OpenG2P Programs: Reimbursement Module#

Warning

Work in Progress: This document is actively being developed and updated. Content may be incomplete or subject to change.

Overview#

The g2p_program_reimbursement module extends the OpenG2P platform to manage reimbursement programs. These programs differ from standard social assistance programs, focusing on reimbursing pre-approved service providers for delivering goods or services to beneficiaries.

This module builds upon the core functionality of the g2p_programs and g2p_program_assessment modules.

Features#

  • Reimbursement Program Designation: Designate specific programs as "reimbursement programs" within the system.

  • Service Provider Management: Manage service providers as participants in reimbursement programs. The module leverages the existing res.partner model, filtering and displaying partners designated as "Service Providers".

  • Reimbursement Claim Submission: Enables service providers to submit reimbursement claims for services rendered to beneficiaries.

  • Claim Validation and Approval: Provides a structured workflow to validate and approve submitted reimbursement claims.

  • Integration with Entitlements: Seamlessly integrates with the entitlement system to generate and track reimbursements.

Key Concepts#

  • Reimbursement Program: A specialized type of program within OpenG2P that manages the reimbursement of pre-approved service providers.

  • Service Provider: A business or individual registered in the system to provide goods or services to beneficiaries and eligible for reimbursement.

  • Reimbursement Claim: A formal request submitted by a service provider for reimbursement of rendered services.

  • Original Entitlement: In cases where a reimbursement is directly linked to a beneficiary's existing entitlement, this refers to the initial entitlement against which the service was provided.

Module Integration#

The g2p_program_reimbursement module seamlessly integrates with the following modules:

  • g2p_programs: Inherits core program management features and extends them to accommodate reimbursement program specifics.

  • g2p_program_assessment: Leverages assessment functionalities to potentially support the validation of reimbursement claims.

Example Use Case#

  1. Program Setup: A government agency sets up a reimbursement program for agricultural inputs. They register fertilizer suppliers as service providers in the system.

  2. Beneficiary Entitlement: A farmer is assessed and granted an entitlement for a specific type and quantity of fertilizer.

  3. Service Delivery & Claim: The farmer redeems their entitlement from a registered fertilizer supplier. The supplier then submits a reimbursement claim through the system, referencing the farmer's original entitlement and providing necessary documentation.

  4. Claim Review & Approval: The claim undergoes review and approval by the program administrators.

  5. Reimbursement Processing: Once approved, the system generates a reimbursement payment to the supplier.

This module streamlines the management of reimbursement programs, improves transparency, and ensures efficient service delivery to beneficiaries.