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 insured persons;
• Payment of Tiers-Payant benefits to healthcare professionals;
• A minimum rejection rate for the Assurance Maladie 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 healthcare facility billing;
• Homologation for the Shared Medical File.

Project owners 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 CNDA (contractual conditions for SESAM-Vitale, teleservices, DMP...).
2. Software acceptance by the publisher
   Your software development is to be based on the reference documents downloadable from the GIE SESAM-Vitale industrial space.
   The CNDA's test environments and guides enable you to interactively validate the development of each function, and to compile an acceptance file for your software.
   The CNDA analyzes the elements of the file and draws up a report indicating any points to be corrected and tests to be re-run before the file is resubmitted.
3. CNDA software verification
   This software testing phase is scheduled with the CNDA. Depending on the results obtained, several test sessions may be necessary until the software's conformity is obtained.
4. Referencing of the software by the CNDA
   The CNDA's attestation of conformity is issued to the software for a given version number, and authorizes its distribution to healthcare professionals.

No

• Distribution to software publishers of the various administrative and technical elements required for software development.
• Provision of an interactive test platform giving software publishers a genuine environment for exchanging and processing secure billing flows.
• Management of CPS and Vitale test cards.
• Technical and functional support for test sets and test books made available to software publishers.
• Distribution of the Vitale card reading API.
• Referencing of software integrating calculation of the National Health Identifier (INS-C).