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Resubmitting a Declined Health Insurance Claim
Claims Officer (speaking English) and Insurance Client (speaking Bosnian) talk through “Resubmitting a Declined Health Insurance Claim”. You interpret both ways — English into Bosnian, and Bosnian into English — one segment at a time, exactly as in the CCL test.
Practise this dialogue with AI marking →Read it first if you like, then practise it cold: the recording plays one segment, you interpret, the next segment plays. Marking shows, segment by segment, what you kept, left out or changed.
Full transcript
Thanks for calling Medibank, Mrs. Hodžić. I can see your physiotherapy claim from Barwon Health was declined last week, and I want to explain why.
Dobar dan, hvala vam na pozivu. Nisam znala da je zahtjev odbijen — možete li mi objasniti zašto se to dogodilo?
The receipt from your physiotherapist didn't include an item number, so our system couldn't match it to a valid benefit code for reimbursement.
Razumijem. Znači li to da treba da tražim novi, detaljniji račun od fizioterapeuta sa brojem stavke i šifrom usluge?
Yes, please ask the clinic reception for an itemised receipt that clearly shows the provider number, the item code, and the session date.
U redu, imam zakazan termin kod fizioterapeuta u četvrtak, pa ću tada tražiti novi račun i poslati vam ga odmah.
No problem at all. You actually have two years from the treatment date to resubmit this claim, so there's no need to rush.
Hvala vam puno. Možete li mi reći koliko tačno mogu očekivati da mi se vrati za tu terapiju?
For a standard forty five minute session costing one hundred and twenty dollars, your extras cover typically refunds around eighty five dollars per visit.
Da li se od tog iznosa oduzima neki dodatni trošak, kao što je participacija ili franšiza?
No, there's no excess on extras cover like physiotherapy, that only applies to hospital admissions, so the full eighty five dollars will apply.
To je sjajno, hvala vam puno na pomoći. Poslaću novi račun preko aplikacije čim ga dobijem u četvrtak.
Terms in this dialogue that cost marks
CCL is marked on information transferred. These Australian terms have no direct word in most test languages — get one wrong and the segment's information is gone.
- Extras coverReci 'dopunsko osiguranje za dodatne usluge' ili zadrži 'extras cover' uz kratko objašnjenje.
- ExcessReći 'učešće u šteti' ili 'iznos koji se sam plaća pri odštetnom zahtjevu'.
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Same topic · Insurance
How the test works
Practice dialogue written to the CCL specification (two speakers, segments of 35 words or fewer, about 300 words). It is a practice text, not a NAATI test paper, and the AI score is this site's estimate, not a NAATI result. All Bosnian dialogues · All languages