AccountId: 011433970860 ContactId: ecc443d3-f811-4a9c-b8e5-c560217d874b Channel: VOICE LanguageCode: en-US Total Conversation Duration: 283579 ms Total Talk Time (AGENT): 81594 ms Total Talk Time (CUSTOMER): 74470 ms Interruptions: 0 Overall Sentiment: AGENT=0.6, CUSTOMER=0.2 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/02/12/ecc443d3-f811-4a9c-b8e5-c560217d874b_20250212T15:40_UTC.wav -------------------------------------------- [AGENT][NEUTRAL] APL, this is [PII]. How may I help you? [CUSTOMER][NEUTRAL] Hi [PII], my name is [PII] and I need to see if you've received a claim please. [AGENT][NEUTRAL] I can help you, [PII]. What's the policy number? [CUSTOMER][NEUTRAL] It is 02536557. [AGENT][NEUTRAL] 655. What was the last number? [CUSTOMER][NEUTRAL] 7 [AGENT][NEUTRAL] 7. OK, what's a good phone number in case we're disconnected? [CUSTOMER][NEUTRAL] [PII] [AGENT][POSITIVE] Thank you. [AGENT][NEUTRAL] And the patient's name and date of birth? [CUSTOMER][NEUTRAL] Um, the [PII], I think I just butchered that, but [PII]. [AGENT][NEUTRAL] OK. [CUSTOMER][NEUTRAL] Uh, I'll admit it. [AGENT][NEUTRAL] I know I couldn't pronounce it either, so and you said that you're checking claim status? [CUSTOMER][NEUTRAL] Uh [CUSTOMER][NEUTRAL] Yes, please, for um. [AGENT][NEUTRAL] All right, what's the date of service? [CUSTOMER][NEUTRAL] [PII] for $330. [AGENT][NEUTRAL] What year? [CUSTOMER][NEUTRAL] Uh, [PII]. [AGENT][POSITIVE] OK, thank you, give me one moment. [AGENT][NEUTRAL] Are you with your dental provider's office, [PII]? [CUSTOMER][NEUTRAL] Uh, Doctor [PII], yes. [AGENT][NEUTRAL] OK. [AGENT][NEUTRAL] OK, so the claim was processed. It says this is a dental only policy. There are no medical benefits. [CUSTOMER][NEUTRAL] Oh, OK. [AGENT][NEUTRAL] You know this is a dental policy. [AGENT][NEUTRAL] This is for an office visit. Let me see. Give me a second. They do, they do have a medical policy. Hold on a second. [CUSTOMER][NEUTRAL] OK. [CUSTOMER][NEUTRAL] Mhm, yeah. [CUSTOMER][NEUTRAL] OK. [AGENT][NEUTRAL] The policy number for the medical policy is 253 or 0253. [CUSTOMER][NEUTRAL] Oh hang [CUSTOMER][NEUTRAL] 253. [AGENT][NEUTRAL] 6553. [CUSTOMER][NEUTRAL] OK. [AGENT][NEUTRAL] Look under that one. [AGENT][NEUTRAL] OK, so what we need to do is just move that under the the um. [AGENT][NEUTRAL] Under the medical policy mhm to be processed, yeah. [CUSTOMER][NEUTRAL] Oh, you'll move it over. [CUSTOMER][NEUTRAL] OK. [CUSTOMER][NEUTRAL] OK. [CUSTOMER][NEUTRAL] Can I get a reference and I'll update it in our um account as or hurt their account here as well with that policy number because I think they just gave us their dental card. [AGENT][NEUTRAL] And so [AGENT][NEUTRAL] I think so. Um, you'll use my name in today's date as your reference [PII] and first initial last name is [PII] and we'll request that be that claim be uh moved under the medical plan for processing. [CUSTOMER][NEUTRAL] OK. [CUSTOMER][POSITIVE] Awesome. Thank you so much. [AGENT][NEUTRAL] All right, [PII], any other questions that I can help out with today? [CUSTOMER][NEUTRAL] Um, not at this time. I do appreciate your help though. [AGENT][POSITIVE] Oh, you're welcome and thank you for calling APL. Have a good day. [CUSTOMER][NEUTRAL] You too. Bye bye. [AGENT][NEUTRAL] Bye-bye.