AccountId: 011433970860 ContactId: 7099b123-1f2d-45ef-99fc-35c6b6958312 Channel: VOICE LanguageCode: en-US Total Conversation Duration: 573260 ms Total Talk Time (AGENT): 194968 ms Total Talk Time (CUSTOMER): 129582 ms Interruptions: 0 Overall Sentiment: AGENT=1.3, CUSTOMER=0.8 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/01/30/7099b123-1f2d-45ef-99fc-35c6b6958312_20250130T17:11_UTC.wav -------------------------------------------- [AGENT][NEUTRAL] Thank you for calling APL. This is [PII]. How may I help you? [CUSTOMER][NEUTRAL] I was calling to, um, I had questions about, about my dental coverage. [CUSTOMER][NEUTRAL] Um, my dental insurance covers. [AGENT][NEUTRAL] OK, I can help you with your dental coverage. Can I please get your name and your call back number just in case our call is disconnected? [CUSTOMER][NEUTRAL] My name is [PII] and my callback number is [PII]. [AGENT][NEUTRAL] Thank you [PII] and what is your policy number? [CUSTOMER][POSITIVE] Thank you [CUSTOMER][NEUTRAL] Sorry, say that again? [AGENT][NEUTRAL] What is your policy number? [CUSTOMER][NEUTRAL] Um, I actually don't know. Um, [CUSTOMER][NEUTRAL] I just from my employer, I just got a like um a screenshot of like my signature on my on my um. [CUSTOMER][NEUTRAL] On my insurance so I don't like actually have my card or anything. [AGENT][NEUTRAL] OK, I can look it up with your uh social security number if you'd like to give that to me please. [CUSTOMER][NEUTRAL] Yes. [CUSTOMER][NEUTRAL] You're ready for the whole thing? [AGENT][NEUTRAL] Yes sir. [CUSTOMER][NEUTRAL] OK, it is [PII]. [CUSTOMER][NEUTRAL] [PII] [AGENT][NEUTRAL] OK, and what was that first digit? the phone kind of cut out a little bit. [CUSTOMER][NEUTRAL] Oh, sorry, 3, it was [PII]. [AGENT][NEUTRAL] OK. [AGENT][POSITIVE] OK thank you I appreciate that. Let me look you up real quick. [CUSTOMER][NEUTRAL] Yep. [CUSTOMER][POSITIVE] Thank you. [AGENT][POSITIVE] You're welcome. [AGENT][NEUTRAL] OK, [PII], for security reasons can you please verify your date of birth for me? [CUSTOMER][NEUTRAL] Yes, [PII]. [AGENT][NEUTRAL] Thank you and then I also need for you to verify your address, your phone number and your email address that we have on the policy. [CUSTOMER][NEUTRAL] My, so we're gonna start with my address like my home address? [AGENT][NEUTRAL] Yes, please. [CUSTOMER][NEUTRAL] [PII]. [CUSTOMER][NEUTRAL] And then the second one was sorry what was that? [AGENT][NEUTRAL] OK, and then what is your [AGENT][NEUTRAL] Email address? [CUSTOMER][NEUTRAL] Email [CUSTOMER][NEUTRAL] [PII]. [AGENT][NEUTRAL] OK and the phone number that you gave me to call you back on if we're disconnected, is that your cell phone number? [CUSTOMER][NEUTRAL] Yes. [AGENT][POSITIVE] OK thank you [PII] I appreciate you verifying that information for me OK so what I can do for you is. [AGENT][NEUTRAL] There's a um fax back that we can send to you or I can send it even by email to you that gives you a complete benefit breakdown for your policy. Would you like for me to do that for you? [CUSTOMER][NEUTRAL] Yes, please. [AGENT][NEUTRAL] OK, so I'm going to keep that together. I'm gonna put you on a brief hold while I get that ready for you, and I'll be right back. [CUSTOMER][POSITIVE] OK perfect thank you. [AGENT][NEUTRAL] Yeah [CUSTOMER][NEGATIVE] You are on hold. [CUSTOMER][NEGATIVE] You are on hold. [CUSTOMER][NEGATIVE] You are on hold. [AGENT][POSITIVE] Thank you for holding for me, [PII]. I've got that email on its way to you now. um, let me go ahead and give you your policy number so that you have it on hand. [CUSTOMER][NEUTRAL] All right. [CUSTOMER][NEUTRAL] My policy number? [AGENT][NEUTRAL] Yes, sir. [CUSTOMER][NEUTRAL] You, you said you're gonna give me my policy number? [AGENT][NEUTRAL] Yes, I can give you your policy number so that you have that on hand. [CUSTOMER][POSITIVE] Perfect. [AGENT][NEUTRAL] It's 252. [CUSTOMER][NEUTRAL] OK. [AGENT][NEUTRAL] 0532. [CUSTOMER][POSITIVE] Perfect. [AGENT][NEUTRAL] And then I've also got the email on the way to you. [CUSTOMER][NEUTRAL] I just [CUSTOMER][NEUTRAL] Is it, did it already send or is it? [AGENT][NEUTRAL] Yes, I have sent it. You just gotta give it a few minutes to come through. [CUSTOMER][NEUTRAL] I, I think that [CUSTOMER][POSITIVE] Yeah, I think I have it. [AGENT][POSITIVE] OK, good. [CUSTOMER][NEUTRAL] Um, [CUSTOMER][NEUTRAL] So, [CUSTOMER][NEUTRAL] Um, sorry. [CUSTOMER][NEUTRAL] Do I have to read it over or my, or do you, do you think? [CUSTOMER][NEUTRAL] You can answer. I'm just trying to figure out if it um covers braces by chance or if it just covers like the base of just getting my teeth cleaned. [AGENT][NEUTRAL] Oh, OK. [AGENT][NEUTRAL] OK, I'm going to pull in your policy real quick. [AGENT][NEUTRAL] Uh, let's see. [AGENT][NEUTRAL] It's gonna be just a second. [CUSTOMER][NEUTRAL] Sorry, it's my first time having insurance, so I'm not really. [AGENT][NEUTRAL] No. [CUSTOMER][NEUTRAL] Sure. [AGENT][POSITIVE] No, that's awesome. I'm glad you've got insurance. Most people your age do not care about insurance, so that's good that you have it. [CUSTOMER][NEUTRAL] Yeah. [CUSTOMER][NEUTRAL] Yeah. [AGENT][POSITIVE] You're thinking ahead. That's a good deal. [CUSTOMER][POSITIVE] Yeah, trying to, trying to be more grown. [AGENT][NEUTRAL] Yes sir I understand. [CUSTOMER][NEUTRAL] Mhm. [AGENT][NEUTRAL] OK, let me see, let me pull your policy up and this is just to verify your coverage it's not a guarantee of payment. [AGENT][NEUTRAL] So you have cleanings once every 6 months. [CUSTOMER][NEUTRAL] OK. [CUSTOMER][NEUTRAL] Yeah. [CUSTOMER][POSITIVE] That's all right. [AGENT][NEGATIVE] And it does not cover braces. [CUSTOMER][NEUTRAL] OK. [AGENT][NEUTRAL] And you do not have a waiting period. [AGENT][NEUTRAL] Your calendar, your maximum is $500. [AGENT][NEUTRAL] And your calendar year deductible is $50. [CUSTOMER][NEUTRAL] Yeah. [CUSTOMER][NEUTRAL] And am I able to upgrade my insurance where it can, it can cover prices? [AGENT][NEUTRAL] You'll have to go through your employer and see if they have a policy that does cover orthodontics or not. [CUSTOMER][NEUTRAL] OK, and do you usually know if that's like a, like don't I have to wait towards the end of the year to do stuff like that? [AGENT][NEUTRAL] It all depends on your company rules. They may have you wait until open enrollment, but I would go to like human resources and talk to them and see what they say. [CUSTOMER][NEUTRAL] OK. [CUSTOMER][NEUTRAL] OK. [CUSTOMER][POSITIVE] OK, perfect, OK. [CUSTOMER][POSITIVE] Thank you. [AGENT][POSITIVE] You're very welcome, [PII]. Anything else I can help you with? [CUSTOMER][POSITIVE] No, that should be all. Thank you though. [AGENT][POSITIVE] OK. All right. Well, you take care and good luck with your new insurance. [CUSTOMER][POSITIVE] Yeah, thank you. [AGENT][POSITIVE] You're welcome bye bye sir. [CUSTOMER][NEUTRAL] Bye.