💌 Email Communication

• This module contains all the mailers to send emails to members during their claim journey.
• The HTML templates are stored in the apps/be_api/templates/claim_management folder and are available in 3 languages: 🇳🇱, 🇬🇧 and 🇫🇷.

Hospitalization Declaration Received

• ⏰ When a member declares a hospitalization
• 📝 hospitalization_declaration_received.en.html

Reimbursement Request Blocked

• ⏰ When a reimbursement request is blocked
• ⏰ When the blocked reason is updated
• 📝 reimbursement_request_blocked.en.html

Claim Reimbursed

• ⏰ When the claim is settled (also triggered by deprecated Reimburse tools) - one per settlement
• 📝 reimbursement_accepted.en.html
• 📝 reimbursement_refused.en.html

Claim Overpayment

• ⏰ When an overpayment is triggered after claim correction or hospitalization invoice
• 📝 claim_overpayment_correction.en.html
• 📝 claim_overpayment_hospitalization.en.html

User Payment Received

• ⏰ When we received money from a member to solve overpayment
• 📝 payment_received.en.html

Reward Payment Sent

• ⏰ When payment for a Reward has been sent to the member
• 📝 reward_received.en.html

Severe Illness Declaration Expiration

• ⏰ When severe illness declaration end date is in less than 7 days
• 📝 severe_illness_declaration_expiration.en.html

BVAC Rejected

• ⏰ When a eBVAC is rejected (only patient_name_not_matching rejection reason supported for now)
• 📝 bvac_rejected.en.html

📱 Push Notifications

All the notifications pushed to members during their claim journey are categorized as "Essentials/Reimbursement" (see product announcement ⧉)

Claim Reimbursed

• ⏰ When a claim is reimbursed
• ℹ️ There 2 types of notifications:
• care_act_push_notification, when the reimbursement is accepted
• no_reimbursement_push_notification, when the reimbursement is refused

Note this push notification currently only opens the Home tab, without zooming in on the claim. This is not delightful and generates care contact.

Hospitalization Declaration Status Changed

• ⏰ When the status of a hospitalization declaration is updated
• ℹ️ There 1 type of notification hospitalization_status_changed but a different message for each status upate:
• MORE_INFO_REQUIRED
• COVERED
• PARTIALLY_COVERED
• NOT_COVERED

Claim Overpayment

• ⏰ When an overpayment is triggered after claim correction or hospitalization invoice
• ℹ️ There 1 type of notification claim_overpayment