Overview
- Since September 26, insured people receive a message every ten days if payments were made in their name, with no amounts shown and a prompt to check details on their Ameli account.
- Suspicious refunds can be flagged by typing “signaler un remboursement suspect” in the Ameli chatbot, with a direct report-from-“mes paiements” option scheduled for the first quarter of 2026.
- Assurance Maladie reports €628 million in improper payments blocked in 2024, with roughly 68–70% of the financial loss attributed to health professionals.
- A TF1 report shows how some doctors can upcode, for example billing a consultation with an ECG instead of a standard visit, illustrating the type of fraud the alerts are meant to surface.
- Police warn of a postal scam using a fake Assurance Maladie letter with a QR code, advising recipients not to scan it and to verify communications via Ameli or nominative CPAM mail.