AccountId: 011433970860 ContactId: 950a222f-a049-43f2-a93e-81acf8c17665 Channel: VOICE LanguageCode: en-US Total Conversation Duration: 89860 ms Total Talk Time (AGENT): 28583 ms Total Talk Time (CUSTOMER): 47099 ms Interruptions: 0 Overall Sentiment: AGENT=1.1, CUSTOMER=0.4 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/04/04/950a222f-a049-43f2-a93e-81acf8c17665_20250404T15:30_UTC.wav -------------------------------------------- [AGENT][NEUTRAL] Thank you for calling APL. This is [PII]. How may I help you? [CUSTOMER][NEUTRAL] Hi, [PII], this is [PII] in the care team and I had a question on a policy on a payment situation. I'm kinda unsure what's happening here. [AGENT][NEUTRAL] OK. [AGENT][NEUTRAL] Sure, what's the policy? [CUSTOMER][NEUTRAL] 231-6266. [AGENT][NEUTRAL] 231-62666, is that right? [CUSTOMER][NEUTRAL] Yes. [AGENT][POSITIVE] OK, thank you so much let's see um. [AGENT][NEUTRAL] OK, this is on [PII], is that right? [CUSTOMER][NEUTRAL] Yes. [AGENT][NEUTRAL] OK, how can I help you? [CUSTOMER][NEUTRAL] Well, I'm looking at there's a claim on file um 3582903. [AGENT][NEUTRAL] Yeah. [AGENT][NEUTRAL] OK. [CUSTOMER][NEUTRAL] And then the denial code says that's what I'm confused about. [AGENT][NEUTRAL] OK. [CUSTOMER][NEUTRAL] Um, [CUSTOMER][NEUTRAL] Says only pending premium first notice EOB will print. We are awaiting information to confirm eligibility from benefits in a card. [CUSTOMER][NEUTRAL] Like [CUSTOMER][NEUTRAL] I guess I just referring back to benefits in a card. There's no updates on the policy. [AGENT][NEUTRAL] Yes, ma'am. [AGENT][NEUTRAL] There's not. I'm looking at it. Let me, let me just make sure I'm right here. [CUSTOMER][NEUTRAL] OK. [AGENT][NEUTRAL] OK [AGENT][NEUTRAL] Yes, ma'am, that's right, he'll need to contact it. [CUSTOMER][POSITIVE] OK, OK, perfect. All right, I will let them know thank you so much. [AGENT][NEUTRAL] OK. [AGENT][POSITIVE] You're welcome, [PII]. Have a great day, OK? [CUSTOMER][NEUTRAL] You too, bye. [AGENT][POSITIVE] Thanks.