AccountId: 011433970860 ContactId: 33dcdb82-330c-4140-8e62-7fd5ba631608 Channel: VOICE LanguageCode: en-US Total Conversation Duration: 295589 ms Total Talk Time (AGENT): 79858 ms Total Talk Time (CUSTOMER): 111208 ms Interruptions: 0 Overall Sentiment: AGENT=0.8, CUSTOMER=-0.1 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/03/27/33dcdb82-330c-4140-8e62-7fd5ba631608_20250327T15:10_UTC.wav -------------------------------------------- [AGENT][POSITIVE] Good morning. Thank you for calling APL. This is [PII]. How may I help you? [CUSTOMER][NEUTRAL] Hello, how are you doing? [AGENT][POSITIVE] I'm good. How are you? [CUSTOMER][POSITIVE] I'm great, thanks for asking. What was your name? I didn't hear you. Did you say it was this [PII]? [AGENT][NEUTRAL] Yes, uh huh. [CUSTOMER][POSITIVE] [PII], I always get you every time I call you. How are you doing today? [AGENT][POSITIVE] I'm good. How are you? [CUSTOMER][POSITIVE] I always calling you with this stuff. [CUSTOMER][NEGATIVE] I want to bother somebody else sometimes. [AGENT][NEUTRAL] I [AGENT][NEUTRAL] Yeah. [AGENT][NEUTRAL] It's OK. [CUSTOMER][NEGATIVE] Well, I called you because I'm processing the claim and it's not, it's not allowing me to move forward. It keeps telling me to contact um. [CUSTOMER][NEGATIVE] It's, it's telling me to review all benefits which I didn't get. [CUSTOMER][NEUTRAL] And then it saying contact the appropriate supervisor or manager of customer service. [AGENT][NEUTRAL] Oh. [AGENT][NEUTRAL] OK. What's the policy number? [CUSTOMER][NEUTRAL] It's 243-072-5. [CUSTOMER][NEUTRAL] For part 4. [CUSTOMER][NEUTRAL] And the policy is terminated, but it didn't terminate until [PII]. [CUSTOMER][NEUTRAL] And my date of service is [PII]. [AGENT][NEUTRAL] OK. [AGENT][NEUTRAL] Let's [AGENT][NEUTRAL] Oh, I see. [AGENT][NEGATIVE] Well, no. [AGENT][NEUTRAL] It changed. [AGENT][NEUTRAL] OK. [AGENT][NEUTRAL] Yeah, it shows it all the benefits from [PII] and PIBFT. [AGENT][NEUTRAL] And NPIBAT as well. [CUSTOMER][NEUTRAL] Mhm. [AGENT][POSITIVE] Everything looks fine. [CUSTOMER][NEGATIVE] But it's not giving me hell. [AGENT][NEUTRAL] Let's see. [AGENT][NEUTRAL] Let me make sure. [CUSTOMER][NEUTRAL] Um. [AGENT][NEUTRAL] Yes, family coverage. [AGENT][NEUTRAL] On everything? [AGENT][NEUTRAL] Which benefit is it that you're you're pulling on? [CUSTOMER][NEUTRAL] Um, outpatient. [AGENT][NEUTRAL] On the OPPCD. [AGENT][NEUTRAL] Has it changed and [CUSTOMER][NEUTRAL] Mhm. [CUSTOMER][NEUTRAL] Let me see. [AGENT][NEUTRAL] Yeah. [AGENT][NEUTRAL] Let me make sure that is right. [AGENT][NEUTRAL] Oh. [AGENT][POSITIVE] I can get my screens to work. [AGENT][NEUTRAL] OK. [CUSTOMER][NEUTRAL] I know she will be OK, you know. [AGENT][NEUTRAL] Um [CUSTOMER][NEUTRAL] An outpatient [CUSTOMER][NEUTRAL] So, outpatient say. [CUSTOMER][NEUTRAL] [PII]. [AGENT][NEUTRAL] 650. [CUSTOMER][NEUTRAL] So let me see. [CUSTOMER][NEUTRAL] Mhm. [AGENT][POSITIVE] OK I can pull up any benefits in here. [CUSTOMER][NEUTRAL] OK. [AGENT][NEUTRAL] Um, [CUSTOMER][NEUTRAL] That's the thing, it's not when I um on the C C BFT screen, when I go to it and I choose outpatient, it just says from [PII]. [CUSTOMER][NEUTRAL] That's weird. I've never done anything like it. [CUSTOMER][NEUTRAL] Let me take out take stuff. [AGENT][NEUTRAL] And you're using the OP. [AGENT][NEUTRAL] PCD and not the OPPD or? [AGENT][NEGATIVE] Because I think it was issued with the wrong benefit. [CUSTOMER][NEUTRAL] So, on the. [AGENT][NEUTRAL] OPCY was wrong, so they took it out and put the OPPCD in. You're, you're clicking on that one, right? [CUSTOMER][NEUTRAL] Let me see. [CUSTOMER][NEUTRAL] Hold on. [AGENT][NEUTRAL] Yeah. [AGENT][NEUTRAL] I'm sorry. [CUSTOMER][NEUTRAL] Oh, per calendar day. [CUSTOMER][NEUTRAL] This one says 11:23. [AGENT][NEUTRAL] Mhm. [CUSTOMER][NEUTRAL] 11:23. [AGENT][NEUTRAL] Yeah. [CUSTOMER][NEUTRAL] OK. [CUSTOMER][NEGATIVE] Yeah, see I be bothering you for no reason, remember. [AGENT][NEUTRAL] You don't bother me. [AGENT][POSITIVE] You're perfectly fine. [CUSTOMER][POSITIVE] Thank you. [AGENT][POSITIVE] Thank you. You have a good day. [CUSTOMER][NEUTRAL] You do the same. Goodbye. [AGENT][NEUTRAL] All right. OK.