AccountId: 011433970860 ContactId: bd24d6b2-ff97-410f-b0fe-2d3819ae41d0 Channel: VOICE LanguageCode: en-US Total Conversation Duration: 334079 ms Total Talk Time (AGENT): 137151 ms Total Talk Time (CUSTOMER): 85812 ms Interruptions: 1 Overall Sentiment: AGENT=0.8, CUSTOMER=0.3 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/05/28/bd24d6b2-ff97-410f-b0fe-2d3819ae41d0_20250528T14:32_UTC.wav -------------------------------------------- [AGENT][POSITIVE] Thank you for calling APL this is [PII]. How can I help you? [CUSTOMER][NEUTRAL] Hey this is [PII]. I'm calling to get dental benefits for a patient. [AGENT][POSITIVE] OK, I can help you with benefits, [PII]. Can I get a good call back number in case we get disconnected? [CUSTOMER][NEUTRAL] Uh, it's [PII] option 2. [AGENT][NEUTRAL] OK. And do you have the policy number? [CUSTOMER][NEUTRAL] Um, it's 02619672. [AGENT][NEUTRAL] One moment while I look that up for you. [AGENT][NEUTRAL] And can I get the patient's name and date of birth? [CUSTOMER][NEUTRAL] It's um [PII] [PII]. [AGENT][NEUTRAL] OK. And you said dental benefits? [CUSTOMER][NEUTRAL] Yes. [AGENT][NEUTRAL] OK. [AGENT][NEUTRAL] This is his hospital indemnity policy. Let me see if he has a dental policy with us. [CUSTOMER][NEUTRAL] OK. [AGENT][NEUTRAL] OK, here we go. [AGENT][NEUTRAL] Alright, and are you ready for his dental policy number? [CUSTOMER][NEUTRAL] Yes. [AGENT][NEUTRAL] OK, it's 261 9. [AGENT][NEUTRAL] 673. [CUSTOMER][NEUTRAL] OK, let me type it in. [CUSTOMER][NEUTRAL] 26 [CUSTOMER][NEUTRAL] 19673 and does it, does it have an effective date? [AGENT][NEUTRAL] Yes, I have an effective date of [PII]. [AGENT][NEUTRAL] Let me check and make sure. [CUSTOMER][NEUTRAL] OK. [AGENT][NEUTRAL] It's [AGENT][NEUTRAL] And did you wanna fax back? [CUSTOMER][NEUTRAL] Um, yes, but at first I need to see what, um, the schedule we would follow. [AGENT][NEUTRAL] The fee schedule is by allowable. [AGENT][NEUTRAL] For this policy. [CUSTOMER][NEUTRAL] Allowable? [AGENT][NEUTRAL] Yes, ma'am. [AGENT][NEUTRAL] So we have preventative expenses at 100% of allowable. uh FMX expenses and basic and rest basic restorative are all at 80% of allowable. [CUSTOMER][NEUTRAL] OK, does it have a group name or group number and then you, uh, I'll just go off the fax that when it's sent. [AGENT][NEUTRAL] Sure, let me get the [AGENT][POSITIVE] Great number? [AGENT][NEUTRAL] It's 70084. [CUSTOMER][NEUTRAL] And there's a good name American Public Life. [CUSTOMER][NEUTRAL] work [AGENT][NEUTRAL] Um, no, ma'am. That's the name of the dental insurance. [CUSTOMER][NEUTRAL] Oh. [AGENT][NEUTRAL] It's going through Surge Staffing LLC. [AGENT][NEUTRAL] So S U R G E Staffing LLC. [CUSTOMER][NEUTRAL] S U R. [CUSTOMER][NEUTRAL] OK. [CUSTOMER][NEUTRAL] I think we will use Carrington. [AGENT][NEUTRAL] OK, yeah, it, it's APL but we use the Carrington network or it participates in the Carrington Carrington network, mhm. [CUSTOMER][NEUTRAL] Yeah [CUSTOMER][NEUTRAL] OK. [CUSTOMER][NEUTRAL] Yeah, that's what I asked you said allowable, so that's why I was like, huh? um, OK, and last thing. [AGENT][POSITIVE] Oh, sorry. I'm so sorry. [CUSTOMER][NEUTRAL] Uh, last thing, what is the fees, I mean the claims address is the PO box? I can't read those numbers too small. [AGENT][NEUTRAL] I can give it to you. Uh, so you'll send it to [PII]? [AGENT][NEUTRAL] [PII]. [AGENT][NEUTRAL] [PII]. [AGENT][NEUTRAL] 73124-8950 and all of that will be on the fax back as well too so hopefully that helps. [CUSTOMER][NEUTRAL] OK. [CUSTOMER][POSITIVE] Yes ma'am thank you. [AGENT][NEUTRAL] Is there anything else I can help you with? [CUSTOMER][NEUTRAL] Uh, that'd be all. [AGENT][NEUTRAL] Right. Well, thank you for calling AP. Oh, I need the fax number. I'm so sorry. [CUSTOMER][NEUTRAL] Uh, um, [PII]. [AGENT][NEUTRAL] OK, let me read that back real quick. [AGENT][NEUTRAL] I have [PII]. [AGENT][NEUTRAL] [PII] correct? [CUSTOMER][NEUTRAL] Mhm, yes. [AGENT][NEUTRAL] Alright, expect that in about 5 to 10 minutes, OK? [CUSTOMER][NEUTRAL] OK [AGENT][POSITIVE] Great, thank you so much for calling APL and have a great day. [CUSTOMER][NEUTRAL] I [CUSTOMER][POSITIVE] Thank [CUSTOMER][NEUTRAL] See you too.