AccountId: 011433970860 ContactId: 852b33bd-a450-4e86-9d90-f2cfcacad8be Channel: VOICE LanguageCode: en-US Total Conversation Duration: 920119 ms Total Talk Time (AGENT): 117706 ms Total Talk Time (CUSTOMER): 102614 ms Interruptions: 0 Overall Sentiment: AGENT=1.3, CUSTOMER=-2.4 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/05/19/852b33bd-a450-4e86-9d90-f2cfcacad8be_20250519T15:42_UTC.wav -------------------------------------------- [AGENT][POSITIVE] Good morning. Thank you for calling APL. This is [PII]. How may I assist you? [CUSTOMER][NEUTRAL] Yes, I'm calling to see if a certain CT code is covered uh under our plan. [AGENT][NEUTRAL] OK, I can check and see if it's a cover service. Um, may I have your name? [CUSTOMER][NEUTRAL] Yes, my name is [PII] [AGENT][NEUTRAL] OK, thank you, Ms. [PII]. And may I have a callback number just in case we get disconnected? [CUSTOMER][NEUTRAL] Yes, [PII]. [AGENT][NEUTRAL] Thank you. And may I have the policy number, Miss [PII]? [CUSTOMER][NEUTRAL] So I don't have any of that information we just switched over, um. [AGENT][NEUTRAL] Oh. [AGENT][NEUTRAL] OK. [CUSTOMER][NEUTRAL] Through through our through my husband's company we haven't received cards or anything yet but I just spoke with um benefits in a card and they did say that we're active. [AGENT][NEUTRAL] OK. [AGENT][NEUTRAL] OK, and what is the name of the main holder? [CUSTOMER][NEUTRAL] [PII] [AGENT][NEUTRAL] Mm. [AGENT][NEUTRAL] What is the address? [CUSTOMER][NEUTRAL] [PII] [AGENT][NEUTRAL] What's the name of the employer? [CUSTOMER][NEUTRAL] I [CUSTOMER][NEUTRAL] Uh, superior skilled trades. [AGENT][NEUTRAL] And [AGENT][NEUTRAL] OK [AGENT][NEUTRAL] OK, let me see if I can find the good. One moment. [CUSTOMER][NEUTRAL] OK. [AGENT][NEUTRAL] All right. [AGENT][NEUTRAL] I have the group pulled up. I'm just searching for his name, OK. [CUSTOMER][NEUTRAL] OK. [CUSTOMER][NEUTRAL] OK. [AGENT][NEUTRAL] OK, I think I found it. Um, let me have your date of birth. [CUSTOMER][NEUTRAL] Yes, uh [PII]. [AGENT][POSITIVE] OK, thank you. [CUSTOMER][NEUTRAL] And the procedure code will be for my daughter [PII]. [AGENT][NEUTRAL] OK. And what is the procedure, Ms. [PII]? [CUSTOMER][NEUTRAL] Um, yes, let me get to it. It is 787-08. [AGENT][NEUTRAL] OK, let me. [CUSTOMER][NEUTRAL] It's a nuclear med scan. [AGENT][NEUTRAL] Mm. [AGENT][NEUTRAL] Bear with me, let me go ahead and get some information about that code. Do you mind holding for me? [CUSTOMER][NEUTRAL] That's fine. [AGENT][POSITIVE] OK. Thank you [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][POSITIVE] Thank you for holding and being patient for me, Ms. [PII]. [AGENT][NEUTRAL] OK, um, we're we're trying to determine if it's a cover service. It it it's not listed on the policy certificate, but, um, sometimes, um, they can check and see, make sure, because, yeah, it is not listed. So I went ahead and send a message over to uh the claims department and see if it's something that we will consider or not. I'm just waiting for an answer, so it's taking a little bit longer, but I'm trying to get the answer for you, OK? One moment. [CUSTOMER][NEUTRAL] Yes. [CUSTOMER][NEUTRAL] Mhm. [CUSTOMER][NEUTRAL] OK. [CUSTOMER][NEUTRAL] OK. [CUSTOMER][NEUTRAL] OK. [CUSTOMER][POSITIVE] All right sounds good thank you. [AGENT][POSITIVE] Thank you. [CUSTOMER][NEGATIVE] You are on hold. [CUSTOMER][NEGATIVE] You are on hold. [CUSTOMER][NEGATIVE] You are on hold. [AGENT][POSITIVE] Thank you for holding and being patient for you, Ms. [PII] [CUSTOMER][NEUTRAL] Yeah. [CUSTOMER][NEUTRAL] Yes ma'am. [AGENT][NEUTRAL] OK, so, um, I did receive an answer back and um they was letting me know that that it's not gonna be a cover service. [CUSTOMER][NEUTRAL] OK, all right, um, is there any way I can get the benefit breakdown or anything like that emailed to me just for future reference? [AGENT][NEUTRAL] Um, I can. [CUSTOMER][NEUTRAL] Like you know just certain percentage coverages or anything like that? [AGENT][NEUTRAL] Let me see. I can send it to the email on file. Is that OK? [CUSTOMER][NEUTRAL] You're here. [CUSTOMER][NEUTRAL] Yeah, look [CUSTOMER][POSITIVE] Yeah, that works yeah. [AGENT][NEUTRAL] OK. I'll go ahead and send a copy of the certificate to the email on file. Is there anything else I may help you with today? [CUSTOMER][NEUTRAL] OK. [CUSTOMER][POSITIVE] No, ma'am. That's all. Thank you so much. [AGENT][POSITIVE] You're welcome and thank you for calling APO. Have a good day, Miss. [CUSTOMER][NEUTRAL] You too bye bye.