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Private Health Insurance Gap Payment Query

Sinhala ↔ EnglishInsurance12 segments ≈251 wordsSegments of 35 words or fewer

Insurance Claims Consultant (speaking English) and 客户 (speaking Sinhala) talk through “Private Health Insurance Gap Payment Query”. You interpret both ways — English into Sinhala, and Sinhala into English — one segment at a time, exactly as in the CCL test.

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Full transcript

SEGMENT 1 · ENGLISH · 25 WORDS
Insurance Claims Consultant

Thanks for holding, Mr. Fernando. I can see your claim for the knee surgery at St Vincent's Hospital. What's the issue you're calling about today?

SEGMENT 2 · SINHALA · 24 WORDS
Client

මම ශල්‍යකර්මය කරගත්තට පස්සේ බිල් එකක් ආවා, ඒකේ ඩොලර් අටසිය පනහක් ගාණට මාව ගෙවන්න කියලා තියෙනවා. මට තේරෙන්නේ නැහැ ඇයි මේ මුදල ආවේ කියලා.

SEGMENT 3 · ENGLISH · 26 WORDS
Insurance Claims Consultant

That charge is the gap payment, because your policy has a two hundred and fifty dollar excess. It applies once per calendar year, not per admission.

SEGMENT 4 · SINHALA · 20 WORDS
Client

සමහරවිට මට තේරෙන්නේ නැහැ, විශේෂඥවරයාගේ ගාස්තුව මුළුමනින්ම නිධානය කරන්නේ නැත්තේ ඇයි? මේක විසඳගන්න කොච්චර කාලයක් යනවද?

SEGMENT 5 · ENGLISH · 27 WORDS
Insurance Claims Consultant

The specialist billed above the scheduled fee. If he's not part of our Members' Choice network, we can only cover the standard benefit, not the full amount.

SEGMENT 6 · SINHALA · 16 WORDS
Client

එහෙනම් මට මේකට අභියෝගයක් කරන්න පුළුවන්ද? මොකද මට කලින් කිසිම දැනුම්දීමක් ලැබුනේ නැහැ ශල්‍යකර්මයට කලින්.

SEGMENT 7 · ENGLISH · 26 WORDS
Insurance Claims Consultant

Yes, you can lodge a review request in writing within thirty days. Please include your referral letter and the specialist's itemised invoice for our claims team.

SEGMENT 8 · SINHALA · 15 WORDS
Client

හොඳයි, මම ඒවා එවන්නම්. ඒත් මට කියන්න මේවා කොහෙද එවන්නේ, තැපෑලෙන්ද නැත්නම් ඔන්ලයින් හරහාද?

SEGMENT 9 · ENGLISH · 23 WORDS
Insurance Claims Consultant

You can upload them through our online member portal. We don't accept documents by email, so please use the secure upload form instead.

SEGMENT 10 · SINHALA · 15 WORDS
Client

හරි, මම අද රාත්‍රියේම උඩුගත කරන්නම්. තීරණයක් එන්න කොච්චර කාලයක් ගතවෙයිද?

SEGMENT 11 · ENGLISH · 21 WORDS
Insurance Claims Consultant

Once we receive everything, the review usually takes ten business days. If any document is missing, though, it could take longer.

SEGMENT 12 · SINHALA · 13 WORDS
Client

හොඳයි, ඉතාම ස්තූතියි ඔබේ උදව්වට. මම අද රාත්‍රියේම ලේඛන යවන්නම්.

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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 Sinhala dialogues · All languages