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Physiotherapy Claim Rejection Query
Insurance Claims Officer (speaking English) and 客户 (speaking Pashto) talk through “Physiotherapy Claim Rejection Query”. You interpret both ways — English into Pashto, and Pashto into English — one segment at a time, exactly as in the CCL test.
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Full transcript
Thanks for calling HCF claims team today. Could you please explain exactly what happened with your recent physiotherapy claim submission?
سلام، زه غواړم د خپل ادعا په اړه وپوښتم. زما د زنګون له جراحۍ وروسته د فزیوتراپۍ ناستې وې، خو زما ادعا رد شوه او زه نه پوهیږم ولې.
Sure, before we go further, could I please get your membership number and the exact date the claim was rejected?
زما د غړیتوب شمېره پنځه پنځه اته نه څلور دوه یو ده، او ادعا می د تیرې میاشتې د دیارلسمې نېټې وه.
Looking at your file now, I can see the claim was declined because there was no GP referral attached before your first physiotherapy session began last month.
خو ما دا نه پوهیدم چې د پرمخ لیک ته اړتیا ده. ډاکټر ماته یوازه وویل چې فزیوتراپۍ ته لاړ شه، بل څه یی رانه ونه ویل.
For physiotherapy following surgery, our policy requires a referral dated before treatment starts, otherwise the extras claim simply won't be approved by our claims system.
نو اوس زه څه وکړم؟ ایا زه بیا هم دغه پیسې ترلاسه کولی شم، که چېرې دا ادعا بالکل له منځه تللې ده؟
If your GP can backdate the referral and you submit it to us within thirty days, we're able to resubmit the claim manually on your behalf.
ښه، نو زه به سبا ډاکټر ته لاړ شم. مګر راته ووایاست چې د یو کال لپاره څو ناستې پوښل کیږي؟
Your extras cover eight physiotherapy sessions each calendar year, and there's a forty-five dollar gap payment for you to pay out of pocket at each visit.
ډېره مننه، دا خبره روښانه شوه. زه به سبا د فلیندرز روغتون ډاکټر ته لاړ شم او د پرمخ لیک به واخلم.
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.
- gp referralووایاست "د GP راجع کولو لیک متخصص ډاکټر ته".
- extras cover'اضافي پوښښ' یا 'اکسټراز کاور' په توګه یې وژباړئ.
- out of pocketووایاست "له خپلې خولې ورکړل شوې پیسې" یا "شخصي لګښت چې پخپله ورکول کیږي".
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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 Pashto dialogues · All languages