTOMER][NEUTRAL] OK. [AGENT][NEUTRAL] OK, so you're in question about the claim that you sent in on [PII]? [CUSTOMER][NEUTRAL] Our donors. [CUSTOMER][NEUTRAL] Oh yeah, I wanna see that they deny that one. [AGENT][NEUTRAL] OK, let me look at that for you. [CUSTOMER][POSITIVE] Come a long way and he doesn't give up. [CUSTOMER][NEUTRAL] Do you, do you keep fighting and pushing forward. [CUSTOMER][NEUTRAL] My dad's been to. [AGENT][NEUTRAL] OK, it's saying that um the claim that you sent in, the policy, uh, [CUSTOMER][NEUTRAL] Yeah. [AGENT][NEUTRAL] Benefits for the listed dates of service, the days that you sent it in for have been paid directly to the provider of service. [CUSTOMER][NEUTRAL] And [CUSTOMER][NEGATIVE] The pain that negativity. [CUSTOMER][NEUTRAL] OK, so if they've already been paid. [CUSTOMER][POSITIVE] And we'll send you this will be more your project blanket as a thank you. [CUSTOMER][POSITIVE] Is a very powerful look. [AGENT][NEUTRAL] Yeah, that they were paid to the provider. [CUSTOMER][NEUTRAL] One [CUSTOMER][NEUTRAL] OK, so if they had already been paid, what do I do? [CUSTOMER][NEUTRAL] Please give a little. [AGENT][NEUTRAL] As far as what is it that you're asking? What do you do about what, ma'am? [CUSTOMER][NEUTRAL] Uh, I, I claim the policy to pay uh to get reimbursed for a bill that I paid. [AGENT][NEUTRAL] OK, so on the data service for the claims that you sent in. [AGENT][NEUTRAL] That amount was paid to the provider. [AGENT][NEUTRAL] For those dates of service. [CUSTOMER][NEUTRAL] Report. [AGENT][NEUTRAL] That you sent the claim in for. [CUSTOMER][NEUTRAL] What harmy they do [CUSTOMER][NEUTRAL] I'm sorry boys, even the doctor [PII] would say don't need to apologize for anything. It's not your fault. Yes it is as much. [AGENT][NEUTRAL] So for the information that you sent in on the claim and the dates that you went to the doctor that you put on the claim. [CUSTOMER][NEUTRAL] Mhm. [AGENT][NEUTRAL] Those dates were paid to the to the provider, the person that you went to go see. [CUSTOMER][NEUTRAL] Could you tell me how much they pay? Could you tell me how much they pay? [AGENT][NEUTRAL] Yes. [AGENT][NEUTRAL] Yes, $3000. [CUSTOMER][POSITIVE] Sure do. Let's go and check that out. I'll see you back. [AGENT][NEUTRAL] That was for South Tulsa surgery? [CUSTOMER][NEUTRAL] No ma'am. [CUSTOMER][NEUTRAL] No ma'am. [AGENT][NEUTRAL] OK. So that might have been a different claim that the surgery center sent in. What was the [AGENT][NEUTRAL] What was the provider that you went to go see for the claims that you sent in? [CUSTOMER][NEUTRAL] Oh. [CUSTOMER][NEUTRAL] Saint Francis Hosel. [AGENT][NEUTRAL] Saint Francis Hospital. OK. Let me look. [CUSTOMER][NEUTRAL] I [CUSTOMER][NEUTRAL] Oh. [CUSTOMER][NEUTRAL] He will buy some privacy. [CUSTOMER][NEUTRAL] I thought about it. What you like. I brought my pen. [CUSTOMER][NEUTRAL] Hey now [CUSTOMER][POSITIVE] Uh good how are you? [AGENT][NEUTRAL] OK, I'm showing Saint John Broken Arrow. Is that the same? [CUSTOMER][NEUTRAL] No, ma'am. [CUSTOMER][NEUTRAL] This is was for a car accident I had in [PII]. [CUSTOMER][NEUTRAL] [PII]. [CUSTOMER][NEUTRAL] And this happened, the accident happened last year, [PII] uh [PII]. [AGENT][NEUTRAL] OK, I'm showing the service date is [PII]. [CUSTOMER][NEUTRAL] Oh [CUSTOMER][NEUTRAL] No, ma'am. [AGENT][NEUTRAL] OK, so what I can do is I can get your number and I can um send in a request for somebody to call you back and investigate this because you're saying the wrong provider was paid, is that correct? [CUSTOMER][NEUTRAL] No, uh, uh, this is a new claim. [AGENT][NEUTRAL] Your claim is for. [CUSTOMER][NEUTRAL] I did have [AGENT][NEUTRAL] You sent your claim in on [PII]? [CUSTOMER][NEUTRAL] Yeah. [AGENT][NEUTRAL] OK, on that claim it states. [CUSTOMER][NEUTRAL] You read that on the [CUSTOMER][NEUTRAL] too [AGENT][NEUTRAL] The policy benefits for this listed dates of service have been paid directly to the provider of service. [CUSTOMER][NEUTRAL] And that is uh. [AGENT][NEUTRAL] Whoever you put on the claim form. [CUSTOMER][NEUTRAL] To [AGENT][NEUTRAL] That you want to go see. [CUSTOMER][NEUTRAL] Doctor, is it a doctor? [CUSTOMER][NEUTRAL] It's just the house full of stuff. [CUSTOMER][NEUTRAL] Yeah [AGENT][NEUTRAL] Let me look real quick. [CUSTOMER][NEUTRAL] Let [CUSTOMER][POSITIVE] Not just yet, Mr. And we have a special surprise for you. We realize, Mr. And that you finalize a deal without the numbers. [CUSTOMER][POSITIVE] But uh I'm sorry. [AGENT][NEUTRAL] I can't see who was paid, um, and let me see, the last payment that I, I can see. [CUSTOMER][NEUTRAL] Oh [AGENT][NEUTRAL] was paid on [PII]. [AGENT][NEUTRAL] Let me look real quick. [AGENT][NEUTRAL] And that's the last payment I see was [PII], and the check was sent to you and was cashed in the amount of $3000. [CUSTOMER][NEUTRAL] Mhm. [AGENT][NEUTRAL] That's the last, that's the last payment I see. [CUSTOMER][NEUTRAL] So see, see, see, it doesn't see it doesn't make sense, you know, if I file a claim. [CUSTOMER][NEUTRAL] Uh, on the [PII] of. [CUSTOMER][POSITIVE] This month, [PII] and they paid me. [CUSTOMER][NEUTRAL] In [PII]. You see what I'm talking about, ma'am? You see what I see. [AGENT][NEUTRAL] Mhm. [AGENT][NEUTRAL] Right. [AGENT][NEUTRAL] Uh, right, I understand. All I can see is that this last claim that you sent in on [PII], the policy benefits for this listed dates of service have been paid directly to the provider of service. [CUSTOMER][NEUTRAL] We just don't know where he is yet. [CUSTOMER][NEUTRAL] He has any ideas. [CUSTOMER][NEUTRAL] That's all it says and it and it says [PII]. [AGENT][NEUTRAL] Yes ma'am. [AGENT][NEUTRAL] No, that was, that was a. [CUSTOMER][NEUTRAL] That's playing for us. [AGENT][NEGATIVE] No, that's all it says. It doesn't show me. [CUSTOMER][NEUTRAL] No they are. [CUSTOMER][NEUTRAL] It says same jobs and now [PII]'s running all over town. [AGENT][NEUTRAL] No, the last, the last time. [AGENT][NEUTRAL] No ma'am, the last, um, payment was made to you and previous to that on [PII], that's the last payment I show there's only two payments I see. [CUSTOMER][NEUTRAL] OK. [CUSTOMER][NEUTRAL] I [CUSTOMER][NEUTRAL] What [CUSTOMER][NEUTRAL] My sister [AGENT][NEUTRAL] That I can look up. And let's see, this next one is 179. [AGENT][NEUTRAL] 963-39. Let me look real quick at this check to see who it was paid to. [CUSTOMER][NEUTRAL] Sister about [AGENT][NEUTRAL] We paid [PII] Broken Arrow. [CUSTOMER][NEUTRAL] my. [AGENT][NEUTRAL] [PII]. [CUSTOMER][NEUTRAL] Yeah, that's when I had my bike to you. [AGENT][NEUTRAL] OK, so this last claim that you sent. [CUSTOMER][NEUTRAL] I don't know [AGENT][NEUTRAL] And [CUSTOMER][NEUTRAL] I know, [PII], I'm sorry. [AGENT][NEUTRAL] On [PII], that's the one that has given us the remark that it was paid directly to the provider of service. [CUSTOMER][NEUTRAL] And it doesn't say. [AGENT][NEUTRAL] For service date [PII]. [CUSTOMER][NEUTRAL] They said they're all they're wrong. [AGENT][NEUTRAL] Now like I said I can have a. [AGENT][NEUTRAL] I'm gonna call you back. [CUSTOMER][NEUTRAL] You [AGENT][NEUTRAL] And go over it with you if you would like. [CUSTOMER][POSITIVE] Thank you. [CUSTOMER][NEGATIVE] Please do because they got everything on that wrong. [AGENT][NEUTRAL] OK, I will make sure that you get a phone call back and it could be up to 24 hours uh for somebody to return the call, but I am putting in a request and I'm gonna do that while we're on the phone together so I'm gonna give you, put you on a brief hold so I send in the request for them to call you back, OK? [CUSTOMER][NEUTRAL] OK, thank you. You are on hold. [AGENT][POSITIVE] You're very welcome. [CUSTOMER][NEGATIVE] You are on hold. [CUSTOMER][NEGATIVE] You are on hold. [CUSTOMER][NEGATIVE] You are on hold. [AGENT][NEUTRAL] OK, Ms. [PII], the phone number that you want them to to return the call at, is that the [PII]? Is that the number you'd like them to return the call at? OK, alright, I have got that request in for you so that somebody can call you. [CUSTOMER][NEUTRAL] I [CUSTOMER][NEUTRAL] Yes. [CUSTOMER][NEUTRAL] Yes. [CUSTOMER][NEUTRAL] Yes. [AGENT][NEUTRAL] Back [CUSTOMER][NEUTRAL] OK, because if they don't play the song. [AGENT][NEUTRAL] And give you better answers, OK? and research it for you. [CUSTOMER][NEUTRAL] If they don't pay out a claim, I don't know who they paid. [AGENT][POSITIVE] OK, yes, I'll make sure somebody calls you back and gives you some answers. [CUSTOMER][NEUTRAL] Oh, OK then. [AGENT][POSITIVE] OK, all right, I've got it taken care of for you. I've got that request in. Is there anything else that I can. [CUSTOMER][NEUTRAL] And what's your name? [AGENT][NEUTRAL] My name is [PII] [CUSTOMER][NEUTRAL] OK, [PII]. [CUSTOMER][NEUTRAL] OK [CUSTOMER][NEUTRAL] No, that'll be all to. [AGENT][NEUTRAL] OK, you have. [CUSTOMER][POSITIVE] I'll be looking forward to that call. [AGENT][POSITIVE] Yes, ma'am, and like I said, it could take up to 24 hours for them to call you, but somebody definitely will be giving you a call back. [CUSTOMER][NEUTRAL] OK, thank you because I don't know who they paid up. [AGENT][POSITIVE] Yes ma'am you're. [CUSTOMER][POSITIVE] OK then thank you so much. [AGENT][POSITIVE] You're welcome, Ms. [PII]. You have a blessed rest of your week and thanks for calling APL. [CUSTOMER][NEUTRAL] You too bye bye. [AGENT][NEUTRAL] Bye bye. [CUSTOMER][NEUTRAL] I