La Médecine Libre accelerates contract and customer request processing with Miralia

The project is based on the full automation of incoming email analysis, intelligent extraction of key information, updating data in the core business system, and automated response sending.

The solution simultaneously manages several business processes related to health insurance contracts, enrollments, quotes, reimbursements, and certificates.

Today, several processes are already running in production:

Finalization of individual contracts
Miralia analyzes incoming emails related to ongoing enrollment applications, identifies attachments, and automatically links them to the correct files. Appropriate responses are generated depending on whether documents are missing or complete, helping accelerate contract finalization.

Employee enrollment in an existing group contract
Enrollment requests are automatically identified, classified, and assigned to the correct company. The necessary information is extracted, and corresponding responses are sent without manual intervention.

Finalization of group contracts
Communications related to setting up or finalizing group contracts are handled automatically, enabling smooth and consistent tracking of company files.

Requests for quotes and medical expense reimbursements
For each quote or reimbursement request, Miralia automatically generates two emails. The first forwards the initial request to the insurer handling the case. The second is sent to the insured to inform them of the transfer and provide guidance for future requests.
The system distinguishes between commercial quotes—issued by prospects wishing to subscribe to La Médecine Libre—and quotes related to medical care for existing policyholders.

Requests for Madelin certificates
Miralia automatically sends the most recent Madelin certificate when available. If it is not available, an automatic response is sent to the policyholder.