The CNDA's missions, initially focused on SESAM-Vitale billing, have been extended to the conformity of the healthcare professional's workstation for access to Assurance Maladie teleservices.
The aim is to ensure the compliance of software developed by publishers in order to guarantee:

• Fast reimbursement times and equal treatment for all policyholders;
• The payment of Tiers-Payant benefits to healthcare professionals;
• A minimum rejection rate for Health Insurance schemes;
• A single referencing procedure known and recognized by software publishers.

The CNDA carries out various types of referencing:

• Agreement or Homologation for the issuance of secure electronic invoices;
• Authorization for access to Assurance Maladie teleservices;
• Certification for the billing of healthcare establishments;
• Homologation for the Shared Medical File.

Project holders must register on the CNDA website to signify their steps to use one or more of the Assurance Maladie services.
With CNDA, the various stages are as follows:

1. Signing contractual documents
   Whatever type of software you wish to have referenced, you must first contract for the service offered by the CNDA (contractual conditions for SESAM-Vitale, teleservices, DMP...).
2. Software acceptance by the publisher
   The development of your software is to be based on the reference documents downloadable from the GIE SESAM-Vitale industrial space.
   CNDA's test environments and guides enable you to interactively validate the development of each feature, and to compile a software acceptance file.
   CNDA carries out an analysis of your software's performance. The CNDA analyzes the elements in the file and draws up a report indicating any points to be corrected and tests to be repeated before the file is resubmitted.
3. Software verification by the CNDA
   This software testing phase is scheduled with the CNDA. Depending on the results obtained, several test sessions may be necessary until software compliance is obtained.
4. Software referencing by the CNDA
   The CNDA certificate of conformity is issued to the software for a given version number, and authorizes its distribution to healthcare professionals.

No

• The distribution to software publishers of the various administrative and technical elements required for software development.
• The provision of an interactive test platform enabling software publishers to have a genuine environment for exchanging and processing secure billing flows.
• The management of CPS and Vitale test cards.
• Technical and functional support on test sets and test books made available to editors.
• The distribution of the Vitale card reading API.
• The referencing of software integrating the calculation of the National Health Identifier (INS-C).