{"id":38167,"date":"2026-03-31T14:32:39","date_gmt":"2026-03-31T12:32:39","guid":{"rendered":"https:\/\/miralia.ai\/?p=38167"},"modified":"2026-03-31T17:31:52","modified_gmt":"2026-03-31T15:31:52","slug":"automatisation-demandes-sante-miralia","status":"publish","type":"post","link":"https:\/\/miralia.ai\/en\/blog\/automatisation-demandes-sante-miralia","title":{"rendered":"Automatisation des demandes sant\u00e9 : le cas client de La M\u00e9decine Libre avec Miralia"},"content":{"rendered":"

Contexte et objectifs<\/h2>\n\n\n\n

La M\u00e9decine Libre re\u00e7oit chaque jour un volume important de demandes li\u00e9es aux contrats sant\u00e9, qu\u2019elles proviennent de particuliers, de salari\u00e9s ou d\u2019entreprises. Cette diversit\u00e9 de requ\u00eates rend le traitement manuel long, r\u00e9p\u00e9titif et chronophage pour les \u00e9quipes.<\/p>\n\n\n\n

Dans ce contexte, Miralia automatise l\u2019analyse, la classification et la gestion des demandes les plus complexes. Ainsi, les \u00e9quipes r\u00e9duisent les d\u00e9lais de traitement, am\u00e9liorent la fiabilit\u00e9 des r\u00e9ponses et gagnent du temps sur les t\u00e2ches op\u00e9rationnelles.<\/p>\n\n\n\n

Comme l\u2019explique Renaud Pellet :
\u00ab\u00a0Ils sont arriv\u00e9s au moment id\u00e9al, pr\u00e9cis\u00e9ment lorsque je r\u00e9fl\u00e9chissais \u00e0 l\u2019automatisation du traitement de nos e-mails.\u00a0\u00bb<\/em><\/p>\n\n\n\n

\"Automatisation<\/figure>\n\n\n\n

Cadre du projet<\/h2>\n\n\n\n

Le projet s\u2019appuie sur une automatisation compl\u00e8te du traitement des e-mails entrants. Concr\u00e8tement, la solution analyse chaque message, extrait les informations cl\u00e9s, met \u00e0 jour les donn\u00e9es dans le logiciel m\u00e9tier, puis envoie automatiquement une r\u00e9ponse adapt\u00e9e.<\/p>\n\n\n\n

Par ailleurs, la solution prend en charge plusieurs missions li\u00e9es aux contrats sant\u00e9, aux affiliations, aux devis, aux remboursements et aux attestations. Ainsi, elle centralise et fluidifie l\u2019ensemble des traitements.<\/p>\n\n\n\n

P\u00e9rim\u00e8tres actuellement en production<\/h2>\n\n\n\n

Today, several processes are already running in production:<\/p>\n\n\n\n

    \n
  • Finalization of individual contracts<\/li>\n\n\n\n
  • Employee enrollment in an existing group contract<\/li>\n\n\n\n
  • Finalization of group contracts<\/li>\n\n\n\n
  • Demandes de devis de soins m\u00e9dicaux<\/li>\n\n\n\n
  • Demandes de remboursement de soins m\u00e9dicaux<\/li>\n\n\n\n
  • Requests for Madelin certificates<\/li>\n<\/ul>\n\n\n\n

    <\/p>\n\n\n\n

    D\u00e9tails des p\u00e9rim\u00e8tres<\/h2>\n\n\n\n

    <\/p>\n\n\n\n

    Finalization of individual contracts<\/h3>\n\n\n\n

    La solution analyse les e-mails li\u00e9s aux dossiers d\u2019inscription en cours. Ensuite, elle identifie les pi\u00e8ces jointes et les associe directement aux bons dossiers.<\/p>\n\n\n\n

    De plus, elle g\u00e9n\u00e8re des r\u00e9ponses adapt\u00e9es en fonction des documents re\u00e7us ou manquants. Ainsi, les \u00e9quipes acc\u00e9l\u00e8rent la finalisation des contrats.<\/p>\n\n\n\n

    Employee enrollment in an existing group contract<\/h3>\n\n\n\n

    <\/p>\n\n\n\n

    La solution d\u00e9tecte automatiquement les demandes d\u2019affiliation. Ensuite, elle les classe et les rattache \u00e0 la bonne entreprise.<\/p>\n\n\n\n

    Elle extrait \u00e9galement les informations n\u00e9cessaires, puis envoie les r\u00e9ponses correspondantes sans intervention manuelle. Ainsi, le traitement devient plus rapide et plus fiable.<\/p>\n\n\n\n

    Finalization of group contracts<\/h3>\n\n\n\n

    La solution prend en charge les \u00e9changes li\u00e9s \u00e0 la mise en place et \u00e0 la finalisation des contrats collectifs. Ainsi, les \u00e9quipes suivent les dossiers entreprises de mani\u00e8re plus fluide et homog\u00e8ne.<\/p>\n\n\n\n

    Requests for quotes and medical expense reimbursements<\/h3>\n\n\n\n

    Pour chaque demande, la solution g\u00e9n\u00e8re automatiquement deux e-mails. D\u2019une part, elle transf\u00e8re la demande \u00e0 l\u2019assureur concern\u00e9. D\u2019autre part, elle informe l\u2019assur\u00e9 du traitement de sa demande et des prochaines \u00e9tapes.<\/p>\n\n\n\n

    En parall\u00e8le, le syst\u00e8me distingue les devis commerciaux, envoy\u00e9s par des prospects, des demandes li\u00e9es \u00e0 des soins m\u00e9dicaux pour des assur\u00e9s existants. Ainsi, chaque demande suit le bon circuit.<\/p>\n\n\n\n

    Requests for Madelin certificates<\/h3>\n\n\n\n

    Lorsque l\u2019attestation Madelin est disponible, la solution l\u2019envoie imm\u00e9diatement \u00e0 l\u2019assur\u00e9. En revanche, si le document n\u2019est pas disponible, elle envoie automatiquement une r\u00e9ponse pour informer l\u2019assur\u00e9.<\/p>\n\n\n\n

    ROI et impact<\/h2>\n\n\n\n

    L\u2019objectif avec la mise en place de Miralia est une r\u00e9duction significative des temps de traitement des demandes li\u00e9es aux contrats, affiliations, devis, remboursements et radiations. <\/p>\n\n\n\n

    Les \u00e9quipes b\u00e9n\u00e9ficieront ainsi d\u2019une forte diminution des t\u00e2ches r\u00e9p\u00e9titives, d\u2019une meilleure r\u00e9activit\u00e9 dans les \u00e9changes et d\u2019une gestion plus fluide et plus fiable des demandes clients.<\/p>\n\n\n\n

    <\/p>\n","protected":false},"excerpt":{"rendered":"

    La M\u00e9decine Libre automatise le traitement de ses demandes sant\u00e9 avec l\u2019IA pour acc\u00e9l\u00e9rer les r\u00e9ponses et am\u00e9liorer la relation client.<\/p>","protected":false},"author":26,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"content-type":"","footnotes":""},"categories":[68,138,111],"tags":[],"class_list":["post-38167","post","type-post","status-publish","format-standard","hentry","category-blog","category-partenaire","category-relation-client"],"acf":[],"yoast_head":"\nAutomatisation des demandes sant\u00e9 : le cas La M\u00e9decine Libre<\/title>\n<meta name=\"description\" content=\"Automatisation des demandes sant\u00e9 : La M\u00e9decine Libre acc\u00e9l\u00e8re le traitement des e-mails et am\u00e9liore la relation client gr\u00e2ce \u00e0 l\u2019IA.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, 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