AccountId: 011433970860 ContactId: 99017c4d-1163-446c-822a-b6f5b8ab349e Channel: VOICE LanguageCode: en-US Total Conversation Duration: 469640 ms Total Talk Time (AGENT): 116432 ms Total Talk Time (CUSTOMER): 159859 ms Interruptions: 5 Overall Sentiment: AGENT=0.1, CUSTOMER=0.2 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/01/21/99017c4d-1163-446c-822a-b6f5b8ab349e_20250121T18:42_UTC.wav -------------------------------------------- [AGENT][NEUTRAL] Calling APL. my name is [PII]. How may I assist you today? [CUSTOMER][NEUTRAL] Yes, [PII]. My name is [PII]. [CUSTOMER][NEUTRAL] Um, I don't have my. [CUSTOMER][NEGATIVE] Insurance card information, yeah, I don't know. I can I'm having a hard time finding it. [AGENT][NEUTRAL] OK, well that's fine um we can pull you up with your social. [CUSTOMER][NEUTRAL] And [CUSTOMER][NEUTRAL] OK. [CUSTOMER][NEUTRAL] [PII]. [CUSTOMER][NEUTRAL] 54 [CUSTOMER][NEUTRAL] [PII]. [AGENT][NEUTRAL] OK, and Mr. [PII], if you can please verify your date of birth and email address. [CUSTOMER][NEUTRAL] [PII] and my email is [PII]. [AGENT][NEUTRAL] Now is there another email address that we would have? [CUSTOMER][NEUTRAL] Uh, [PII]. [AGENT][NEUTRAL] Yes, that's what we have is that correct? [CUSTOMER][NEUTRAL] OK, so that one no longer no because um. [CUSTOMER][NEUTRAL] I'm not working there but I've been paying for the insurance, so. [AGENT][NEUTRAL] OK, so what email address would you um like me to put on your account? [CUSTOMER][NEUTRAL] [PII] [CUSTOMER][NEUTRAL] 59. [CUSTOMER][NEUTRAL] [PII] which is [PII]. [CUSTOMER][NEUTRAL] [PII]. [AGENT][NEUTRAL] OK, so [PII]. [CUSTOMER][POSITIVE] You got it perfect. [AGENT][NEUTRAL] Alright, so we now have that updated. [AGENT][NEUTRAL] OK, and what can I assist with today? [CUSTOMER][NEUTRAL] Um, the recent, uh. [CUSTOMER][NEUTRAL] Back in October, my dentist filled um [CUSTOMER][NEUTRAL] To, uh, cavities. [CUSTOMER][NEUTRAL] And they told me I was only gonna be having to pay $163 and that my insurance would cover the rest. [AGENT][NEUTRAL] OK. And you said [PII]? [CUSTOMER][NEUTRAL] [PII] [AGENT][NEUTRAL] OK. [CUSTOMER][NEGATIVE] Of [PII] and she said it took forever for them to get the payment from, I don't know why but she just said they took forever to get paid from you guys, they just got paid, I guess I don't know. [AGENT][NEUTRAL] OK, one moment, let me look at the claim. [AGENT][NEUTRAL] Uh, she said it took forever. I'm showing that they submitted, we received the claim on [PII] and we made our payment on [PII]. [CUSTOMER][NEUTRAL] Well, [CUSTOMER][NEUTRAL] OK. [CUSTOMER][NEUTRAL] Yeah, you know, I'm just saying she's probably telling the dentist one thing and you know, I don't know. [AGENT][NEUTRAL] So [AGENT][POSITIVE] That's pretty fast. 24 hours is kind of fast for me. [CUSTOMER][NEUTRAL] Yeah, no, no, oh no, I'm, I, I, I'm just, I'm just telling you what the dentist's office told me. [AGENT][NEUTRAL] You're just a messenger. You're just a messenger. I know, Mr. [PII]. [CUSTOMER][NEUTRAL] Yeah. [CUSTOMER][NEUTRAL] And I'm trying to find out, you know, how come, why is that? [AGENT][NEUTRAL] OK, so looking at the claim, we received 4. [CUSTOMER][NEUTRAL] Yeah. [AGENT][NEUTRAL] 4 charges, let me see. [AGENT][NEUTRAL] One moment, let me check the. [AGENT][NEUTRAL] Payment. [CUSTOMER][NEUTRAL] My brother and his wife are from upstate [PII] and they came down to visit us. [CUSTOMER][NEUTRAL] I mean, I used to be from upstate [PII] and they brought their 40 ft camper down and then they. [CUSTOMER][NEUTRAL] Went to uh [PII] and then now they're in [PII] and [PII], [PII] got snow last night. [AGENT][NEGATIVE] Oh no. Wow. [CUSTOMER][NEUTRAL] Yeah, there are the RV and trucks all covered with snow. [CUSTOMER][NEUTRAL] Yeah. [CUSTOMER][NEUTRAL] We don't have none here in uh [PII], not at least in in [PII] where we are. [AGENT][NEUTRAL] You're supposed to get some? [CUSTOMER][NEUTRAL] No, I don't think so. [AGENT][NEUTRAL] Oh, OK. [CUSTOMER][NEUTRAL] No, I don't think so. [AGENT][NEUTRAL] So I'm showing we made a payment of $151. [CUSTOMER][NEUTRAL] Yeah. [AGENT][NEUTRAL] And that was for. [AGENT][NEUTRAL] Let's see, and that 151 maxed out your benefits for the year. [CUSTOMER][NEUTRAL] Oh, what do you mean? How much benefit do I get for the year? [AGENT][NEUTRAL] You have a $500 benefit um per [AGENT][NEUTRAL] Yeah [AGENT][NEUTRAL] And so when they we had paid out already on other claims during for the [PII] calendar year, so when we received that claim. [CUSTOMER][NEUTRAL] Oh [CUSTOMER][NEUTRAL] Service [AGENT][NEUTRAL] All you had left was $151 and so we paid that. [CUSTOMER][NEUTRAL] Oh, OK. [CUSTOMER][NEUTRAL] OK. [CUSTOMER][POSITIVE] Um, all right, thank you so much. [AGENT][NEUTRAL] Alright, is there anything else I can assist with today? [CUSTOMER][NEGATIVE] Not much you wanna pay the balance for. [AGENT][NEUTRAL] I wish I could. [CUSTOMER][POSITIVE] All right. Yeah. You have a blessed day. Thank you. [AGENT][POSITIVE] Well, thank you for calling APL. You too, thank you. [CUSTOMER][POSITIVE] You have a good day. [PII] bless. [AGENT][NEUTRAL] Mhm