AccountId: 011433970860 ContactId: cd6a9c09-ec77-4a7b-970c-0a59e07ffa8e Channel: VOICE LanguageCode: en-US Total Conversation Duration: 188160 ms Total Talk Time (AGENT): 55689 ms Total Talk Time (CUSTOMER): 102321 ms Interruptions: 0 Overall Sentiment: AGENT=0.3, CUSTOMER=1 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/03/28/cd6a9c09-ec77-4a7b-970c-0a59e07ffa8e_20250328T13:10_UTC.wav -------------------------------------------- [AGENT][POSITIVE] And thank you for calling APL. This is [PII]. How can I help you? [CUSTOMER][NEUTRAL] Yes, good morning. I am calling on behalf of my husband who is a member of your group, and um we have a general question. uh, we received uh an explanation of benefits and um the service was not covered. [CUSTOMER][NEUTRAL] So, [CUSTOMER][NEUTRAL] We really don't know how to, to find out what would be covered and what would not be covered. [AGENT][NEUTRAL] OK. Yes, ma'am. I can assist you with the benefits and claim status. And first, could I get your name and a good callback number? [CUSTOMER][NEUTRAL] Yes, my name is [PII]. [CUSTOMER][NEUTRAL] And I am calling from [PII]. [AGENT][NEUTRAL] OK. Thank you, [PII]. Now could I [CUSTOMER][NEUTRAL] My last name is. [CUSTOMER][NEUTRAL] Go ahead. [AGENT][NEUTRAL] OK, thank you. And could I get the [CUSTOMER][NEUTRAL] I'm sorry, I interrupted. [AGENT][NEUTRAL] Oh, no problem. Um, could I get the policy number, please? Could I get the policy number? [CUSTOMER][NEUTRAL] The what? [CUSTOMER][NEUTRAL] OK, the policy number, let me see. [CUSTOMER][NEUTRAL] Uh, it's group 15034. [CUSTOMER][NEUTRAL] The coverage is individual. My husband's name is [PII]. [CUSTOMER][NEUTRAL] And the benefit certificate number in hospital or outpatient do you need? They're different. [AGENT][NEUTRAL] The outpatient number. [CUSTOMER][NEUTRAL] OK, it's 1,481,600, M as in Mary, L as in Louis, number 8. [AGENT][NEUTRAL] OK, thank you. One moment, please. [CUSTOMER][POSITIVE] You're welcome. Thank you. [AGENT][NEUTRAL] OK. And is your husband available to verify his benefits and give you permission to speak for him? [CUSTOMER][NEUTRAL] Uh, actually, he's at work and he's in a meeting, so no. [CUSTOMER][NEUTRAL] I guess we would have to call back. [AGENT][NEUTRAL] OK. [AGENT][NEUTRAL] Yes, ma'am. You can call him, call back with. [CUSTOMER][NEUTRAL] What, what are your hours? [AGENT][NEUTRAL] Um, hours are [PII] Central time, [PII] Central Time. [CUSTOMER][NEUTRAL] OK. And uh, can he call and [CUSTOMER][NEUTRAL] Because he probably won't be home before you're closed, can he call and give me permission to speak with you over the phone? [AGENT][NEUTRAL] Yeah, I'm not [AGENT][NEUTRAL] Um, yes, ma'am. Normally what happens is, um, you would call with him on a three-way to verify his benefits and give you permission to speak and if he have to leave the call after that, that's fine. [CUSTOMER][NEUTRAL] Uh [CUSTOMER][POSITIVE] OK. OK. Thank you so much. [AGENT][NEUTRAL] OK. Is there anything else that I can assist you with? [CUSTOMER][NEUTRAL] We'll call back. [CUSTOMER][POSITIVE] No, that's all. Thank you for your help. Have a good day. [AGENT][NEUTRAL] OK. Thank you, [PII]. Uh-huh. Thank you for calling APL. Mm bye. [CUSTOMER][POSITIVE] My pleasure. Thank you.