AccountId: 011433970860 ContactId: 82ff4bb1-3b4c-4a9a-a2b8-c76f5f5dce46 Channel: VOICE LanguageCode: en-US Total Conversation Duration: 567119 ms Total Talk Time (AGENT): 226841 ms Total Talk Time (CUSTOMER): 251603 ms Interruptions: 0 Overall Sentiment: AGENT=1, CUSTOMER=0.4 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/03/21/82ff4bb1-3b4c-4a9a-a2b8-c76f5f5dce46_20250321T14:42_UTC.wav -------------------------------------------- [AGENT][NEUTRAL] No one is gracias [PII]. [CUSTOMER][NEUTRAL] It's. [CUSTOMER][NEUTRAL] No. [CUSTOMER][NEUTRAL] So [CUSTOMER][NEUTRAL] Don't, don't say [AGENT][NEUTRAL] Hello? [CUSTOMER][NEUTRAL] Sit up, take the sea. [CUSTOMER][NEUTRAL] No, no, no, hello. [AGENT][NEUTRAL] Hello? [AGENT][NEUTRAL] So you might have one of theirs come with that. [CUSTOMER][NEUTRAL] See one of the, I hope uh it uh on my EOB with the DDX coach. [AGENT][NEUTRAL] OK, call us in [PII]. [CUSTOMER][NEUTRAL] Oh, [AGENT][NEUTRAL] [PII] [CUSTOMER][POSITIVE] It's a it's a numeral person like I like. [AGENT][NEUTRAL] Yeah, I see yes. What is it about hold the inpatient or outpatient beneficial? [CUSTOMER][NEUTRAL] OK. [CUSTOMER][NEUTRAL] Yeah, well, uh, one of thing going like a is an insured my name and coverage individual group is a salute number. [CUSTOMER][NEUTRAL] SSL number. [AGENT][NEUTRAL] They see the, the hospital number Abajo. mhm. [CUSTOMER][NEUTRAL] The [CUSTOMER][NEUTRAL] Abajo is a uh group number or ariva payvajo. [CUSTOMER][NEUTRAL] In hospital benefits uh 3 number. [AGENT][NEUTRAL] Uh yes. Uh-huh, or outpatient, either one. [CUSTOMER][NEUTRAL] Yeah. [CUSTOMER][NEUTRAL] All occupation benefit, uh, uh, either one, whichever. [AGENT][POSITIVE] That's right. [CUSTOMER][NEUTRAL] OK, I'm gonna give you a hospital benefits card number is [PII]. [CUSTOMER][NEUTRAL] 49. [CUSTOMER][NEUTRAL] 692 9 [CUSTOMER][NEUTRAL] M as in mother. [CUSTOMER][NEUTRAL] L [CUSTOMER][NEUTRAL] [PII] [AGENT][POSITIVE] All right. Thank you. And you, I've, I've got it. That's fine. I've got it. Yes, sir. [CUSTOMER][POSITIVE] I repeat, thank you. [CUSTOMER][NEUTRAL] Can you tell me? [AGENT][NEUTRAL] Can you verify your name and date of birth? [CUSTOMER][NEUTRAL] Yeah, yeah [CUSTOMER][NEUTRAL] My name is uh [PII] [AGENT][NEUTRAL] And your date of birth. [CUSTOMER][NEUTRAL] My date of birth is uh huh, yeah, uh [PII]. [AGENT][NEUTRAL] All right, thank you. And do you mind verifying your current mailing address? [CUSTOMER][NEUTRAL] OK [CUSTOMER][NEUTRAL] Uh, what? [AGENT][NEUTRAL] Your mailing address and a callback number. [CUSTOMER][NEUTRAL] So [CUSTOMER][NEUTRAL] Uh, my, yeah, my mail is um [PII]. [CUSTOMER][NEUTRAL] [PII]. [AGENT][NEUTRAL] And what is your phone number? [CUSTOMER][NEUTRAL] And my address [AGENT][NEUTRAL] Yes, please. [CUSTOMER][NEUTRAL] Uh, my phone, my phone number first? [AGENT][NEUTRAL] That's fine, whichever one. [CUSTOMER][NEUTRAL] Um, my phone number you want it? [AGENT][NEUTRAL] Yes, please. [CUSTOMER][NEUTRAL] Yeah, [PII]. [CUSTOMER][NEUTRAL] 40 [CUSTOMER][NEUTRAL] [PII] [AGENT][NEUTRAL] So [AGENT][NEUTRAL] Is it [PII]? [AGENT][NEUTRAL] [PII] or is it [PII]? [CUSTOMER][NEUTRAL] Yeah, [PII], yeah. [AGENT][NEUTRAL] All right, thank you. And what is your mailing address, please, sir? [CUSTOMER][NEUTRAL] Yeah, my mailing address is uh. [CUSTOMER][NEUTRAL] [PII]. [CUSTOMER][NEUTRAL] 24th Avenue. [CUSTOMER][NEUTRAL] Apartment 606. [CUSTOMER][NEUTRAL] Hialeah. [CUSTOMER][NEUTRAL] Florida 33. [AGENT][NEUTRAL] Mhm. [CUSTOMER][NEUTRAL] [PII]. [AGENT][NEUTRAL] All right, thank you. And do you, are you needing an explanation of benefits or are you wanting to send in a copy of your explanation of benefits? [CUSTOMER][NEUTRAL] Um, [CUSTOMER][NEUTRAL] What do you think is bad for me? Well, I, it's just that I need to fax to fax it to. [AGENT][NEUTRAL] I can give you our fax number. [CUSTOMER][NEUTRAL] Yeah, I need to fax it to yeah. [AGENT][NEUTRAL] Mhm. You just tell me when you're ready. [CUSTOMER][NEUTRAL] So [CUSTOMER][NEUTRAL] can you tell me Spanish please? [AGENT][NEUTRAL] Yes, the fax number is 877. [CUSTOMER][NEUTRAL] Uh-huh. [AGENT][NEUTRAL] 365 [CUSTOMER][NEUTRAL] Hey [AGENT][NEUTRAL] 942 3. [CUSTOMER][NEUTRAL] Uh huh. [CUSTOMER][NEUTRAL] [PII] [AGENT][NEUTRAL] That is correct. 9423, I apologize. Last four is 9423. Mhm. [CUSTOMER][NEUTRAL] Oh [CUSTOMER][NEUTRAL] Uh, [CUSTOMER][NEUTRAL] OK. [CUSTOMER][NEUTRAL] [PII] OK [PII]. OK, that's it. [AGENT][NEUTRAL] That's right. So it's. [CUSTOMER][NEUTRAL] So the box OK. [AGENT][NEUTRAL] That's right. And just to verify that fax number is [PII], and if you'll please put your policy number on that fax, we'll be happy to take care of that claim. [CUSTOMER][NEUTRAL] Uh-huh. [AGENT][NEUTRAL] Anything else. [CUSTOMER][NEUTRAL] So I should um. [AGENT][NEUTRAL] Mhm. [CUSTOMER][NEUTRAL] I should fax this all this information, I mean the the form that you're gonna send me, uh, with the one I have here of APL. [CUSTOMER][NEUTRAL] Um, to this fax number? [AGENT][NEUTRAL] That's correct. You can fax that claim information to that fax number and if you would please put your policy number on it. [CUSTOMER][NEUTRAL] Uh, OK. [CUSTOMER][NEUTRAL] With my policy number on it. OK, my policy number is the one that I told you, uh, at the, at the beginning. [AGENT][NEUTRAL] That's right, the outpatient benefit hospital number, the 249-692-9. [CUSTOMER][NEUTRAL] Uh, can you repeat, please? [AGENT][NEUTRAL] Yeah, your policy number is 249. [AGENT][NEUTRAL] 692 9. [CUSTOMER][NEUTRAL] Mhm. [CUSTOMER][NEUTRAL] Mhm. [CUSTOMER][NEUTRAL] Uh-huh, 24-249-6929. [AGENT][POSITIVE] That's right, yes, sir. [CUSTOMER][NEUTRAL] It's my policy number. OK. [CUSTOMER][NEUTRAL] Uh, so, uh, will I receive them the, the forms in my, um, by mail to my house? [AGENT][NEUTRAL] So, let me check something for you. [AGENT][NEUTRAL] Have you created an online account on our portal because you can actually upload the policy documents online. [CUSTOMER][NEUTRAL] Ah, you were sending, you were sending, uh, to me online instead. [AGENT][NEUTRAL] Well, I, I see that you have an account on our website. [AGENT][NEUTRAL] You can actually get that claim form from our portal and then you can upload, uh-huh, and then you can also upload claim documents online as well. [CUSTOMER][NEUTRAL] Oh really? [AGENT][NEUTRAL] You have a username of [PII]. [AGENT][NEUTRAL] And, and you can just sign in. [CUSTOMER][NEUTRAL] Uh-huh. [AGENT][POSITIVE] And under the claim claim forms, you would choose the med link claim form and upload those policy the claim documents online. It's a lot quicker than faxing. [CUSTOMER][NEUTRAL] Mm [CUSTOMER][NEUTRAL] Uh yeah, it's quick, quicker, uh, but I will have the document that I mean I will, I will have the, the forms online to upload it, no. [AGENT][NEUTRAL] That's right. It's for the Medlink claim form, M E D L I N K. [CUSTOMER][NEUTRAL] Yeah, but how can I? [CUSTOMER][NEUTRAL] So how can I sign them if I don't have any physical? [AGENT][NEUTRAL] So you would just, you can um. [AGENT][NEUTRAL] That you can sign it online or you can print the claim form and then sign it and fax the claim information if you want to. [CUSTOMER][NEUTRAL] Well, I think it's better if fax it because, well, uh, I was told that I should sign it. [AGENT][NEUTRAL] Would you like for me to [CUSTOMER][NEUTRAL] Online I I [AGENT][NEUTRAL] Yeah. Would you like for me to email you a copy of that claim form? [CUSTOMER][NEUTRAL] Yeah, yeah [CUSTOMER][POSITIVE] Yeah, please. Yeah, it will be better for me. Easier, it's easier. [AGENT][NEUTRAL] I [AGENT][NEUTRAL] Yeah, I'll be [AGENT][POSITIVE] Absolutely, and I'll be happy to email it to you and then you can just print it. [AGENT][NEUTRAL] From there. [CUSTOMER][POSITIVE] OK, thank you very much. So I'll repeat just in case, just in case. Y A. [AGENT][POSITIVE] My pleasure. [CUSTOMER][NEUTRAL] no, uh sorry, [PII]. [AGENT][NEUTRAL] Mhm. [CUSTOMER][NEUTRAL] [PII] [AGENT][POSITIVE] Yes, sir. And I'm fixing to email that for you now, so it won't take long. [CUSTOMER][NEUTRAL] [PII]. [CUSTOMER][NEUTRAL] OK, OK. [CUSTOMER][NEUTRAL] OK [CUSTOMER][POSITIVE] OK, well thank you. [AGENT][POSITIVE] It's been my pleasure. It's, it's been a pleasure to assist you, Mr. [PII]. Thank you for calling APL and I hope you have a wonderful day. [CUSTOMER][NEUTRAL] That be [CUSTOMER][POSITIVE] Yeah, have a wonderful weekend. OK, bye. Thank you. [AGENT][POSITIVE] Thank you. Take care bye bye. [CUSTOMER][NEUTRAL] OK.