AccountId: 011433970860 ContactId: 71828691-066e-4c66-b2db-efe1f6ae988d Channel: VOICE LanguageCode: en-US Total Conversation Duration: 910960 ms Total Talk Time (AGENT): 237258 ms Total Talk Time (CUSTOMER): 171503 ms Interruptions: 0 Overall Sentiment: AGENT=0.1, CUSTOMER=0 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/03/25/71828691-066e-4c66-b2db-efe1f6ae988d_20250325T18:31_UTC.wav -------------------------------------------- [AGENT][NEUTRAL] Thank you for calling APL. This is [PII]. How can I help you? [CUSTOMER][NEUTRAL] Uh, yes, I'm trying to, um, I'm just calling, um, I'm uh. [CUSTOMER][NEUTRAL] I have a, I'm a member of the insurance. [CUSTOMER][NEUTRAL] I guess the, cause I have the cancer insurance, right? Because that's how it works. [AGENT][NEUTRAL] OK. [AGENT][NEUTRAL] Um, yeah, it depends on the policy you have. Do you have a policy number? [CUSTOMER][POSITIVE] Correct. [CUSTOMER][NEUTRAL] Uh let me see, my policy number, yes, it is 13041. [AGENT][NEUTRAL] I'm pulling it up. And you said 13041? [CUSTOMER][NEUTRAL] Yes, that's what it says on the 3, on the thing. [AGENT][NEUTRAL] OK. [CUSTOMER][NEUTRAL] But is it, is it something different? [AGENT][NEGATIVE] Uh, no, I, my system just running slow. Let me try something else. [AGENT][NEUTRAL] Excuse me. [AGENT][NEUTRAL] Um, yeah, I'm not pulling up that number. What about your last name? What's your last name? [CUSTOMER][NEUTRAL] [PII] [AGENT][NEUTRAL] And your first name? [CUSTOMER][NEUTRAL] [PII] [AGENT][NEUTRAL] OK. [AGENT][NEUTRAL] Sorry, it's running slow. Let's see. [CUSTOMER][NEUTRAL] Were you able to locate it? [AGENT][NEUTRAL] Uh, it's still thinking. [CUSTOMER][NEUTRAL] Oh, OK. [AGENT][NEUTRAL] OK, let's see. [AGENT][NEUTRAL] And you said [PII], is that correct? [CUSTOMER][NEUTRAL] [PII], yes. [AGENT][POSITIVE] OK, thank you. [AGENT][NEUTRAL] Um, what's your birthday? [CUSTOMER][NEUTRAL] It is [PII]. [AGENT][NEUTRAL] OK. [AGENT][NEUTRAL] So it looks like you did have a policy. Let me see when it. [AGENT][NEUTRAL] Actually, can I verify a few more pieces of information, um, what's your address? [CUSTOMER][NEUTRAL] It's [PII]. [AGENT][NEUTRAL] And what about your email address? [CUSTOMER][NEUTRAL] [PII]. [CUSTOMER][NEUTRAL] [PII]. [AGENT][NEUTRAL] OK. [AGENT][NEUTRAL] And what is your telephone number? [CUSTOMER][NEUTRAL] [PII] [CUSTOMER][NEUTRAL] [PII] [AGENT][POSITIVE] OK, thank you. [AGENT][NEUTRAL] So it looks like it terminated on [PII]. [CUSTOMER][NEUTRAL] My cancer? [AGENT][NEUTRAL] Uh-huh. [CUSTOMER][NEUTRAL] It terminated? [AGENT][NEUTRAL] Yeah, I don't show it active. [CUSTOMER][NEUTRAL] But I'm still paying for it. [CUSTOMER][NEUTRAL] Cause I'm still I still paying for it. [AGENT][NEUTRAL] You're still paying [AGENT][NEUTRAL] OK, is that through your employer or? [CUSTOMER][NEUTRAL] Yes, yes. [AGENT][NEUTRAL] Um, let's see. [CUSTOMER][NEUTRAL] Cause they still charging me. [AGENT][NEUTRAL] Do you know what amount they're charging? I mean, do you have like a pay stub uh pulled up that you can see? [CUSTOMER][NEUTRAL] Yeah, it's 17 something, yeah, let me check. [CUSTOMER][NEUTRAL] Uh, let's see. [CUSTOMER][NEUTRAL] Mm. [CUSTOMER][NEUTRAL] Uh [CUSTOMER][NEUTRAL] Yeah, it is, uh. [CUSTOMER][NEUTRAL] 1704. [AGENT][NEUTRAL] Hm. [AGENT][NEUTRAL] It wouldn't be under any other name, correct? [CUSTOMER][NEUTRAL] Well, maybe it's [PII]. [AGENT][NEUTRAL] OK, let's try that. [CUSTOMER][NEUTRAL] [PII] [CUSTOMER][POSITIVE] I mean, easy. [AGENT][NEUTRAL] OK, I'm pulling that up. Let me see if I see that. [AGENT][NEGATIVE] Sorry, it's just running really slow. [AGENT][NEUTRAL] Mm. [AGENT][NEUTRAL] OK, let's see. [CUSTOMER][NEUTRAL] Is it coming? No. [AGENT][NEUTRAL] Yeah, it's [AGENT][NEUTRAL] What is your, let me verify your social. Do you have that? [CUSTOMER][NEUTRAL] OK, it's [PII]. [CUSTOMER][NEUTRAL] [PII] [AGENT][NEUTRAL] OK. [AGENT][NEUTRAL] I just wanna make sure I pulled the right thing, so. [AGENT][NEUTRAL] Let's see [AGENT][NEUTRAL] OK, yeah. [CUSTOMER][NEUTRAL] Because there's a doctor. [AGENT][NEUTRAL] Does it have a [CUSTOMER][NEUTRAL] They are the documents from my. [AGENT][NEUTRAL] Does it have a description by the deduction? [CUSTOMER][NEUTRAL] Mm let me think. [AGENT][NEUTRAL] Like a name or anything. [CUSTOMER][NEUTRAL] Like the [CUSTOMER][NEUTRAL] Like it has the, it has the. [CUSTOMER][NEUTRAL] I guess it's just from from my deduction thing. It's just like number 208, I guess that's from my district thing and it says cancer low I and then it's Y, like something white and then it's this year it's 1704. [AGENT][NEUTRAL] OK. [AGENT][NEUTRAL] Hm. [AGENT][NEUTRAL] OK. Well, let me check. Let's see. [AGENT][NEUTRAL] Yeah, cause I show it, it lapsed, but I, I mean, if they're deducting it, it shouldn't be lapsed, so. [AGENT][NEUTRAL] Let me see. [AGENT][NEUTRAL] Can I place you on a brief hold real quick? [CUSTOMER][NEUTRAL] Yes, ma'am. [AGENT][POSITIVE] OK, thank you. [CUSTOMER][NEGATIVE] You are on hold. [CUSTOMER][NEGATIVE] You are on hold. [AGENT][NEUTRAL] OK, I'm gonna reach out to someone in our customer service department. Is is the [PII] the right number to call you back? [CUSTOMER][NEUTRAL] Yeah. [CUSTOMER][NEUTRAL] Yes, yes, I have, I have a, like, I know that whatever it is on the, like, on, on, on, on that on that type of insurance, does it cover like a, like a biopsy thing? [AGENT][NEUTRAL] OK. [AGENT][NEUTRAL] Um, let's see, the plan that. [CUSTOMER][NEUTRAL] Like [AGENT][NEUTRAL] That you were on that I'm not able that says it's not active. Let me see what it did cover. [AGENT][NEUTRAL] Hold on just a second. [AGENT][NEUTRAL] Cause I don't want you to, if, if you go to the doctor right now, they'll call and we'll say that it's not active, but I don't want that to happen. Um, that's why I want to figure out what's going on. Uh, let's see. [CUSTOMER][NEUTRAL] So [AGENT][NEUTRAL] Um, so it's a group cancer policy, let's see, so. [AGENT][NEUTRAL] It [AGENT][NEUTRAL] Let me see what it covers. [AGENT][NEUTRAL] You said a biopsy? [CUSTOMER][NEUTRAL] Yeah, it is a, like a mammogram, what is it like a breast biopsy. [AGENT][NEUTRAL] Let's see. [AGENT][NEUTRAL] Yeah [AGENT][NEUTRAL] So it's for um [AGENT][NEUTRAL] So you'd have to have been diagnosed with cancer. Uh, do you, have you been diagnosed with it? [CUSTOMER][NEUTRAL] No, no, it's just a, like a mammogram and then. [AGENT][NEUTRAL] Just the biopsy. [CUSTOMER][NEUTRAL] They, they're gonna do a biopsy. [AGENT][NEUTRAL] OK. [AGENT][NEUTRAL] Is it a routine mammogram or is this like the diagnostic cause your routine mammogram came back with something. [CUSTOMER][NEUTRAL] Yes, that [AGENT][NEUTRAL] OK. [AGENT][NEUTRAL] Um, let's see. [CUSTOMER][NEUTRAL] Because they came back and so they're gonna do a biopsy just to make sure everything is OK. [AGENT][NEUTRAL] Sure. [CUSTOMER][NEUTRAL] Like a needle biopsy? [AGENT][NEUTRAL] So this is not a guarantee of payment basic outline of your policy diagnostic testing you get one per calendar year and it pays $50 for a follow up. It would be $100. [AGENT][NEUTRAL] Um, [AGENT][NEUTRAL] Yeah, so it looks like that's what would be the benefit if, if there was a, a diagnosis of cancer. Now, let me make sure and see what's going on with your um plan. You and you said it's deducting 1704, is that right? [CUSTOMER][NEUTRAL] Yes. [AGENT][NEUTRAL] OK. [AGENT][NEUTRAL] And you're still currently with. [CUSTOMER][NEUTRAL] I mean it has to be like [AGENT][NEUTRAL] Um, yes, let me, let me look real quick and make sure that's correct. [CUSTOMER][NEUTRAL] What is it? [AGENT][NEUTRAL] So, [AGENT][NEUTRAL] Yeah, there has to be a diagnosis of cancer. [CUSTOMER][NEUTRAL] It has to be a diagnosis of cancer. [AGENT][NEUTRAL] Yes, because that's what this policy is, it's a group cancer policy. [CUSTOMER][NEUTRAL] But like, what if it's not a, you know what I'm saying? [AGENT][NEUTRAL] If it's not, then [CUSTOMER][NEUTRAL] They're just gonna do a biopsy. [AGENT][NEUTRAL] Yeah, so if it's, if there's no diagnosis, then it would not be covered. It has to have that diagnosis of cancer, so. [CUSTOMER][NEUTRAL] Oh. [CUSTOMER][NEUTRAL] Oh, I was thinking because it was preventive. OK. [AGENT][NEUTRAL] Yeah. [CUSTOMER][NEUTRAL] OK, that was my question. OK, well, thank you. [AGENT][NEUTRAL] OK. [AGENT][NEUTRAL] OK, thank you for calling APL. I will, I will uh reach out to our contact and I'll give you a call back when I get verification of what's going on, OK? [CUSTOMER][MIXED] OK, but you'll find out [CUSTOMER][NEUTRAL] OK, OK. [CUSTOMER][POSITIVE] OK, well thank you very much. Thank you, bye. [AGENT][NEUTRAL] OK, thank you for calling APL bye. [CUSTOMER][NEUTRAL] Mm