What Deuxièmeavis.fr does

Deuxièmeavis.fr, operated by the French private company Carians, is a Paris-based telemedicine platform founded in 2015 that delivers asynchronous specialist second medical opinions to patients facing serious or complex health conditions. The platform connects patients to a curated network of 500+ hyperspecialized physicians selected by a Scientific Council and practicing in French centers of excellence (CHU and reference centers), covering 800+ pathologies across 14 medical specialties. Patients register on a secure CNIL-certified portal (patient.deuxiemeavis.fr), complete a structured medical questionnaire, upload imaging and records, and receive a written expert opinion electronically within seven days; complementary portals serve referenced experts (expert.deuxiemeavis.fr) and referring physicians.

The underlying technology is a secure digital medical dossier platform with Ministry of Health-certified health data hosting and encrypted electronic delivery, supplemented by a searchable pathology database, structured medical questionnaires, and a referral workflow for physicians. The service is differentiated by clinical depth — its Scientific Council vetting, named senior experts (e.g., Pr Yves Castier, Pr Vincent Probst), and a disclosed 75%/25% convergent-divergent outcome split on second opinions — rather than by technology platform features.

The business model is B2B2C: Deuxièmeavis.fr contracts with 80+ French mutuelles and prévoyance providers (including Malakoff Humanis, Harmonie Mutuelle, Ociane/Matmut, Aésio, and Santé Clair), which include the second-opinion service as a covered benefit for their members at no cost and no co-pay. Patients access the service through their insurance coverage or via doctor referrals; the service is not reimbursed by French Sécurité Sociale. The company is founder-led (Catherine Franc as co-founder & CEO; Pauline d'Orgeval as founder & president; Dr Antoine Szmania as Medical Director), operates with 1–10 employees, and has raised approximately $2.99M across a 2016 WILCO seed and a 2018 impact round (Citizen Capital, Colam Impact, Impactivist).

Name

Deuxièmeavis.fr

Legal name

Carians

Website

https://deuxiemeavis.fr

Company type

Private

Founded year

2015

Operating status

Operating

Headcount range

1–10 employees

Short description

Deuxièmeavis.fr (Carians) is a Paris-based telemedicine platform, founded in 2015, that delivers asynchronous specialist second medical opinions within seven days to French patients via a curated 500-physician network and 80+ insurance (mutuelle/prévoyance) partners covering 30M+ lives.

Ownership category

akta.pro rank

Product category

Medical Second Opinion Services

NAICS

Offices of Physicians (except Mental Health Specialists) (621111)

SIC

Services-Health Services (8000)

akta.pro primary industry

General Medical Virtual Primary Care (Payer-Branded) (HLALACAA)

Keywords

• Medical second opinions
• Telemedicine platform
• Specialist physician network
• Health insurance services
• Asynchronous medical consultations

Headquarters

HQ city

Paris

HQ country

France

HQ region

Europe

Offices1 record

Markets served

GTM type

B2B and B2C

Offering type

Services

Cost components

Personnel, Technology or R&D, Operations, Marketing or Sales, Infrastructure

Revenue model

1. B2B Insurance Contracts: The company generates revenue through contracts with health insurance companies (mutuelles) and prévoyance (supplementary insurance) providers. These insurers include the service as a covered benefit in their policyholder contracts at no additional cost to members.

Pricing tiers

Go-to-market motion2 records

Distribution channels3 records

Marketing channels5 records

Core offering

Deuxièmeavis.fr is an asynchronous telemedicine platform that delivers expert medical second opinions on serious or complex health conditions from a curated network of 500+ hyperspecialized physicians within 7 days. The service covers 800+ pathologies across 14 medical specialties, is delivered through a secure CNIL-certified online portal, and is financed by B2B contracts with over 80 French health insurance (mutuelles) and prévoyance providers, making it free at the point of use for more than 30 million covered policyholders.

Product overview

Deuxièmeavis.fr is a unified healthcare platform operated by Carians that provides secure second medical opinion services to patients facing serious or complex health conditions. The core offering consists of a patient-facing portal where users complete medical questionnaires, upload medical documents, and receive expert opinions from 500+ hyperspecialized physicians within 7 days. The platform integrates a network of expert physicians organized by the Scientific Council, a searchable database of 800+ pathologies, secure document handling, and electronic delivery of medical opinions. Supporting modules include educational webinars for healthcare professionals, a medical blog with patient stories, and a dedicated portal for referring physicians to accompany their patients through the second opinion process. The service is covered by health insurance and provident contracts with no advance payment required from patients.

Differentiator

Problem solved

Functional benefit

Brands

• Patient Portal: Patient-facing platform for requesting second medical opinions
• Expert Portal

Products and services

• Deuxième Avis (Expert Medical Second Opinion Service) Core asynchronous telemedicine service delivering expert medical second opinions from 500+ hyperspecialized physicians on 800+ pathologies across 14 specialties within 7 days, covered at no cost to patients through partner mutuelles and prévoyance contracts.
• Patient Portal (patient.deuxiemeavis.fr) Secure online patient portal where users create accounts, complete medical questionnaires (approximately 30 minutes), upload medical imaging and documents, and receive expert medical opinions electronically within 7 days.
• Referring Physician Portal (espace médecins) Dedicated portal enabling referring physicians to accompany patients in requesting second opinions, transmit medical summaries, and receive expert opinions within 7 days.
• Expert Physician Portal (expert.deuxiemeavis.fr) Dedicated platform for referenced specialist doctors (médecins référencés) selected by the Scientific Council to review dossiers and deliver second opinions.
• Pathology Search Directory Searchable public directory of 800+ pathologies organized by medical specialty (cardiovascular, orthopedic, gynecological, neurological, oncological, rare diseases, etc.) enabling patients to identify whether their condition is covered.

Quantifiable outcome

• 75% of second opinions are convergent with initial recommendations, providing patients peace of mind before major medical decisions.
• +2 more outcomes

Named customers3 records

Segments3 records

Ideal customer profiles3 records

Technology focussed Yes

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature3 records

Partnerships

Five partnerships are on record, tiered core.

• Malakoff HumaniscoreChannel Partner/ Reseller/ DistributorMajor French health insurance provider covering millions of policyholders. Provides free access to deuxiemeavis.fr second opinion service for eligible members.
• Harmonie MutuellecoreChannel Partner/ Reseller/ DistributorLeading French mutual insurance company. Includes deuxiemeavis.fr service in member coverage for expert medical second opinions.
• Mutuelle Ociane groupe MatmutcoreChannel Partner/ Reseller/ DistributorFrench mutual insurance provider. Offers deuxiemeavis.fr as covered benefit for policyholder access to specialist consultations.
• AésiocoreChannel Partner/ Reseller/ DistributorFrench health insurance mutual. Provides members with free access to deuxiemeavis.fr expert medical opinions.
• SANTE CLAIRcoreChannel Partner/ Reseller/ DistributorFrench health insurance network. Includes deuxiemeavis.fr service in covered member benefits.

Scale indicators6 records

Recent moves6 records

Expansion highlights3 records

Emerging players

• Mediscan (Medipia): French telemedicine/imaging second-opinion service covering diagnostic-imaging reads and specialist opinion requests. Comparable niche-play on asynchronous specialist opinions, though more imaging-focused than Deuxièmeavis.fr's broad pathology coverage.

Broad incumbents

• Doctolib: France's dominant online health booking and teleconsultation platform. While not a specialist second-opinion service, it competes for the same French clinician referral funnel and insurer-channel relationships, and increasingly bundles messaging/visit services that overlap Deuxièmeavis.fr's GTM reach.
• Mayo Clinic - Ask Mayo Clinic / Second Opinion: Academic medical center offering online specialist second opinions for patients worldwide. Comparable curated-expert, multi-specialty asynchronous opinion model, without the French payer-sponsored distribution layer.
• Cleveland Clinic - MyConsult: Hospital system's online second medical opinion service, comparable in functional model (asynchronous expert review across multiple specialties) but operated by a US-based academic medical center rather than a B2B2C insurer platform.
• Livi (Kry): European digital-health major (Kry) operating teleconsultation services in France via Livi. Comparable as a payer-aligned video-visit provider but without a specialist second-opinion core product, making it adjacent rather than direct overlap.
• Teladoc Health (Best Doctors / Advance Medical): US-listed global virtual-care leader that owns Best Doctors and Advance Medical, both of which originated as dedicated expert medical second-opinion services for insurers and employers. Closest global functional analog, though at vastly larger scale and with a non-French brand footprint.

Others

• malakoff humanis (in-house stopclauses): Major French mutuelle partner and a leading potential vertical integrator. Relevant as both current distribution partner (channel risk) and as a buyer/in-house builder that could bypass Deuxièmeavis.fr.
• Alan (health insurance partner): French digital-native health insurer that could in principle bundle or white-label a second-opinion service like Deuxièmeavis.fr. Included as ecosystem-relevant rather than competitive - either a future partner or a future competitor if they build one in-house.

Direct peers

• Hellocare: France-based telemedicine provider serving both general practitioner and specialist teleconsultations through insurer partnerships. Overlaps with Deuxièmeavis.fr on the B2B2C insurer channel and specialist-access use cases.
• Qare (by Livi/Doctolib group): French B2C telemedicine platform offering video consultations with physicians, often reimbursed through partner insurers. Directly competes with Deuxièmeavis.fr on the payer-sponsored virtual care entry point and on the insured patient user.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key risks5 records

Key highlights7 records

Customer concentration

• LinkedInlinkedin.com/company/deuxiemeavis-fr

Compliance4 records

Revenue estimate

Valuation estimate

Number of profiles

Profiles3 records

Funding overview

Funding rounds2 records

Investors4 records

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about Deuxièmeavis.fr