AccountId: 011433970860 ContactId: 9ea6ef9a-42ea-4166-8abe-75e1d239ba24 Channel: VOICE LanguageCode: en-US Total Conversation Duration: 1389979 ms Total Talk Time (AGENT): 553375 ms Total Talk Time (CUSTOMER): 422617 ms Interruptions: 6 Overall Sentiment: AGENT=0.2, CUSTOMER=0 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/01/02/9ea6ef9a-42ea-4166-8abe-75e1d239ba24_20250102T15:53_UTC.wav -------------------------------------------- [AGENT][NEUTRAL] Thank you for calling APL. This is [PII]. How may I help you? [CUSTOMER][NEUTRAL] Yeah. [CUSTOMER][NEUTRAL] Um, yes, [PII], I was calling because I had, um, recently just got a claim approved, um. [CUSTOMER][NEUTRAL] And I know that you guys send out checks, but I just moved as well, um, and I don't have access to that box anymore, so I was trying to see if I could send the check, direct deposit or how does that. [CUSTOMER][NEUTRAL] Um, work cause I thought I had it set up for direct deposit, uh, [PII]. [AGENT][NEUTRAL] What is your name? [AGENT][NEUTRAL] [PII] and what's the policy number, [PII]? [CUSTOMER][NEUTRAL] Yeah. [CUSTOMER][NEGATIVE] Oh, I don't have that with me right now. [AGENT][NEUTRAL] Your social? [CUSTOMER][NEUTRAL] [PII] [AGENT][POSITIVE] And a good phone number in case we're disconnected? [CUSTOMER][NEUTRAL] [PII] [AGENT][NEUTRAL] OK, one moment. [AGENT][NEUTRAL] And what type of policy do you have? [CUSTOMER][NEUTRAL] Yeah [CUSTOMER][NEUTRAL] Uh, cancel policy. [AGENT][NEUTRAL] OK. [AGENT][NEUTRAL] [PII], verify your date of birth, your mailing address, and your email address for me, please? [CUSTOMER][NEUTRAL] 104 [PII], um. [CUSTOMER][NEUTRAL] The mailing address is [PII]. Email [PII]. [AGENT][NEUTRAL] Looks like it's a work email that we have on file. [CUSTOMER][NEUTRAL] Oh, OK. Uh, [PII]. [AGENT][NEUTRAL] OK, thank you for verifying that information. [CUSTOMER][NEUTRAL] OK [AGENT][NEUTRAL] OK, so I'm showing that it's set up to go direct deposit. [CUSTOMER][NEUTRAL] Oh, OK, OK. Um, when was my other two that I just got on my kids, uh, [CUSTOMER][NEUTRAL] Uh, [CUSTOMER][NEUTRAL] Came in the mail. [AGENT][NEUTRAL] OK, what do you mean? [AGENT][NEUTRAL] So do do you submitted claims for your dependent children? [CUSTOMER][NEGATIVE] Yeah, no, yeah, I was just, so I was calling about the 100 that I was supposed to receive, um, because the other two that I got from my dependents were sent in the mail and I no longer stay at that address and so I was, that's why I was just trying to make sure that is it gonna come direct deposit if it wasn't, I was gonna have to send it somewhere else. [AGENT][NEUTRAL] The checks that you receive for your dependents, is it through a different carrier or is it through APL? [CUSTOMER][NEUTRAL] How old are APL. [AGENT][NEUTRAL] Under which policy? [AGENT][NEUTRAL] The cancer? [CUSTOMER][NEUTRAL] Uh, [CUSTOMER][NEUTRAL] Yeah. What is it? Cancer and critical illness? [AGENT][NEUTRAL] And what are the dependents uh names? [CUSTOMER][NEUTRAL] [PII] and [PII]. [AGENT][NEUTRAL] OK, let me take a look at theirs. [AGENT][NEUTRAL] And is the date of service for the dependents before [PII]? [CUSTOMER][NEUTRAL] Yes, I wanna say. [AGENT][NEUTRAL] OK, so I'm gonna look under the other policy number that you had. [CUSTOMER][NEUTRAL] OK [CUSTOMER][NEUTRAL] OK [AGENT][NEUTRAL] OK, yeah, so I showed that theirs were mailed. [AGENT][NEUTRAL] Their their claims were processed on [PII]. Yours was processed on the [PII]. [CUSTOMER][NEUTRAL] Right. [AGENT][NEUTRAL] Let's see. [CUSTOMER][NEUTRAL] Yeah. [AGENT][NEUTRAL] But I do show that yours is set to come direct deposit, so it was processed on the [PII]. [AGENT][NEUTRAL] Uh, the [PII] would have been. [CUSTOMER][NEUTRAL] Mhm. [AGENT][NEUTRAL] On Wednesday. [AGENT][NEUTRAL] Um, generally the checks are released the next business day, but we were closed on the [PII], so it was released today. And so for direct deposit allow at least 3 to 4 business days from the date that we release it, so from the [PII], so you may. [AGENT][NEUTRAL] Get it. I don't know if you would get it. It just depends on your banking institution as well, but we would like, we like to say 3 to 4 days from the date that it was released, which was the [PII]. [CUSTOMER][NEUTRAL] On the back, right. [CUSTOMER][NEUTRAL] OK. Um, no, that's no problem. Um, so how would I, I guess in the future, would I, oh, well, can you change my address? Because I tried to change it and maybe because it was on my phone, um, it wouldn't let me do it. It wouldn't let me change my address. [AGENT][NEUTRAL] OK. [AGENT][NEUTRAL] Yeah. [AGENT][NEUTRAL] So I do show it's the one that you verified, [PII]. That's the one that I show on file. [CUSTOMER][NEUTRAL] Yeah. [CUSTOMER][NEUTRAL] Yeah [CUSTOMER][NEUTRAL] Right, and I need to change it because I just moved. [AGENT][NEUTRAL] OK, to what address? [CUSTOMER][NEUTRAL] [PII]. [CUSTOMER][NEUTRAL] Uh, [PII]. [AGENT][NEUTRAL] Spell the city for me. [CUSTOMER][NEUTRAL] [PII]. [CUSTOMER][NEUTRAL] [PII] [AGENT][NEUTRAL] Mhm. [AGENT][NEUTRAL] State is [PII]. [CUSTOMER][NEUTRAL] [PII]. [CUSTOMER][NEUTRAL] Oh yeah. [AGENT][NEUTRAL] [PII]. [CUSTOMER][NEUTRAL] [PII] [AGENT][NEUTRAL] [PII]. I'm gonna repeat it back to you. [PII]. [AGENT][NEUTRAL] [PII]. [CUSTOMER][NEUTRAL] Yes. [CUSTOMER][NEUTRAL] Yes. [AGENT][NEUTRAL] OK, so I'll change it under both of the policy numbers. Give me one moment. [CUSTOMER][NEUTRAL] So what, what is the other you, you, I think I'm getting confused cause you keep saying other policy numbers. What is um [CUSTOMER][NEUTRAL] So I know it's critical and cancer. What is the other uh policy? [AGENT][NEUTRAL] They're both cancer, but the dates of service for the dependents claims was before September. You, you got a new policy number [PII], which is the one that, um, that, that your claim is under. [CUSTOMER][NEUTRAL] Oh, yes, yes, yes, cause the other one had that. [AGENT][NEUTRAL] Right. [CUSTOMER][NEUTRAL] Mhm. [AGENT][NEUTRAL] And so their dates of service is before [PII]. [CUSTOMER][NEUTRAL] Wait, go [CUSTOMER][NEUTRAL] So it went on the other policy? [AGENT][NEUTRAL] For the dependents. [CUSTOMER][NEUTRAL] Yeah. [CUSTOMER][NEUTRAL] No, yes, so what I'm asking is [CUSTOMER][NEUTRAL] The, so the two policies that I have, I have one that started, the one that would have left, and I have one that started [PII]. [AGENT][POSITIVE] Correct. [CUSTOMER][NEUTRAL] So are you saying it was paid under the one that lapsed? [AGENT][NEUTRAL] OK, so for the dependent claims, the dates of er the date of service is [PII]. [AGENT][NEUTRAL] So it would have those two claims were paid under your previous policy because of the dates of the date of service. [CUSTOMER][NEUTRAL] Mhm. [CUSTOMER][NEUTRAL] Oh, OK. [AGENT][NEUTRAL] The policy that your claim was processed under was not effective until it was effective [PII]. [CUSTOMER][NEUTRAL] OK. So, could I [CUSTOMER][NEUTRAL] Uh [AGENT][NEUTRAL] So your date of service is after [PII]. [CUSTOMER][NEUTRAL] OK, so. [CUSTOMER][NEUTRAL] So I can, I can feel. [CUSTOMER][NEUTRAL] Do I file them under the new policy? [AGENT][NEUTRAL] So it's gonna depend on the date of service. [CUSTOMER][NEUTRAL] But when [AGENT][NEUTRAL] So, any, any, when you go to the doctor, any date [PII] and after. [CUSTOMER][NEUTRAL] OK. [AGENT][NEUTRAL] You would submit it under claim number. [AGENT][NEUTRAL] 253. [AGENT][NEUTRAL] 0318. [CUSTOMER][NEUTRAL] Uh [AGENT][NEUTRAL] And then any claim before. [CUSTOMER][NEUTRAL] And that's any cop. [AGENT][NEUTRAL] That's after [PII] and after. [AGENT][NEUTRAL] And then any claim before [PII]. [AGENT][NEUTRAL] 24 would, would be filed under policy number 240. [AGENT][NEUTRAL] 3190. [CUSTOMER][NEUTRAL] OK. [AGENT][NEUTRAL] That makes sense. [CUSTOMER][NEUTRAL] So that's the any time before [PII]. [AGENT][NEUTRAL] Mhm. [CUSTOMER][NEUTRAL] I think I'm understanding. Yeah, OK, so then any time after [PII] is the first one. And so that one was paid, the kids, the dependents was paid under the 190. [AGENT][NEUTRAL] OK. [AGENT][POSITIVE] Correct. [CUSTOMER][NEUTRAL] You [CUSTOMER][NEUTRAL] OK. [CUSTOMER][NEUTRAL] OK, I got it. [AGENT][NEUTRAL] OK. [AGENT][NEUTRAL] So I'm gonna get the address changed while I have you here real quick. Go ahead. [CUSTOMER][NEUTRAL] So [CUSTOMER][NEUTRAL] So can I still file? [CUSTOMER][NEUTRAL] Mine under the 190. [CUSTOMER][NEUTRAL] The wellness. [AGENT][NEUTRAL] If it's if the if the date of service is prior to [PII]. [CUSTOMER][NEUTRAL] So [AGENT][NEUTRAL] So do you have any wellness claims prior before [PII]? [CUSTOMER][NEUTRAL] OK. [CUSTOMER][NEUTRAL] you know [CUSTOMER][NEUTRAL] Uh [CUSTOMER][NEUTRAL] Yes. [AGENT][NEUTRAL] Let me see, let me check your history and see which months. [AGENT][NEUTRAL] Um, have been paid for. [CUSTOMER][NEUTRAL] All take place. [AGENT][NEUTRAL] OK, yeah, I don't show any wellness claims under your, under the previous policy, uh, that started [PII]. [CUSTOMER][NEUTRAL] Sure. [CUSTOMER][NEUTRAL] Right, cause I didn't even know that. [AGENT][NEUTRAL] OK. [AGENT][NEUTRAL] So technically, if you had, you know, a mammogram or a Pap smear from [PII]. [CUSTOMER][NEUTRAL] you [AGENT][NEUTRAL] Well, the year of [PII] and [PII], you, I'm sorry, the year of [PII], you could submit that one. [AGENT][NEUTRAL] Under the 24 the one ending in 190. [CUSTOMER][NEUTRAL] And [CUSTOMER][NEUTRAL] OK. [CUSTOMER][NEUTRAL] So [AGENT][NEUTRAL] And actually, if you had, if you had a test done before [PII], you could submit it under that policy too, the policy ending in 190. [CUSTOMER][NEUTRAL] Got it. [CUSTOMER][NEUTRAL] I mean [CUSTOMER][NEUTRAL] Um [CUSTOMER][NEUTRAL] Before, OK. [AGENT][NEUTRAL] As long as it's before, uh, [PII]. [CUSTOMER][NEUTRAL] Got it. [AGENT][NEUTRAL] So you could claim for year [PII] and then if you had a test in [PII] prior to [PII], you could submit that to, to get two benefits under the old policy. [CUSTOMER][NEUTRAL] And the old one, OK. [CUSTOMER][NEUTRAL] Wait, so I could file. [AGENT][NEUTRAL] For you. [CUSTOMER][NEUTRAL] What do you mean two benefits on this? [AGENT][NEUTRAL] So the, so like a preventative benefit, like do, do you get your mammogram every year? [CUSTOMER][NEUTRAL] No. I mean, I'm not old enough to me. I don't get mammograms. [AGENT][NEUTRAL] OK. [AGENT][NEUTRAL] Oh, do you have any wellness exams done, like a Pap smear or anything? [CUSTOMER][NEUTRAL] So. [CUSTOMER][NEUTRAL] Yes. [AGENT][NEUTRAL] So there are several tests that are covered under your screening benefit. [CUSTOMER][NEUTRAL] Mhm. [AGENT][NEUTRAL] Let me pull up the list. [CUSTOMER][NEUTRAL] Sierra. [CUSTOMER][NEUTRAL] That [AGENT][NEUTRAL] So under the cancer screening benefit writer, um. [AGENT][NEUTRAL] If you have like a mammogram, a breast ultrasound, a breast thermography. [AGENT][NEUTRAL] Uh, breast blood, cancer blood test. [AGENT][NEUTRAL] Uh, colon cancer blood test. [AGENT][NEUTRAL] Uh, colonoscopy. [AGENT][NEUTRAL] Um, [AGENT][NEUTRAL] Um, an ovarian cancer blood test, a Pap smear. [CUSTOMER][NEUTRAL] Yeah [AGENT][NEUTRAL] A chest X-ray. [AGENT][NEUTRAL] A stool specimen. [AGENT][NEUTRAL] A serum, a serum protein, electrophorosis, that's for a blood test for melanoma, a cancer, and then a thin prep test. If you have any of those tests, you can get that $50 benefit. [CUSTOMER][NEUTRAL] Mhm. [AGENT][NEUTRAL] One time per year calendar year. [CUSTOMER][NEUTRAL] OK. [CUSTOMER][NEUTRAL] OK. [CUSTOMER][NEUTRAL] Got it. [CUSTOMER][NEUTRAL] So I can still file that under the 190. [CUSTOMER][NEUTRAL] Because it, it would have been before the [PII]. [AGENT][NEUTRAL] Mhm. [CUSTOMER][NEUTRAL] OK. [AGENT][NEUTRAL] So if it's, if you, if you had a test before [PII], you mean 24, you're [PII]. [CUSTOMER][NEUTRAL] [PII]. [AGENT][NEUTRAL] So if you had, your policy, your old policy did not become effective. [CUSTOMER][NEUTRAL] I mean 242. [AGENT][NEUTRAL] OK [AGENT][NEUTRAL] OK. Did you have any tests done? [CUSTOMER][NEUTRAL] Yeah, yeah, yeah, I'm at [PII]. [AGENT][NEUTRAL] OK. Did you have any test, tests done in year [PII]? [CUSTOMER][NEUTRAL] Yes. [AGENT][NEUTRAL] What what test did you have? [CUSTOMER][NEUTRAL] That [CUSTOMER][NEUTRAL] Uh, afternoon. [AGENT][NEUTRAL] So you could um fill out the wellness claim form online that we have online and I can email it to you also um it doesn't require that you send us any any other documentation just when I email you the claim form. [CUSTOMER][NEUTRAL] Yeah [AGENT][NEUTRAL] Um, [AGENT][NEUTRAL] You'll select the task that you had done. [AGENT][NEUTRAL] So Pap smears on that, that form. You'll, you'll put a check in that box, you'll have to print it first. Put a check in that box and then it'll ask you what what date you had it done and there's a box for you to put the date. [CUSTOMER][NEUTRAL] Mhm. [CUSTOMER][NEUTRAL] OK. [AGENT][NEUTRAL] And then you can send that back to us. [CUSTOMER][NEUTRAL] OK. [AGENT][NEUTRAL] And then if you had one in 24, you'll have to fill out a separate claim form for each test. [CUSTOMER][NEUTRAL] OK. [CUSTOMER][NEUTRAL] Oh [CUSTOMER][NEUTRAL] And with that one, so with that one go on the [CUSTOMER][NEUTRAL] The second one, would that go on the 318? [AGENT][NEUTRAL] If it, if, if the, the one for 24. [CUSTOMER][NEUTRAL] Or is it still under the lab? [AGENT][NEUTRAL] Yeah, the one for year 20, when was it done in 24? [CUSTOMER][NEUTRAL] Mhm. [AGENT][NEUTRAL] What month? [CUSTOMER][NEUTRAL] It probably would have been like summertime. [AGENT][NEUTRAL] Yeah, so any day prior to [PII]. [AGENT][NEUTRAL] You could submit that one under the policy ending in 190. [CUSTOMER][NEUTRAL] OK. OK. I got what you're saying now. [AGENT][NEUTRAL] Mhm, because it, the date is before [PII]. [CUSTOMER][NEUTRAL] He [AGENT][NEUTRAL] Of 24 [CUSTOMER][NEUTRAL] Mhm. [AGENT][NEUTRAL] If you had it like during the summertime. [CUSTOMER][NEUTRAL] OK. [CUSTOMER][NEUTRAL] Alright, well you can [CUSTOMER][NEUTRAL] Right, before the new policy started. [AGENT][POSITIVE] Correct. [CUSTOMER][POSITIVE] I got you, yeah [CUSTOMER][NEUTRAL] Got it. [CUSTOMER][NEUTRAL] OK. Uh. [AGENT][NEUTRAL] Let me send you the, let me send you, email you the form real quick while I have you here. [CUSTOMER][NEUTRAL] OK. [AGENT][NEUTRAL] You're like me. I have to think about what I'm thinking about. [CUSTOMER][NEUTRAL] That's [CUSTOMER][NEUTRAL] No [CUSTOMER][NEUTRAL] Yeah, for real. [AGENT][NEUTRAL] And think about it again. [CUSTOMER][NEUTRAL] I think about yeah. And again. [AGENT][NEUTRAL] Yes [AGENT][NEUTRAL] Oh. [CUSTOMER][NEUTRAL] Mm [AGENT][NEUTRAL] Let's see. [CUSTOMER][POSITIVE] Perfect [CUSTOMER][NEUTRAL] uh [CUSTOMER][NEUTRAL] I just been walking around thinking for this stuff. [AGENT][NEUTRAL] So, uh, [PII], do you want me to send it to the, uh, your work email or do you wanna update it and change your email address to your personal? [CUSTOMER][NEUTRAL] Uh, you can send it to my personal. I try not to check that one. I'm not. [AGENT][NEUTRAL] OK, give me that one [AGENT][NEUTRAL] OK, give me that again. [CUSTOMER][NEUTRAL] Uh [PII] [CUSTOMER][NEUTRAL] [PII] [CUSTOMER][NEUTRAL] [PII] [CUSTOMER][NEUTRAL] [PII] [CUSTOMER][NEUTRAL] You know, [CUSTOMER][NEUTRAL] Number 10 [CUSTOMER][NEUTRAL] [PII]. [AGENT][NEUTRAL] I'm gonna repeat that back. [CUSTOMER][NEUTRAL] Um [AGENT][NEUTRAL] So I have your first name, [PII] and then I have letter [PII]. [AGENT][NEUTRAL] [PII]. [CUSTOMER][NEUTRAL] Yes. [CUSTOMER][NEUTRAL] Mhm. [AGENT][NEUTRAL] Number [PII] [AGENT][NEUTRAL] [PII]. [CUSTOMER][NEUTRAL] Yes. [AGENT][NEUTRAL] OK. [CUSTOMER][NEUTRAL] Yeah. [CUSTOMER][NEUTRAL] You make 2. [CUSTOMER][NEUTRAL] Oh [CUSTOMER][NEUTRAL] Oh [CUSTOMER][NEUTRAL] Yeah. [CUSTOMER][NEUTRAL] Yeah. [CUSTOMER][NEUTRAL] So. [CUSTOMER][NEUTRAL] Well [CUSTOMER][NEUTRAL] the [CUSTOMER][NEUTRAL] course. [CUSTOMER][NEUTRAL] You know [CUSTOMER][NEUTRAL] Yeah. [CUSTOMER][NEUTRAL] Yeah. [CUSTOMER][NEUTRAL] that [AGENT][NEUTRAL] OK, so we just updated your email address and I just emailed you over the wellness claim form. [CUSTOMER][NEUTRAL] So we don't [AGENT][NEUTRAL] And now I am getting ready to update. [AGENT][NEUTRAL] Your address. Give me a second. [CUSTOMER][NEUTRAL] Mm. [AGENT][NEUTRAL] Yeah. [CUSTOMER][NEUTRAL] do [CUSTOMER][NEUTRAL] If I didn't when I saw her. [CUSTOMER][NEUTRAL] right. [AGENT][NEUTRAL] How far is [PII] from um [PII] or [PII]? [CUSTOMER][NEUTRAL] Uh, like, it's in [PII]. [AGENT][NEUTRAL] It's in [PII], OK. [CUSTOMER][NEUTRAL] So, [CUSTOMER][NEUTRAL] Mhm. [CUSTOMER][POSITIVE] And encourage [CUSTOMER][NEUTRAL] 55. [CUSTOMER][NEUTRAL] OK, I just got the email. [AGENT][NEUTRAL] OK. Make sure when you open it and that you're able to open the attachment. [CUSTOMER][NEUTRAL] Yes. [AGENT][NEUTRAL] OK, and you can, um, did you upload your other claims um online? [CUSTOMER][NEUTRAL] Yes, I did the other ones online. [AGENT][NEUTRAL] OK, so you can upload that one. [CUSTOMER][NEUTRAL] I just typed it in the store. [AGENT][NEUTRAL] OK, yeah, so once you, you know, print that, fill it out, you can upload it online as well. [CUSTOMER][NEUTRAL] OK. [AGENT][NEUTRAL] So I've changed the address under one policy. Let me get it done under the other. [AGENT][NEUTRAL] Oh, it changed it for both of them. Good. So now it reflects [PII] under both. [CUSTOMER][NEUTRAL] Yeah. [CUSTOMER][NEUTRAL] OK. [CUSTOMER][NEUTRAL] I. [AGENT][NEUTRAL] And I don't show that the direct deposit information was entered under the. [AGENT][NEUTRAL] Under your old. [AGENT][NEUTRAL] Old policy. [CUSTOMER][NEUTRAL] Oh. [AGENT][NEUTRAL] Let me double check that again. 2,403,190. [CUSTOMER][NEUTRAL] OK. [AGENT][NEUTRAL] 253-0318. Yup, it is. It is. [CUSTOMER][NEUTRAL] OK. So it's on the old policy? [AGENT][NEUTRAL] It's on the old policy as well. And let me take a quick look at it. [CUSTOMER][NEUTRAL] so [CUSTOMER][NEUTRAL] OK. [AGENT][NEUTRAL] Trying to check all my boxes before I let you go. [CUSTOMER][NEUTRAL] OK. [CUSTOMER][NEUTRAL] Yeah [CUSTOMER][NEUTRAL] Yeah [AGENT][NEUTRAL] Yes, it's on there. [CUSTOMER][NEUTRAL] yeah [CUSTOMER][NEUTRAL] OK. [CUSTOMER][NEUTRAL] Yeah [AGENT][NEUTRAL] And did you have any other questions I can help out with today? [CUSTOMER][NEUTRAL] No, ma'am, I don't. [AGENT][POSITIVE] All righty. Well, thank you for calling APL uh [PII], and have a happy New Year. [CUSTOMER][POSITIVE] Thank you. You too. [AGENT][POSITIVE] All righty. Thanks for calling APL. Have a good day. [CUSTOMER][NEUTRAL] OK. [CUSTOMER][NEUTRAL] Bye bye. [AGENT][NEUTRAL] Uh bye-bye