https://app.feather-insurance.com/static/js/async/7469.b3d7060d.js

1"use strict";(self.webpackChunk_feather_app=self.webpackChunk_feather_app||[]).push([["7469"],{94220:function(e,i,t){t.r(i),t.d(i,{default:()=>r});var n=t(69277),a=t(30905),o=t(96232);let s={};function r(e){let i=arguments.length>1&&void 0!==arguments[1]?arguments[1]:{},t=(t,a)=>e(t,(0,n._)({constants:(0,n._)({},o.s,s),defaultValue:a},i)),r=e=>(0,a.M)(e,i);return{createdAt:"2025-03-25T13:10:54.032Z",updatedAt:"2026-03-13T13:35:31.516Z",publishedAt:"2026-03-11T14:45:32.988Z",documentId:"csogtj82q5s211xhjg83dsys",calculatedFields:[],questions:[{__component:"questionnaire.intro",groupId:"intro",id:"intro",props:{body:"",hideIcon:!1,icon:"https://cms.cdn.feather-insurance.com/Euro_claim_money_pictogram_Orange_Circle_16dafbdb21/Euro_claim_money_pictogram_Orange_Circle_16dafbdb21.svg",infoCards:[{description:null,icon:"https://cms.cdn.feather-insurance.com/icon_qnr_color_credit_card_78ed17c669/icon_qnr_color_credit_card_78ed17c669.svg",iconPosition:"top",iconSize:"default",title:t("questionnaire.privateHealthFrClaims.intro.intro.option.0.title","your Carte Vitale was not used")},{description:null,icon:"https://cms.cdn.feather-insurance.com/icon_qnr_color_check_2tone_9d43c9b287/icon_qnr_color_check_2tone_9d43c9b287.svg",iconPosition:"top",iconSize:"default",title:t("questionnaire.privateHealthFrClaims.intro.intro.option.1.title","your T\xe9l\xe9transmission is not active")},{description:null,icon:"https://cms.cdn.feather-insurance.com/icon_qnr_color_document_99390d58c9/icon_qnr_color_document_99390d58c9.svg",iconPosition:"top",iconSize:"default",title:t("questionnaire.privateHealthFrClaims.intro.intro.option.2.title","you were asked to send your documents manually")}],infoCardsDisplay:"vertical",subTitle:t("questionnaire.privateHealthFrClaims.intro.intro.props.subTitle","Use this form if your reimbursement was not processed automatically, for example because:"),title:t("questionnaire.privateHealthFrClaims.intro.intro.props.title","Submit a reimbursement request")},required:!0,screen:{},type:"INTRO"},{__component:"questionnaire.radio-question",groupId:"signup",id:"claimType",props:{informationBox:[],mapValue:{COST_PLAN:{description:t("questionnaire.privateHealthFrClaims.signup.claimType.option.costPlan.description","Get a coverage estimate for your planned treatment"),title:t("questionnaire.privateHealthFrClaims.signup.claimType.option.costPlan.title","Cost plan")},BRANCHING_DOCTORS_VISIT:{description:t("questionnaire.privateHealthFrClaims.signup.claimType.option.branchingDoctorsVisit.description","GPs, specialists, telemedicine"),title:t("questionnaire.privateHealthFrClaims.signup.claimType.option.branchingDoctorsVisit.title","Medical visit")},HOSPITAL_TREATMENT:{description:t("questionnaire.privateHealthFrClaims.signup.claimType.option.hospitalTreatment.description","Inpatient, outpatient, ER treatment"),title:t("questionnaire.privateHealthFrClaims.signup.claimType.option.hospitalTreatment.title","Hospital")},MEDICATION:{description:t("questionnaire.privateHealthFrClaims.signup.claimType.option.medication.description","Prescription pharmaceutical drugs, vaccines"),title:t("questionnaire.privateHealthFrClaims.signup.claimType.option.medication.title","Medication and vaccines")},DENTAL:{description:t("questionnaire.privateHealthFrClaims.signup.claimType.option.dental.description","Dentist, orthodontics, oral surgery"),title:t("questionnaire.privateHealthFrClaims.signup.claimType.option.dental.title","Dental treatment")},OPTICAL:{description:t("questionnaire.privateHealthFrClaims.signup.claimType.option.optical.description","Glasses, lenses "),title:t("questionnaire.privateHealthFrClaims.signup.claimType.option.optical.title","Optical treatment")},BRANCHING_THERAPY:{description:t("questionnaire.privateHealthFrClaims.signup.claimType.option.branchingTherapy.description","Physiotherapy, mental health, alternative therapies"),title:t("questionnaire.privateHealthFrClaims.signup.claimType.option.branchingTherapy.title","Treatments and therapies")},AIDS:{description:t("questionnaire.privateHealthFrClaims.signup.claimType.option.aids.description","breast pump, CPAP, prosthetics, other durable aids"),title:t("questionnaire.privateHealthFrClaims.signup.claimType.option.aids.title","Medical aids")},OTHER:{description:t("questionnaire.privateHealthFrClaims.signup.claimType.option.other.description","Midwife services, scans, blood tests"),title:t("questionnaire.privateHealthFrClaims.signup.claimType.option.other.title","Other")}}},questionType:{value:"Personal"},required:!0,screen:{additionalInfo:null,continueButtonText:t("questionnaire.privateHealthFrClaims.signup.claimType.screen.continueButtonText","Continue"),description:null,layout:"Centered",noMaxWidth:!1,question:t("questionnaire.privateHealthFrClaims.signup.claimType.screen.question","What is this claim for?"),skipDetails:null},type:"RADIO"},{__component:"questionnaire.radio-question",groupId:"signup",id:"claimTypeDoctorsVisit",props:{informationBox:[],mapValue:{DOCTORS_VISIT:{description:t("questionnaire.privateHealthFrClaims.signup.claimTypeDoctorsVisit.option.doctorsVisit.description","Family doctor, gynecologist, ophthalmologist, pediatrician"),title:t("questionnaire.privateHealthFrClaims.signup.claimTypeDoctorsVisit.option.doctorsVisit.title","General practicioner")},SPECIALIST_VISIT:{description:t("questionnaire.privateHealthFrClaims.signup.claimTypeDoctorsVisit.option.specialistVisit.description","Dermatologist, orthopedist, ENT, other specialists"),title:t("questionnaire.privateHealthFrClaims.signup.claimTypeDoctorsVisit.option.specialistVisit.title","Specialist")}}},questionType:{value:"Personal"},required:!1,screen:{additionalInfo:null,continueButtonText:t("questionnaire.privateHealthFrClaims.signup.claimTypeDoctorsVisit.screen.continueButtonText","Continue"),description:null,layout:"Centered",noMaxWidth:!1,question:t("questionnaire.privateHealthFrClaims.signup.claimTypeDoctorsVisit.screen.question","Who did you see?"),skipDetails:null},type:"RADIO"},{__component:"questionnaire.radio-question",groupId:"signup",id:"claimTypeTherapy",props:{informationBox:[],mapValue:{MENTAL_HEALTH:{description:t("questionnaire.privateHealthFrClaims.signup.claimTypeTherapy.option.mentalHealth.description","Psychotherapy"),title:t("questionnaire.privateHealthFrClaims.signup.claimTypeTherapy.option.mentalHealth.title","Mental health therapy")},PHYSICAL_OR_SPEECH_THERAPY:{description:t("questionnaire.privateHealthFrClaims.signup.claimTypeTherapy.option.physicalOrSpeechTherapy.description","Physiotherapy, rehabilitation, speech-language therapy"),title:t("questionnaire.privateHealthFrClaims.signup.claimTypeTherapy.option.physicalOrSpeechTherapy.title","Physical therapy")},NON_MEDICAL_PROFESSIONAL:{description:t("questionnaire.privateHealthFrClaims.signup.claimTypeTherapy.option.nonMedicalProfessional.description","Acupuncture, osteopathy, chiropractic"),title:t("questionnaire.privateHealthFrClaims.signup.claimTypeTherapy.option.nonMedicalProfessional.title","Alternative therapies")}}},questionType:{value:"Personal"},required:!1,screen:{additionalInfo:null,continueButtonText:t("questionnaire.privateHealthFrClaims.signup.claimTypeTherapy.screen.continueButtonText","Continue"),description:null,layout:"Centered",noMaxWidth:!1,question:t("questionnaire.privateHealthFrClaims.signup.claimTypeTherapy.screen.question","What is the treatment for?"),skipDetails:null},type:"RADIO"},{__component:"questionnaire.boolean-question",groupId:"signup",id:"carteVitaleUsed",props:{},questionType:{value:"Personal"},required:!0,screen:{additionalInfo:null,continueButtonText:t("questionnaire.privateHealthFrClaims.signup.carteVitaleUsed.screen.continueButtonText","Continue"),description:null,layout:"Centered",noMaxWidth:!1,question:t("questionnaire.privateHealthFrClaims.signup.carteVitaleUsed.screen.question","Was your carte Vitale used for this treatment?"),skipDetails:null},type:"BOOLEAN"},{__component:"questionnaire.boolean-question",groupId:"signup",id:"teletransmissionOn",props:{},questionType:{value:"Personal"},required:!1,screen:{additionalInfo:{description:t("questionnaire.privateHealthFrClaims.signup.teletransmissionOn.screen.additionalInfo.description",'Log in to your [ameli account](https://assure.ameli.fr/PortailAS/appmanager/PortailAS/assure).\n\nGo to **Informations**, then open **Organisme compl\xe9mentaire**.\n\nThere, you can check whether T\xe9l\xe9transmission is activated 

1with Feather ("UMGP").\n\nYou can also check whether your reimbursement already appears in **Frais de sant\xe9**. On the ameli mobile app, reimbursements are available in **Mes documents**.'),moreInfoLink:null,title:t("questionnaire.privateHealthFrClaims.signup.teletransmissionOn.screen.additionalInfo.title","How to check T\xe9l\xe9transmission in ameli?")},continueButtonText:t("questionnaire.privateHealthFrClaims.signup.teletransmissionOn.screen.continueButtonText","Continue"),description:t("questionnaire.privateHealthFrClaims.signup.teletransmissionOn.screen.description","T\xe9l\xe9transmission allows your reimbursement to be processed automatically as soon as you use your carte Vitale. In most cases, you do not need to submit a claim manually, and reimbursements are usually processed within 3 days."),layout:"Centered",noMaxWidth:!1,question:t("questionnaire.privateHealthFrClaims.signup.teletransmissionOn.screen.question","Do you have T\xe9l\xe9transmission set up?"),skipDetails:null},type:"BOOLEAN"},{__component:"questionnaire.blocker",groupId:"signup",id:"automaticallyProcessed",props:{additionalInfo:null,buttonProps:[{caption:t("questionnaire.privateHealthFrClaims.signup.automaticallyProcessed.option.0.caption","Back to your account"),href:r("https://app.feather-insurance.com/account/signin"),questionId:null,redirectToQuestionId:null,size:"REGULAR",type:"href",value:{value:!0},variant:"PRIMARY"}],description:t("questionnaire.privateHealthFrClaims.signup.automaticallyProcessed.props.description","You used your carte Vitale and T\xe9l\xe9transmission is active on your account, so your reimbursement will be processed automatically.\nThere is nothing else you need to do."),iconType:"SHIELD",title:t("questionnaire.privateHealthFrClaims.signup.automaticallyProcessed.props.title","Good news — your reimbursement is automatic")},required:!1,screen:{layout:"Standalone"},type:"BLOCKER"},{__component:"questionnaire.boolean-question",groupId:"signup",id:"iban",props:{},questionType:{value:"Personal"},required:!0,screen:{additionalInfo:null,continueButtonText:t("questionnaire.privateHealthFrClaims.signup.iban.screen.continueButtonText","Continue"),description:t("questionnaire.privateHealthFrClaims.signup.iban.screen.description","Choose whether we should use your existing bank details or whether you want to upload a new RIB."),layout:"Centered",noMaxWidth:!1,question:t("questionnaire.privateHealthFrClaims.signup.iban.screen.question","Would you like us to use the IBAN already registered on your account?"),skipDetails:null},type:"BOOLEAN"},{__component:"questionnaire.upload-question",groupId:"signup",id:"ibanUpload",props:{},questionType:{value:"Personal"},required:!1,screen:{additionalInfo:null,continueButtonText:t("questionnaire.privateHealthFrClaims.signup.ibanUpload.screen.continueButtonText","Continue"),description:t("questionnaire.privateHealthFrClaims.signup.ibanUpload.screen.description","Please upload a document showing your full bank details. We will keep it for future reimbursement. "),layout:"Centered",noMaxWidth:!1,question:t("questionnaire.privateHealthFrClaims.signup.ibanUpload.screen.question","Upload your RIB / IBAN document"),skipDetails:null},type:"UPLOAD"},{__component:"questionnaire.multi_upload-question",groupId:"signup",id:"documentUpload",props:{description:"To process your reimbursement request, we need a few documents. Please upload clear, complete copies to help us review your claim faster.",disclaimerParagraphs:[{icon:{alt:"",height:24,src:"https://cms.cdn.feather-insurance.com/Questionmark_help_circle_pictogram_black_7150b03887/Questionmark_help_circle_pictogram_black_7150b03887.svg",width:24},text:"**Which documents you should include?**\n### \nPlease include:\n### \n- the official **feuille de soins** provided by your doctor or healthcare provider\n- a **paid invoice or receipt** showing the bill has been paid\n- a **medical prescription**, if required for the treatment\n- for **dental**, **optical**, or **alternative medicine**, a **detailed invoice**"}],isQuestionnaire:!1,maxFiles:null,showLegalNotice:!0,supportsText:null,title:t("questionnaire.privateHealthFrClaims.signup.documentUpload.props.title","Upload your supporting documents")},questionType:{value:"Personal"},required:!0,screen:{additionalInfo:null,continueButtonText:t("questionnaire.privateHealthFrClaims.signup.documentUpload.screen.continueButtonText","Continue"),description:null,layout:"Standalone",noMaxWidth:!1,question:null,skipDetails:null},type:"MULTI_UPLOAD"},{__component:"questionnaire.currency-question",groupId:"signup",id:"amount",props:{informationBox:[],placeholder:t("questionnaire.privateHealthFrClaims.signup.amount.props.placeholder","Amount")},questionType:{value:"Personal"},required:!0,screen:{additionalInfo:null,continueButtonText:t("questionnaire.privateHealthFrClaims.signup.amount.screen.continueButtonText","Continue"),description:t("questionnaire.privateHealthFrClaims.signup.amount.screen.description","This is the full amount shown on your invoice or cost plan"),layout:"Centered",noMaxWidth:!1,question:t("questionnaire.privateHealthFrClaims.signup.amount.screen.question","Claim amount"),skipDetails:null},type:"CURRENCY"},{__component:"questionnaire.claim_processing",groupId:"signup",id:"processing",props:{claimType:"PRIVATE_HEALTH_FR",description:null,submitKeys:[{mapsTo:"claimType",path:"claimType"},{mapsTo:"claimTypeDoctorsVisit",path:"claimTypeDoctorsVisit"},{mapsTo:"claimTypeTherapy",path:"claimTypeTherapy"},{mapsTo:"amount",path:"amount"},{mapsTo:"documentUpload",path:"documentUpload"}

1,{mapsTo:"carteVitaleUsed",path:"carteVitaleUsed"},{mapsTo:"teletransmissionOn",path:"teletransmissionOn"},{mapsTo:"iban",path:"iban"},{mapsTo:"ibanUpload",path:"ibanUpload"}],textList:[t("questionnaire.privateHealthFrClaims.signup.processing.props.textList.0","Processing claim...")]},required:!0,screen:{layout:"Standalone"},type:"CLAIM_PROCESSING"},{__component:"questionnaire.success",groupId:"signup",id:"claimSubmitted",props:{buttonProps:[{caption:t("questionnaire.privateHealthFrClaims.signup.claimSubmitted.option.0.caption","View claims"),href:r("/claims"),question:null,redirectToQuestionId:null,size:"REGULAR",type:"href",value:{value:!0},variant:"PRIMARY"},{caption:t("questionnaire.privateHealthFrClaims.signup.claimSubmitted.option.1.caption","Anything we can improve?"),href:r("https://forms.feather-insurance.com/r/mO5bXY"),question:null,redirectToQuestionId:null,size:"REGULAR",type:"href",value:{value:!0},variant:"SECONDARY"}],description:t("questionnaire.privateHealthFrClaims.signup.claimSubmitted.props.description","What happens next?"),infoCards:[{children:t("questionnaire.privateHealthFrClaims.signup.claimSubmitted.option.0.children","Within a week. If you have any invoices, we recommend paying them now to avoid late fees."),icon:"https://cms.cdn.feather-insurance.com/legal_claim_step1_a166003009/legal_claim_step1_a166003009.svg",title:t("questionnaire.privateHealthFrClaims.signup.claimSubmitted.option.0.title","We’ll review your claim")},{children:t("questionnaire.privateHealthFrClaims.signup.claimSubmitted.option.1.children","If we need more details or documents, we’ll send you an email so you know exactly what’s needed."),icon:"https://cms.cdn.feather-insurance.com/step2_mail_oval_f87819d227/step2_mail_oval_f87819d227.svg",title:t("questionnaire.privateHealthFrClaims.signup.claimSubmitted.option.1.title","We’ll reach out if needed")},{children:t("questionnaire.privateHealthFrClaims.signup.claimSubmitted.option.2.children","Once processed, we’ll share the outcome details and bill statement."),icon:"https://cms.cdn.feather-insurance.com/step3_payout_oval_8fa1f86598/step3_payout_oval_8fa1f86598.svg",title:t("questionnaire.privateHealthFrClaims.signup.claimSubmitted.option.2.title","We’ll email you the result")}],title:t("questionnaire.privateHealthFrClaims.signup.claimSubmitted.props.title","Claim submitted!")},required:!0,screen:{layout:"Standalone"},type:"SUCCESS"}],rules:[{__component:"questionnaire.rule-comparison",else:{goTo:"documentUpload"},id:"claimType",if:{op:"equals",variable:{comparisonKey:null,key:"claimType",type:"dynamic",value:"BRANCHING_DOCTORS_VISIT"}},then:{goTo:"claimTypeDoctorsVisit"}},{__component:"questionnaire.rule-comparison",else:{goTo:"documentUpload"},id:"claimType",if:{op:"equals",variable:{comparisonKey:null,key:"claimType",type:"dynamic",value:"BRANCHING_THERAPY"}},then:{goTo:"claimTypeTherapy"}},{__component:"questionnaire.rule-comparison",else:null,id:"carteVitaleUsed",if:{op:"equals",variable:{comparisonKey:null,key:null,type:"static",value:!0}},then:{goTo:"teletransmissionOn"}},{__component:"questionnaire.rule-comparison",else:null,id:"iban",if:{op:"equals",variable:{comparisonKey:null,key:"iban",type:"static",value:!1}},then:{goTo:"ibanUpload"}},{__component:"questionnaire.rule-group-comparison",else:null,id:"teletransmissionOn",if:["AND",[{op:"equals",variable:{comparisonKey:null,key:"carteVitaleUsed",type:"dynamic",value:!0},variable2:null},{op:"equals",variable:{comparisonKey:null,key:"teletransmissionOn",type:"dynamic",value:!0},variable2:null}]],then:{goTo:"automaticallyProcessed"}}],meta:{name:"private-health-fr-claims",slug:"private-health-fr",regions:["fr"],type:"claim",isDependent:!1,translationKey:"privateHealthFrClaims",questionnaireType:null,variants:[],constants:{},hiddenFields:{},questionList:[{name:"intro"},{name:"claimType"},{name:"claimTypeDoctorsVisit"},{name:"claimTypeTherapy"},{name:"carteVitaleUsed"},{name:"teletransmissionOn"},{name:"automaticallyProcessed"},{name:"iban"},{name:"ibanUpload"},{name:"documentUpload"},{name:"amount"},{name:"processing"},{name:"claimSubmitted"}],adjustmentIdsToPopulate:[],vertical:{insuranceType:"PRIVATE_HEALTH_FR"},insuranceType:"PRIVATE_HEALTH_FR",prefilledAnswers:{}},removeAnswersLogic:{}}}}}]);