I-Sante

I-Santé is a health insurance management software suite for insurers, mutuals, health funds (caisses d’assurance maladie), brokers, and large employers that digitizes the end to end lifecycle of medical insurance contracts.

Key capabilities include:

• End to end contract and subscription management in a single platform, covering subscriptions, conventions, and individual or group contracts, with configurable policy parameters.
• Claims, reimbursements, and medical expense tracking, including support for multiple reimbursement modes, such as libre pratique, tiers payant, mixed schemes, and internal medical centers.
• Workflow automation and controls using a BPM/workflow engine, a rules engine, and AI to help verify file authenticity, detect potentially fraudulent requests, and support medical control.
• Document management (GED) for digitization, indexing, compression, and secure storage of supporting documents, plus integrated verification and authentication.

Available on Web, with mobile access via the I-Santé BPO app on Android and iOS.

Target users are B2B health insurance actors (insurance companies, mutuals, health funds, brokers, large companies) and B2B2C portals for insured members, data collection centers, and healthcare providers to submit and track reimbursements, manage conventions, verify ceilings, and handle digital prior authorizations (prise en charge).

Notable in North Africa for deployments referenced by I-Way, including CNAM (Tunisia) and CSN (Libya), and for offering cloud or in-house deployment and white-label use for organizations that want to deliver member and provider portals under their own brand.