AccountId: 011433970860 ContactId: 6eb58b48-12bc-4703-8bf7-820cdecaa0d8 Channel: VOICE LanguageCode: en-US Total Conversation Duration: 1223660 ms Total Talk Time (AGENT): 171763 ms Total Talk Time (CUSTOMER): 113854 ms Interruptions: 1 Overall Sentiment: AGENT=1, CUSTOMER=-2.7 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/06/19/6eb58b48-12bc-4703-8bf7-820cdecaa0d8_20250619T20:43_UTC.wav -------------------------------------------- [AGENT][POSITIVE] Good afternoon. Thank you for calling APL. My name is [PII]. How may I help you? [CUSTOMER][NEGATIVE] Oh yes, my name is [PII], and I had sent in a wellness claim form back in end of April and I've not received anything. [AGENT][POSITIVE] Oh, OK. Well, I'm definitely sorry to hear that you haven't received anything. Um, I'll be more than happy to look into this for you. Ms. [PII], may I have a good contact number in case we're disconnected and your policy number? [CUSTOMER][NEUTRAL] [PII] [AGENT][POSITIVE] Thank you for that and your policy? [CUSTOMER][NEUTRAL] Cause I got uh [CUSTOMER][NEUTRAL] I had emailed it in and I got an email back. [AGENT][NEUTRAL] Emailed it in. OK. [CUSTOMER][NEUTRAL] Uh, but that's just, yes. [CUSTOMER][NEUTRAL] OK, the policy number is 722621. [AGENT][NEUTRAL] OK, hold on one moment. [AGENT][NEUTRAL] OK, now I have you here Ms. [PII]. I just need you to verify your date of birth and the mailing address on file. [CUSTOMER][NEUTRAL] OK, it's under my husband. Do you want his date of birth? [PII]. [AGENT][NEUTRAL] Mhm. [AGENT][NEUTRAL] No, ma'am. Your date of birth? [CUSTOMER][NEUTRAL] [PII]. [AGENT][NEUTRAL] Thank you and the mailing address on file? [CUSTOMER][NEUTRAL] It's [PII]. [AGENT][NEUTRAL] Thank you for that and all the information provided is a verification of benefits, not a guarantee of payment. And so you said you emailed it, where did you email the claim to because we typically don't accept claims through email. [CUSTOMER][NEUTRAL] Oh, do do do 2 APL claims, no claims at 8. [CUSTOMER][NEUTRAL] [PII]. [CUSTOMER][POSITIVE] Because I got a response that said thank you for contacting APL our customer care team is happily researching your request and we'll get back to you soon. [AGENT][NEUTRAL] So they sent it to claims, it came to care team, OK. Um, do you mind if I place you on just a brief hold? [CUSTOMER][POSITIVE] Oh, no problem. [AGENT][NEUTRAL] OK, hold on one and what's the date of that email that you, the date that you sent it and the date you received the response? [CUSTOMER][NEUTRAL] Uh, sent it on [PII]. [CUSTOMER][NEUTRAL] And they responded back on [PII]. [AGENT][NEUTRAL] OK, hold on one moment for me, OK? [CUSTOMER][NEUTRAL] OK. [AGENT][NEUTRAL] All right. [CUSTOMER][NEGATIVE] You are on hold. [AGENT][NEUTRAL] It you. [AGENT][NEUTRAL] Issue new conversion letter. First time I had, this is from [PII]. [AGENT][NEUTRAL] Lord, I don't know. [AGENT][NEUTRAL] Let me try that one more time, maybe. [AGENT][NEUTRAL] No, OK, well, I gotta ask. I have no idea. [AGENT][NEUTRAL] Um [AGENT][NEUTRAL] Mhm. [CUSTOMER][NEGATIVE] You are on hold. [CUSTOMER][NEGATIVE] You are on hold. [CUSTOMER][NEGATIVE] You are on hold. [CUSTOMER][NEGATIVE] You are on hold. [CUSTOMER][NEGATIVE] You are on hold. [AGENT][NEGATIVE] That's what's happening. It's the wrong policy. [AGENT][NEUTRAL] 555. [AGENT][NEUTRAL] But still though. [AGENT][NEUTRAL] Uh. [AGENT][NEUTRAL] Oh, OK. [AGENT][NEUTRAL] Hello, Ms. [PII]. [CUSTOMER][NEUTRAL] Yes. [AGENT][NEUTRAL] Thank you so much for holding. I apologize for that wait. Um, do you have the date that you got the mammogram? I believe this is the correct claim here, but it's from [AGENT][NEUTRAL] Well, it's saying it came in and, oh, that's probably, is it [PII]? Does that sound about right? [CUSTOMER][NEUTRAL] Like that. [CUSTOMER][NEUTRAL] No, the mammogram was for this year, the [PII]. [AGENT][NEUTRAL] Oh, OK, OK, OK. [CUSTOMER][NEUTRAL] Well, my husband's chest chest X-rays from [PII] I believe. [AGENT][NEUTRAL] Um, this is all under you. This is your mammogram from last year. Hold on one second. [CUSTOMER][NEUTRAL] Oh [AGENT][NEUTRAL] So then I'm back at square one. Hold on one moment, OK? [CUSTOMER][NEUTRAL] OK. [CUSTOMER][NEUTRAL] Oh, OK. [AGENT][NEUTRAL] OK. [CUSTOMER][NEGATIVE] You are on hold. [CUSTOMER][NEGATIVE] You are on hold. [CUSTOMER][NEGATIVE] You are on hold. [CUSTOMER][NEGATIVE] You are on hold. [CUSTOMER][NEGATIVE] You are on hold. [CUSTOMER][NEGATIVE] You are on hold. [CUSTOMER][NEGATIVE] You are on hold. [CUSTOMER][NEGATIVE] You are on hold. [CUSTOMER][NEGATIVE] You are on hold. [CUSTOMER][NEGATIVE] You are on hold. [AGENT][NEUTRAL] Hello Miss [PII]. [CUSTOMER][NEUTRAL] Yes. [AGENT][NEUTRAL] All right, thank you so much for holding. I apologize for that wait. Um, I was going through the documents and everything. So this is what I'm gonna do. I'm gonna send a um urgent message over to the claims department. The reason is I see notes on here from [PII] where we did receive the documents. [AGENT][NEUTRAL] That's it. I don't see the claim and when I go into where you, where everything is, like I don't see anything after [PII], so I'm gonna have claims look into this and give you a I'm gonna have them give you a call with an update because I don't want you to keep holding and I'm not sure what happened, but I know it was received because I see it here in the notes. [CUSTOMER][NEUTRAL] Oh [CUSTOMER][NEUTRAL] OK. [CUSTOMER][NEUTRAL] OK. [AGENT][NEUTRAL] So I'm gonna have them call you with an update, OK? [CUSTOMER][NEUTRAL] OK dokey. [CUSTOMER][POSITIVE] OK, thank you very much. [AGENT][POSITIVE] You're very welcome, Ms. [PII]. Was there anything else I can help you with today? I'm so sorry for this inconvenience. [CUSTOMER][POSITIVE] Oh, no problem. [AGENT][NEUTRAL] All right, well, thank you very much. No, no, it's not you. I see we received it. [CUSTOMER][NEGATIVE] I just figured I did something wrong. [CUSTOMER][NEUTRAL] OK. [CUSTOMER][NEUTRAL] Oh, OK. [AGENT][POSITIVE] Alrighty. Well, thank you so much for calling APL. I hope you have a good day, OK? [CUSTOMER][POSITIVE] You have a good day. [CUSTOMER][POSITIVE] All right you too bye bye. [AGENT][POSITIVE] Thank you. Bye-bye.