AccountId: 011433970860 ContactId: 6675143e-227b-4326-991b-571a8def67f4 Channel: VOICE LanguageCode: en-US Total Conversation Duration: 294549 ms Total Talk Time (AGENT): 94284 ms Total Talk Time (CUSTOMER): 184801 ms Interruptions: 0 Overall Sentiment: AGENT=1, CUSTOMER=0.3 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/03/14/6675143e-227b-4326-991b-571a8def67f4_20250314T16:21_UTC.wav -------------------------------------------- [CUSTOMER][NEUTRAL] I think that [AGENT][NEUTRAL] Thank you for calling APL. This is [PII]. How may I help you? [CUSTOMER][NEUTRAL] Like [CUSTOMER][NEUTRAL] Yes, I'm not quite sure I understand this, um. [CUSTOMER][NEUTRAL] I don't know if it's a bill if it's been paid or what maybe you could explain it to me. [CUSTOMER][NEUTRAL] My name is [PII]. [AGENT][NEUTRAL] Yes, ma'am. [CUSTOMER][NEUTRAL] And my claim number policy number is, uh, I guess it's I do the policy number or the reference number? [AGENT][NEUTRAL] The policy number, please. [CUSTOMER][NEUTRAL] Yeah [CUSTOMER][NEUTRAL] OK, it's uh 01. [CUSTOMER][NEUTRAL] 792111 [AGENT][NEUTRAL] OK, Miss [PII], let me look up your policy real quick. [CUSTOMER][POSITIVE] Alright, thank you. [AGENT][POSITIVE] You're very welcome. [CUSTOMER][NEUTRAL] Mhm [AGENT][NEUTRAL] OK, Miss [PII], can you verify your date of birth for me? [CUSTOMER][NEUTRAL] Uh huh, it's [PII]. [AGENT][NEUTRAL] Thank you, ma'am. And then also for security reasons can you please give me your address, phone number and email address that we have on the policy for you? [CUSTOMER][NEUTRAL] Mhm. [CUSTOMER][NEUTRAL] OK, uh, my phone number is [PII]. I'm calling from my job phone. This is. [CUSTOMER][NEUTRAL] But my, and you said my what again? I'm sorry. [AGENT][NEUTRAL] Your physical address and email address. [CUSTOMER][NEUTRAL] I gave you my [CUSTOMER][NEUTRAL] OK, um, my address is [PII]. [CUSTOMER][NEUTRAL] And my email address is [PII]. [AGENT][POSITIVE] Thank you, Miss [PII]. I appreciate you giving me that information and the number that you just gave me, if we get disconnected, is that a good call back number for you? [CUSTOMER][NEUTRAL] Mhm. [CUSTOMER][NEUTRAL] Oh, that's OK. [CUSTOMER][NEGATIVE] Uh, yeah, but you can call me on my cell phone. I'm just wasting my, my phone. I'm on my desk, so you can call me on my cell phone, mhm. [AGENT][NEUTRAL] OK. [AGENT][NEUTRAL] Yes, ma'am. Thank you so much. OK, so looking, looking at the policy, you had a claim that you wanted me to check for you, is that correct? [CUSTOMER][POSITIVE] You're welcome. [CUSTOMER][NEUTRAL] Oh [CUSTOMER][NEUTRAL] Yes, I, well, I, I think I understand it now. It says bill charges. [CUSTOMER][NEUTRAL] $173 but I looked up in this corner and said this is not a bill, so does that mean they're going to send it to me or [CUSTOMER][NEUTRAL] Uh, cause it says total benefit. [AGENT][NEUTRAL] Is it an explanation? [CUSTOMER][NEUTRAL] Yeah [AGENT][NEUTRAL] Is it an explanation of benefits? [CUSTOMER][POSITIVE] Yes, my, yeah, good, yes, right he provide a service integrity Medical Group. [CUSTOMER][NEGATIVE] None covered service. [AGENT][NEUTRAL] Right, OK, so do you have a claim number? [CUSTOMER][NEUTRAL] Uh, [CUSTOMER][NEUTRAL] Uh, the claim number is for it to look a few policy number. [CUSTOMER][NEUTRAL] Check date, um, reference that reference number? No, I just told you that, didn't I? [CUSTOMER][NEUTRAL] Oh yes ma'am, I'm sorry, it's 357. [CUSTOMER][NEUTRAL] 2919 [AGENT][NEUTRAL] OK, thank you Miss [PII]. I've got the um claim pulled up right now and I'm showing that the claim was denied because office visits are not covered under your policy. [CUSTOMER][NEUTRAL] Mhm. [CUSTOMER][NEUTRAL] Mhm. [CUSTOMER][NEUTRAL] Under my APL. [AGENT][NEUTRAL] Right. [CUSTOMER][NEUTRAL] OK, uh OK. [CUSTOMER][NEGATIVE] So why didn't they send me a return envelope so I could pay this? [AGENT][NEUTRAL] Uh, we don't send the bill. [CUSTOMER][NEUTRAL] Oh, you don't. So I will get it. um, I just got it in the mail yesterday, so I was just trying to see what else is this, you know what I'm supposed to do after I went on and just send it in. OK, well, I'm just waiting for a bill then. [AGENT][NEUTRAL] No, ma'am. [AGENT][NEUTRAL] OK. All right. And is there anything else I can help you with, Miss [PII], before we go? [CUSTOMER][NEUTRAL] Uh [CUSTOMER][NEUTRAL] No, that's all I was just trying to understand. They said that my, my. [CUSTOMER][NEUTRAL] This APL wasn't covered under office visits. [CUSTOMER][NEUTRAL] Visit, that's what you said, right? [AGENT][NEUTRAL] Yes, ma'am. [AGENT][NEUTRAL] Yes, ma'am. [CUSTOMER][NEUTRAL] OK. [CUSTOMER][POSITIVE] Alright then, well, that's all I needed to know. I just want to get it put in the mail and and pay it, so I'll just wait for my bill, and I thank you so much for your time and patience. [AGENT][POSITIVE] Well, you're so welcome, Ms. [PII], and I hope you have a wonderful weekend and we definitely appreciate you calling APL. [CUSTOMER][POSITIVE] And as long as the Lord is in charge, I'm going to be alright, and you see with you and your family, ma'am. [AGENT][POSITIVE] Thank you, and absolutely. [CUSTOMER][NEUTRAL] Yeah [CUSTOMER][NEUTRAL] And [CUSTOMER][NEUTRAL] OK, bye bye bye bye bye. [AGENT][NEUTRAL] All right. [AGENT][NEUTRAL] Bye-bye, Miss [PII].