The Health Insurance Medical Control Service has a department in each Local Health Insurance Fund (Caisse primaire d'assurance maladie / CPAM). It is made up advisory practitioners - doctors, chemists, dentists - and administrative staff.
Risk management medical party, the Health Insurance Medical Control Service:
- Advises social policyholders and healthcare professionals on medico-social regulations and on the correct use of treatment.
- Provides assistance to policyholders and healthcare professionals to improve the management of long-term diseases.
- Analyses and manages patients' applications for benefits and the activity of healthcare professionals and establishments.
- Manages the successful implementation of regulations and medical practices.
- Leads studies.
