AccountId: 011433970860 ContactId: d12b5a82-2e82-4ac2-9aa6-e3ef818d7adb Channel: VOICE LanguageCode: en-US Total Conversation Duration: 498720 ms Total Talk Time (AGENT): 176750 ms Total Talk Time (CUSTOMER): 280175 ms Interruptions: 9 Overall Sentiment: AGENT=0.6, CUSTOMER=1.3 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/04/29/d12b5a82-2e82-4ac2-9aa6-e3ef818d7adb_20250429T16:23_UTC.wav -------------------------------------------- [AGENT][NEUTRAL] Good morning. Thank you for calling APL. This is [PII]. How may I assist you? [CUSTOMER][NEUTRAL] Uh, good morning. My name is [PII], and I had submitted some information for a cancer policy, and I had spoken to two representatives. One representative said the last paperwork that I sent in had not been paid. That was for a bladder cancer policy. [CUSTOMER][NEUTRAL] And when I submitted it, I got a notice in the mail saying that it had been submitted so can you send me a breakdown of whether or not it had been submitted or not? [AGENT][NEUTRAL] I can check the history and see exactly what's been submitted and may I have a callback number just in case we get disconnected Miss [PII]. [CUSTOMER][NEUTRAL] I can send [CUSTOMER][NEUTRAL] [PII]. [CUSTOMER][NEUTRAL] And the first cancer policy that was submitted was for breast, and that was 26 years ago. And the last time I was diagnosed with uh breast uh bladder cancer was [PII]. [AGENT][NEUTRAL] Mm. [AGENT][NEUTRAL] OK, uh, what is the policy number, Miss [PII]? [CUSTOMER][NEUTRAL] Oh, I don't have it right here. Do you need my social uh. [AGENT][NEUTRAL] Mhm. [AGENT][NEUTRAL] Um, bear with me just a second, let me. [CUSTOMER][NEUTRAL] The date of birth? [AGENT][NEUTRAL] Let me pull this other system for the social. Go ahead, the social. [CUSTOMER][NEUTRAL] OK. [CUSTOMER][NEUTRAL] [PII]. [CUSTOMER][NEUTRAL] [PII] [AGENT][NEUTRAL] OK. [AGENT][NEUTRAL] Mhm. [AGENT][NEUTRAL] OK. And you said the date of service for the bladder was what date? [AGENT][NEUTRAL] In [PII]. [CUSTOMER][NEUTRAL] I don't, I'm not at, I'm not at the desk right now to provide the date of the letter, but it was recently. [AGENT][NEUTRAL] It was recent, OK. [CUSTOMER][NEGATIVE] But one representative said it had not been pro OK. [AGENT][NEUTRAL] Yeah [AGENT][NEUTRAL] I'm sorry, bear with me just a second, let me pull this other one. [AGENT][NEUTRAL] And this is for yourself, correct? [CUSTOMER][NEUTRAL] Oh [CUSTOMER][POSITIVE] Correct. [CUSTOMER][NEUTRAL] OK, so I have completely backed out. [AGENT][NEUTRAL] I'm just gonna go ahead and pull the most recent information, OK? One moment. [CUSTOMER][NEUTRAL] Sure, sure. [CUSTOMER][NEUTRAL] Oh. [CUSTOMER][NEUTRAL] Yeah. [CUSTOMER][POSITIVE] I have no problem changing the color of the kitchen. With that said, you have a huge. [AGENT][NEUTRAL] Yeah, and can you verify the mailing address and the email address on file for security? [CUSTOMER][NEUTRAL] [PII]. Email address [PII]. [AGENT][POSITIVE] Perfect, thank you. [AGENT][NEUTRAL] All right. [CUSTOMER][POSITIVE] I agree with you. [CUSTOMER][POSITIVE] OK I I like that. [CUSTOMER][POSITIVE] I do love the. Are you sure? Yeah. [AGENT][NEUTRAL] Mm [CUSTOMER][POSITIVE] I love navy blue in home decor. [AGENT][NEUTRAL] I got any email. [CUSTOMER][NEUTRAL] OK. So the plan is to put in French doors to your new walk-in pantry, your new stove with the dramatic hood all along the wall with the full cabinets, and more cabinets for storage that. [CUSTOMER][POSITIVE] And we'll do a fridge so it all blends seamlessly. Then along the island with your sink and microwave, we'll add additional breakfast for our. [AGENT][NEUTRAL] OK, pathology group. [CUSTOMER][NEUTRAL] Well [CUSTOMER][POSITIVE] and that is amazing. [AGENT][NEUTRAL] Another tumor biopsy. OK, I do see that you submitted a pathology group of Luciana report. A final report, um, indicated that it was, um, collected on [PII]. [CUSTOMER][POSITIVE] Correct. [AGENT][NEUTRAL] OK. So I do see that document. Um, let me go ahead and check and see what's on the. [CUSTOMER][NEUTRAL] Hi [AGENT][NEUTRAL] Denial of that claim, bear with me. [CUSTOMER][NEUTRAL] Let me check. [CUSTOMER][NEUTRAL] What [CUSTOMER][NEUTRAL] I just told her. [CUSTOMER][NEUTRAL] I didn't know she came out. [CUSTOMER][NEUTRAL] It seems like whenever she needs something. [CUSTOMER][POSITIVE] No, I'm gonna be the cool mom. I wanna be mommy. [CUSTOMER][NEUTRAL] When one of us gotta be bad. [CUSTOMER][NEUTRAL] He set me up. He just told her they have that right. [CUSTOMER][NEUTRAL] you know we talked about this. It's said that you were gonna say that you ask mommy. [AGENT][NEUTRAL] OK. [AGENT][NEUTRAL] Mm. [AGENT][NEUTRAL] I [CUSTOMER][NEUTRAL] She caught me off guard. [CUSTOMER][NEUTRAL] I got. [AGENT][NEUTRAL] OK, so based on this, um, [AGENT][NEUTRAL] And I'm just going by what I see on the claim, OK? Um, it looks like it was already paid for that um biopsy in the past. [CUSTOMER][NEUTRAL] The 25 [CUSTOMER][NEUTRAL] Mhm. [CUSTOMER][NEUTRAL] Oh. [CUSTOMER][NEUTRAL] So everything was paid for my bladder uh experience with cancer? [AGENT][NEUTRAL] Yeah, it looks like it is. Let me just go ahead. I'm just gonna go ahead and go to history, OK? So bear with me just a second. [CUSTOMER][NEUTRAL] So [CUSTOMER][NEUTRAL] OK, because one representative said that I had never been paid for it. That's why we submitted that uh paperwork for the bladder cancer. I don't know if notation was done when I'd spoken to him. [AGENT][NEUTRAL] OK, let's see. [AGENT][NEUTRAL] Mm. [CUSTOMER][NEUTRAL] offer. [CUSTOMER][NEUTRAL] I'll tell you something, OK, you have it after dinner. [CUSTOMER][POSITIVE] OK, I'll be on that for you. [CUSTOMER][NEUTRAL] Only 8 weeks to get the home done. The crew has finished the demo and add the new support be to open up the kitchen. Remove the back wall to create a pan on the door to the patio, bring out the new kitchen area, and I started building up a new club. [AGENT][NEUTRAL] Alright, let's see. [CUSTOMER][NEUTRAL] So right here we have this hole in the wall. [AGENT][NEUTRAL] Mhm. Let me look at this one. [CUSTOMER][POSITIVE] And right here, yeah, yeah, I'll get the call I appreciate it. [AGENT][NEUTRAL] 969456. [AGENT][NEUTRAL] [PII], yes, um, we did pay that one. let me tell you what day we send that payment. [AGENT][POSITIVE] Thanks [AGENT][NEUTRAL] Right, yeah. [CUSTOMER][NEUTRAL] OK [CUSTOMER][NEUTRAL] What about it? [AGENT][NEUTRAL] OK. [CUSTOMER][NEUTRAL] Oh I thought back to me. [AGENT][NEUTRAL] It was processed on [PII]. [CUSTOMER][NEUTRAL] OK, so my question is. [AGENT][NEUTRAL] Mhm. And it is for that day of service. [AGENT][NEUTRAL] Right. [CUSTOMER][NEUTRAL] OK, so everything that was submitted recently has been paid in the year of [PII]. [AGENT][POSITIVE] Correct, mhm. [AGENT][NEUTRAL] Yes. [CUSTOMER][NEUTRAL] OK, can you just send me a breakdown of what was paid during that time so I can have it as well. [AGENT][NEUTRAL] I can send you this explanation of benefits, which is gonna indicate what we pay for [PII], OK? Um, do you need this to be um emailed or faxed or how would you like this to be sent? [CUSTOMER][NEUTRAL] OK. [CUSTOMER][POSITIVE] I would appreciate that. [CUSTOMER][NEUTRAL] You can mail it. You could put it in the mail that would be fine. [AGENT][NEUTRAL] Regular mail? OK, um. [CUSTOMER][NEUTRAL] Regular mail, yes, please. [AGENT][NEUTRAL] OK, let me. [CUSTOMER][NEUTRAL] That much. [AGENT][NEUTRAL] One moment [CUSTOMER][NEUTRAL] Question. [CUSTOMER][NEUTRAL] Based on um as far as the numbers, but what is your? [AGENT][NEUTRAL] So that is 969556. [CUSTOMER][NEUTRAL] I'd like to run a st down here and then you have a butcher block cast on it. [AGENT][NEUTRAL] OK, I'll go ahead and send that out to you by mail. Is there anything else I may help you with today, Miss? [CUSTOMER][POSITIVE] OK, I appreciate it. [CUSTOMER][NEUTRAL] No thank you, thank you very much for your cooperation, OK? [AGENT][POSITIVE] You're welcome and thank you for calling ATL. Have a good day. [CUSTOMER][NEUTRAL] OK, you too. [AGENT][POSITIVE] Thank you