Design brief: Self-serve refunds for clinic receptionists
Author: Maya Torres · Date: 22 September 2026
Background
Carewell clinics issue about 3,000 refunds a month. Today a receptionist cannot refund a card payment herself; she raises a support ticket and waits on average 26 hours. A 2025 attempt added a refund button for clinic owners only, but owners are rarely at the front desk, so usage stayed under 5%. Refunds are now the single largest source of billing tickets (31%), and the new Billing squad has made them its first project.
Problem statement
Receptionists need to give a patient their money back while the patient is still at the desk, without waiting on support or the clinic owner.
Audience
Front desk receptionists at small and mid sized clinics (1 to 8 practitioners), usually working on a shared desktop between patient arrivals. Clinic owners matter as approvers, not daily users.
Goals
- A receptionist completes a full or partial card refund in under two minutes, with the patient present.
- Owners stay in control through limits they set, not approvals they must click.
Non-goals
- Insurer claim reversals (next project).
- Refunds to a different card than the one charged.
Constraints
- Brand: existing Carewell design system; new money input patterns go into the system.
- Technical: the payment provider allows partial refunds but not cancelling a refund once sent, so confirmation must be explicit.
- Accessibility: WCAG 2.1 AA minimum; full keyboard support, since many desks have no mouse space.
Deliverables
Flows for full and partial refunds, owner limit settings, hi-fi Figma mocks, a clickable prototype for testing, and a handoff spec with all error states.
Success criteria
Baselines from the August support and product data; targets for 60 days after launch.
Timeline
| Checkpoint | Date | Owner |
|---|---|---|
| Kickoff | 29 September | Maya |
| Concept review | 13 October | Maya, Jonas |
| Final review | 3 November | Maya |
| Handoff | 10 November | Maya, Priya |
References
- 2025 owner refund button postmortem
- Research synthesis: "Front desk money moments" (August 2026)
- Competitor refund flows collected in the Billing Figma file, page "Prior art"
Review
Review by: 26 September 2026
| Reviewer | Role | Status |
|---|---|---|
| Jonas Berg | PM | Approved |
| Ana Lima | Design lead | Approved |
| Priya Raman | Engineering lead | Approved with notes |
Decision record
| Decision | Date | Decided by | Notes |
|---|---|---|---|
| Owner set limits instead of per refund approval | 26 September 2026 | Jonas, Ana, Priya | Default limit £150 per refund; revisit after 30 days of data |