AccountId: 011433970860 ContactId: 3f1ac42f-6e6e-436b-af2b-aaa1943b5cb6 Channel: VOICE LanguageCode: en-US Total Conversation Duration: 303089 ms Total Talk Time (AGENT): 114524 ms Total Talk Time (CUSTOMER): 210544 ms Interruptions: 6 Overall Sentiment: AGENT=0.4, CUSTOMER=0.3 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/05/30/3f1ac42f-6e6e-436b-af2b-aaa1943b5cb6_20250530T13:36_UTC.wav -------------------------------------------- [AGENT][POSITIVE] Thank you for calling American Public Life. This is [PII]. How can I help you? [CUSTOMER][NEUTRAL] Uh, yes ma'am. I don't know if I clicked the right keys or not. I'm trying to uh verify coverage and see if I need a prior authorization for a plan, a 90 degree plan. [AGENT][NEUTRAL] OK. I can take a look at that for you. Can I get your name and a callback number? [CUSTOMER][NEUTRAL] My name is my name is [PII], last initial [PII]. [CUSTOMER][NEUTRAL] Excuse me, uh, my number here, direct line [PII], and what was your name again please? [AGENT][NEUTRAL] [PII] [CUSTOMER][NEUTRAL] right [CUSTOMER][POSITIVE] [PII], thank you. [AGENT][NEUTRAL] You're welcome and if I could get the policy number you're calling on. [CUSTOMER][NEUTRAL] Policy number for the plan, I mean for the it's employee ID uh it's D43733. No, that's not it. OK, so you need a. [AGENT][NEUTRAL] OK, that's not our. [AGENT][NEUTRAL] Oh, yeah. [CUSTOMER][NEUTRAL] I need a well I got a group number. I got it. [PII], yeah, the member is doesn't have a. [AGENT][NEUTRAL] It's uh, let me see. I can try to pull back. [AGENT][NEUTRAL] Let me try to pull my. [AGENT][NEUTRAL] OK. What is the last name? [CUSTOMER][NEUTRAL] Like a policy number. [CUSTOMER][NEUTRAL] [PII] [AGENT][NEUTRAL] OK. First name? [CUSTOMER][NEUTRAL] [PII] [CUSTOMER][NEUTRAL] I [PII], and I guess. [AGENT][NEUTRAL] OK, let's see. [AGENT][NEUTRAL] And what is her date of birth? [CUSTOMER][NEUTRAL] I tried to do it online. Her date of birth is [PII], excuse me, [PII]. [AGENT][NEUTRAL] OK, thank you so much for verifying her, her policy. Now, I do not show she has a medical policy with us. [CUSTOMER][NEUTRAL] And [CUSTOMER][NEUTRAL] Not medical. OK. The, the card, this has got a MEC coverage, multi-plan medical coverage on the card. [AGENT][NEUTRAL] Not medical. [AGENT][NEUTRAL] OK. [AGENT][NEUTRAL] Um, let me, let me see if I can find anything. [CUSTOMER][NEUTRAL] Mhm. [AGENT][NEUTRAL] Mm [AGENT][NEUTRAL] I [CUSTOMER][NEUTRAL] If it's not medical, then what is it? [AGENT][NEUTRAL] Oh, with that, she has dental. She has a dental and a [CUSTOMER][NEUTRAL] Oh, this is just [AGENT][NEUTRAL] Uh, so she has dental with us, she has an, uh, a disability policy with us. [CUSTOMER][NEUTRAL] Dental. [CUSTOMER][NEUTRAL] And dental, and if she's disabled. [AGENT][POSITIVE] Correct. [CUSTOMER][NEUTRAL] Policy. [CUSTOMER][NEUTRAL] Disabled. OK, so if she gets disabled, she has some benefits or if she has dental work required, she has some benefits, but not medical. [AGENT][NEUTRAL] Correct, not medical with us. So this type of policy, they do have um different coverage through different administrators, um. [CUSTOMER][NEUTRAL] Mhm [CUSTOMER][NEUTRAL] Mhm, yeah. [AGENT][NEUTRAL] And so, yeah, with us, there's no medical policy. I'm not sure who covers her medical. [CUSTOMER][NEUTRAL] That [CUSTOMER][NEUTRAL] Oh, OK, so that I would have to call the multipla people then I guess. [AGENT][NEUTRAL] Uh, multi-plan is usually used for their discount, but I mean, you can try what what all information is on the card. [CUSTOMER][NEUTRAL] OK, cause it says, it says medical on the phone. [CUSTOMER][NEUTRAL] this is [CUSTOMER][NEUTRAL] Uh, yeah. [CUSTOMER][NEUTRAL] Well, the card is for MAU Workforce Solutions, which I'm sure that's where she works. [AGENT][NEUTRAL] Mhm. Mars, mhm. [CUSTOMER][NEUTRAL] Uh, sounds like a temp, sounds like a temp company. OK, and then it has an employee ID, her name, and then the medical coverage is employee and has a group number. And then another little box over there has a medical tab on it and it's multi-plan, preventive services only, and then it has another phone number, and then underneath that it says MEC coverage. [AGENT][NEUTRAL] Mm. [AGENT][NEUTRAL] Mhm. [AGENT][NEUTRAL] OK. [CUSTOMER][NEUTRAL] So that's just the essentials. But I, so I need to. [AGENT][NEUTRAL] OK, yeah, I guess maybe you could try multiplan, but it sounds like. [CUSTOMER][NEUTRAL] Multiplayer. [AGENT][NEUTRAL] They only have preventative is what the card is sounding like, but I would check with them just to make sure. [CUSTOMER][NEUTRAL] Yeah, OK. [CUSTOMER][NEUTRAL] And you are just the 90 degree. [AGENT][NEUTRAL] Well, we are American Public Life. [CUSTOMER][NEUTRAL] Uh, is what. [CUSTOMER][NEUTRAL] Oh, American public life. [CUSTOMER][NEUTRAL] And you're covering dental. [AGENT][NEUTRAL] And disability. [CUSTOMER][NEUTRAL] And dis dis disability only. [CUSTOMER][NEUTRAL] OK. [CUSTOMER][POSITIVE] All right, well, [PII], thank you. [AGENT][NEUTRAL] You're welcome, [PII]. [CUSTOMER][NEUTRAL] Uh, uh, 90 degree doesn't cover what I need to look into. I'm calling from a cardiologist's office, so I will try to get a hold of the, uh, other number on the card then. [AGENT][NEUTRAL] Mm, OK. [AGENT][POSITIVE] OK, well you have a wonderful day. Thank you for calling APL. [CUSTOMER][NEUTRAL] OK. [CUSTOMER][POSITIVE] OK, and you have a good weekend ahead. All right, thank you [PII], bye bye. [AGENT][NEUTRAL] You too. Mhm. Bye-bye. [CUSTOMER][NEUTRAL] Right, right