The Government continues to digitize public services with the arrival of the digital Vitale card in France in 2023 through the apCV application, which will offer the same functions as its physical counterpart with some advantages.
As promised, the Government continues to digitize public services. A movement that is now universal in our society, especially for transportation tickets and stamps. So, after having a digital identity card with France Identity, it’s the good old Vitale card that should gradually end up in a dematerialized version. The goal: to ensure the digital shift in health and “to streamline relationships between health care professionals and policy holders”. Thus, a decree published on December 28, 2022 and entered into force on 1eh January 2023 confirmed the deployment of the Vitale e-card on French territory in 2023. This also refers to “characteristics of electronic identification methods of policy holders and health care professionals”. We look at what awaits us.
Digital Vitale card: who cares?
The transition from a physical Vitale card to a digital one wasn’t done overnight, thankfully. Rhône and Alpes-Maritimes have been in the testing phase since 2019, followed by Saône-et-Loire, Seine-Maritime, Bas-Rhin, Hérault, Loire-Atlantique, Sarthe and Puy-de-Dome. The opening in the rest of France is planned for 2023 thanks to the order, but it is not impossible that the delay in deployment – usually in the Government – will postpone it to 2024. However, the device must be installed in worldwide and available nationwide by 2026.
For now, the order does not indicate any obstacle to switch to a digital Vitale card, so it is possible to keep your little piece of green plastic. It is more of an alternative solution to the physical format. Hopefully it won’t be compulsory, because it will increase the digital divide, especially among the elderly who are not very comfortable with technology and those who don’t have a smartphone. Of course, everyone is only entitled to an active Vitale card, which is available in physical and digital format.
The dematerialized vital card is accessible to all on smartphones and tablets through an application called apCV – currently, it is not available on the Play Store or the App Store. It will contain all user identification data, such as the national health identifier (INS) and usage tracking data, and will allow access to SESAM-Vitale invoicing (teletransmission), teleservices integrated into compulsory health insurance (AMO) and pharmaceutical files (for pharmacists. ).
When installing and configuring the application, the user must enter his NIR (social security number), a valid identity document (passport, identity card or residence permit), a personal email address and a selfie to perform facial recognition using the photo on their ID. Then, you’ll need to specify a four-digit password to protect your data. During the consultation, the healthcare professional will only need to scan the QR code displayed in the application or use an NFC reader where the patient will deposit his smartphone – as for contactless payments. L’Assurance Maladie recommends that health professionals use the QR Code option as a priority as not all smartphones are equipped with NFC technology – especially when it comes to entry-level ones.
Digital Vitale card: what are the advantages?
As a reminder, the Vitale card allows the healthcare professional to draw up an electronic care sheet instead of a paper care sheet, which allows the patient to be automatically paid after one week, without having to perform the slightest procedure with their health insurance organization. The digital Vitale card will offer the same functions as its physical counterpart, but will offer “innovative features” to promote the “digital deployment in the field of health”according to the opinion from the National Commission for Computing and Liberties (CNIL).
The main advantage of the Vitale e-card is to avoid omissions because a patient is more likely to have a smartphone in his family than his Vitale card. As a result, it will simplify access to health data for patients and caregivers and will ensure that electronic transmissions are always guaranteed – it is very easy to lose paper care paper or forget to send it to forget a Vitale card. In the same way, it will be necessary to secure the course of care sheets by avoiding problems, such as rejected invoices and errors, thanks to the automatic access to the ADRi right service (Getting the Combined Rights) – this enables a health professional, through its approved software or billing equipment, to obtain information about the medico-administrative situation of a care beneficiary necessary for the development of an Electronic Care Sheet (ESF).
The digital Vitale card will also allow you to monitor your health care costs directly through the application, while limiting physical contact through the exchange of the card, and therefore the contamination of the healthcare professional . In the future, apCV will integrate mutual insurance data, and it will allow you to assign your Vitale card to a trusted third party for a limited period – very practical for grandparents who care for their children grandchild, or when the patient is bedridden and unable to pick up their treatments at the pharmacy – and safely introduce themselves to online health services.