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Health Insurance Medical Control Service

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Article mis à jour le 25 janvier 2010
As a medical actor in risk management, the Health Insurance Medical Control Service advises, helps and controls social insured and healthcare professionals.

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.

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