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RIFT follow-ups and patient emails

How RIFT drafts and sends chase emails, when sending is allowed, the Outbox, the Waiting tab, the Update menu, unsubscribes and the health advertising rules.

This article explains how RIFT's chase engine turns leak items into emails, when those emails can actually be sent, how to work the Outbox and the Update menu, and how patients opt out.

Which RIFT items can become emails

RIFT drafts emails for three kinds of item only:

Everything else on the Leaks and Follow-ups tabs is worked by hand. Medicare claims and payer-funded invoices are never emailed to patients: RIFT chases the payer, not the person.

How the RIFT chase engine works

After every sync and on a regular background pass (about every half hour), RIFT looks at each open item of an emailable kind and decides what, if anything, to draft:

Drafts versus sending: when RIFT is allowed to send

Patient emails only ever leave RIFT when your clinic's data comes from a live API connection to Zanda or Cliniko, and the most recent sync came through that connection. A CSV export is a snapshot: it cannot know who paid yesterday, and chasing on stale data risks dunning a patient who has already settled.

Even with sending unlocked, no email leaves until either a person approves it or you have switched that kind to Automatic.

Sending modes in RIFT: Approve each send, Automatic or Off

Open Outbox > Setup (also reachable from the Patient emails card in Settings). Each email type has a three-way switch:

Overdue invoice emails are switched per cover type under Overdue invoice emails - by cover type: self-funded, Medicare / MHCP, WorkCover, TAC, NDIS, DVA, cancellation-fee invoices and other third parties each have their own switch, so you can put private invoices on Automatic while an insurer stays on Approve each send. Under it, Chase cadence sets the days between emails and the maximum emails per item. Other emails holds the switches and cadence for Uncharged cancellation fees and Booking prompts (funded sessions). Click Save email settings to apply.

Items carrying a "check first" warning are never sent automatically, whatever the switch says - they drop into the approval queue for a person to look at.

Guardrails on RIFT sending

In Outbox > Setup under Guardrails:

The RIFT Outbox: Queue tab

Outbox > Queue shows every email RIFT has drafted, in sections. The header figure is the number awaiting approval, and the sidebar shows the same count. Sort with Most important first, Largest amount or Newest first.

Reviewing one email before sending

Review opens Review before sending showing the recipient, subject and item amount above the email text. You can edit the text for this one email only (the signature and unsubscribe footer are added automatically). Rephrase with AI rewrites the wording from your template - the AI only ever sees the template with placeholders, never the patient's details; the real figures are filled in afterwards. Approve and send sends it in the next pass, subject to the send window and daily cap.

The RIFT Outbox: Sent tab

Outbox > Sent is the send history: date, type, recipient, subject, step number, status (sent or cancelled) and who approved it (a person's email address, or "auto"). Click View on a sent row to read the email exactly as it went out - the first thing a patient asks about. Sent rows are kept for a retention period and then removed, because they carry patient email addresses.

RIFT email templates and merge fields

Outbox > Templates holds the wording for every email: invoice chase (first email, reminder, the several-invoices-in-one versions, and the cancellation-fee-invoice versions), uncharged cancellation fee (first and reminder), booking prompt (first and reminder), and the Signature (all emails). For each:

A notice above every template reminds you that patient emails must stay factual under the health advertising rules, and links to the in-app guidance.

Sender identity and your own domain in RIFT

In Outbox > Setup under Sender identity:

The Waiting tab and the Update menu on a RIFT item

Every open item on the Leaks tab has an Update button that opens the What happened? strip. Each choice is a note against the item; none of them move money into Recovered, which is measured from your practice software at the next sync:

Each note has an optional free-text field. Follow-up items offer only Paid in full, Called / no answer and Dismiss.

Editing a RIFT item's history

Under each item the latest history line shows what was recorded, when and by whom; click history (N) to see the rest. On an open or done item each line has edit (change the note - what happened and when stays as recorded) and remove. Removing a part payment takes that amount off the part-paid total; removing a promise brings the item back into Open. Removing a "moved" entry leaves the item where it is - use Wrong group to move it back.

How patients opt out of RIFT emails

Every patient email ends with a line saying which practice sent it and a link to opt out ("let us know here"). Clicking it takes the patient to a page confirming they will not receive these emails from your practice any more. The opt-out is permanent for that address at your clinic: RIFT marks future drafts to it as "recipient asked not to receive these emails" and never sends them. If a patient opted out by mistake, they contact the practice; email support@rapidintelligence.com.au to have the address restored.

Health advertising rules (AHPRA) and RIFT patient emails

The regulator treats almost any communication that could attract someone to a health service, including recall emails to existing patients, as advertising. Invoice chases and cancellation-fee emails are account communications about services already provided, so the advertising rules do not apply to them, but accuracy and a working opt-out do, and RIFT enforces both. Booking prompts invite a future appointment, so they sit inside the advertising rules: RIFT only sends them to a patient with an active funded plan who is partway through it, has sessions remaining, has nothing booked and has been quiet for a while, with real figures merged from your records, a capped sequence and an opt-out link on every email.

Your practice is the advertiser and is responsible for the wording of any template you customise. Keep it factual - the account or plan facts and one calm invitation to book or pay - and avoid urgency, discounts, gifts or claims about benefit. The full guidance, with examples of wording that stays inside the rules and wording that breaches them, is inside RIFT: click Patient email rules in the sidebar footer, or Read the guidance on the Templates tab. It is general guidance, not legal advice.

Still stuck?

Ask RIKO Help, the chat bubble in the corner of this page - it answers from these articles. If it cannot help, use the support form in your dashboard or email support@rapidintelligence.com.au. Please do not include patient names or details.