AccountId: 011433970860 ContactId: d0818ac8-1bb0-4211-a605-e7a7c6622559 Channel: VOICE LanguageCode: en-US Total Conversation Duration: 574489 ms Total Talk Time (AGENT): 179728 ms Total Talk Time (CUSTOMER): 99665 ms Interruptions: 2 Overall Sentiment: AGENT=0.4, CUSTOMER=0.8 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/05/09/d0818ac8-1bb0-4211-a605-e7a7c6622559_20250509T22:48_UTC.wav -------------------------------------------- [AGENT][POSITIVE] Thank you for calling [AGENT][NEUTRAL] APL, this is [PII]. How may I help you? [CUSTOMER][NEGATIVE] I'm sorry, you're breaking up. What was your name? [AGENT][NEUTRAL] My name is [PII]. [AGENT][NEUTRAL] Can you hear me? [CUSTOMER][NEUTRAL] Oh hi [PII]. My name is, yes, my name is [PII]. I'm calling from West Coast Dental. I just want to see if you can help me get a remaining maximum efficient dental coverage. [AGENT][NEUTRAL] OK, I can help you with benefits for patient, um, [PII]. May I please get your callback number just in case the call gets disconnected? [CUSTOMER][NEUTRAL] [PII] [PII]. [AGENT][POSITIVE] Thank you so much and then what is the patient's name, date of birth, and policy number? [CUSTOMER][NEUTRAL] It is [PII] 22688, member ID 02502331. [AGENT][NEUTRAL] OK, let me look that up real quick. [AGENT][NEUTRAL] Alright, and you're looking for dental benefits and eligibility, is that correct? [CUSTOMER][NEUTRAL] Yes. [AGENT][NEUTRAL] OK, I'm looking at his policy and the policy is no longer active. It terminated on [PII]. [AGENT][NEGATIVE] And there are no active policies for him. [CUSTOMER][NEUTRAL] Mm, OK, that's strange because [CUSTOMER][NEUTRAL] OK, that's strange because we just verified his insurance on last month on the [PII], and the rep named [PII] said that he had 500 remaining. [AGENT][NEUTRAL] OK. Look, looking at the policy right now, I'm looking. [AGENT][NEUTRAL] In at it and it's lapsed. [CUSTOMER][NEUTRAL] Uh [AGENT][NEUTRAL] And the last paid to date was [PII]. [AGENT][NEUTRAL] So the policy is no longer active. [AGENT][NEUTRAL] And I'm also looking at a note that says that lapse policy from benefits in the card which is the company and it's no longer active. [CUSTOMER][NEUTRAL] So you said 3, I mean 4 what? I'm sorry, [PII]? [AGENT][NEUTRAL] No, ma'am. The policy lapsed on [PII]. [CUSTOMER][NEUTRAL] Oh, [PII]. [AGENT][NEUTRAL] Yes, ma'am. [CUSTOMER][NEUTRAL] Is there someone else I can speak to because I did get eligibility last month. [AGENT][NEUTRAL] Um, I can see if I can get a supervisor on the phone for you. Let me, I am real quick. [CUSTOMER][POSITIVE] Thank you. [AGENT][POSITIVE] You're welcome. [AGENT][NEUTRAL] OK, I'm trying to get a hold of somebody now for you. [CUSTOMER][POSITIVE] Thank you. [AGENT][NEUTRAL] Are you still there? You're welcome. [AGENT][NEUTRAL] I'm just hoping not everybody's left because we close in like 5 minutes. [AGENT][NEUTRAL] So I'm hoping somebody's still here that can talk to you. Yeah. [CUSTOMER][NEUTRAL] OK. Hopefully not. [CUSTOMER][POSITIVE] OK, thanks. [AGENT][NEUTRAL] But I'm trying [AGENT][NEUTRAL] OK, I'm gonna go ahead and transfer you on over to another department so you can speak to somebody there so it's gonna be a brief hold while I transfer you over. [CUSTOMER][POSITIVE] OK, thank you. [AGENT][POSITIVE] Thank you, ma'am. [CUSTOMER][NEUTRAL] Transferring. [CUSTOMER][NEUTRAL] Transferring. [CUSTOMER][NEUTRAL] Good afternoon. Thank you for calling APL. This is [PII]. How may I help you? [AGENT][NEUTRAL] Hi [PII] this is [PII] I've got a provider on the phone. Her name is [PII]. [AGENT][NEUTRAL] She is calling about policy number 250. [AGENT][NEUTRAL] 331. [CUSTOMER][NEUTRAL] You were cutting out 250. [AGENT][NEUTRAL] Um, I just need, I'm, yeah, 250-233-1. [CUSTOMER][NEUTRAL] 31 OK. [AGENT][NEGATIVE] The policy lapsed and I told her that the last pay date was [PII]. The policy is no longer active. [AGENT][NEUTRAL] And she told me that's not true because she called last last month and was told that the policy is active and she just wants to hear that the policy. [CUSTOMER][NEUTRAL] Mhm. [AGENT][NEUTRAL] Policy is lapsed from somebody besides me, so would you be willing to do that since this is a big. [CUSTOMER][NEUTRAL] Um [AGENT][NEUTRAL] And you can see that it's lapsed also. [CUSTOMER][NEUTRAL] Yeah, [PII]. [AGENT][NEUTRAL] Huh? [CUSTOMER][NEUTRAL] Well, I'll think it looking, is it all right? [AGENT][NEUTRAL] Yes. [CUSTOMER][POSITIVE] Yeah, let me pull up big website real quick and I'm here too as well. [AGENT][NEUTRAL] OK, and the notes also say that the policy should be lapsed. [CUSTOMER][NEUTRAL] Yeah but um [CUSTOMER][NEUTRAL] The person who does the big. [CUSTOMER][NEUTRAL] We're do it a different way now so she's way behind on all these things. [CUSTOMER][NEUTRAL] Mm [CUSTOMER][NEUTRAL] No, Ala. I will. [AGENT][NEUTRAL] OK. [AGENT][NEUTRAL] Alright, well I'm gonna release the call and let you tell her the same thing and you can let her know that you are the guru on this. [CUSTOMER][NEUTRAL] I just wanted to be sure. [CUSTOMER][NEUTRAL] Uh [AGENT][POSITIVE] You have a good weekend, Miss [PII]. Bye-bye. [CUSTOMER][NEUTRAL] You too.