GIE SESAM-Vitale
GIE SESAM-Vitale is the French state-mandated operator of the Vitale card, electronic FSE teletransmission, appli carte Vitale Identity Provider and Web Vitale, serving healthcare professionals, AMO and AMC health insurers, and 500+ industrial software and equipment partners.
- Company typePrivate
- Founded1994
- HeadquartersLe Mans, France
- Headcount101–250
- GTM typeB2B
- OfferingSoftware
What GIE SESAM-Vitale does
GIE SESAM-Vitale is a French Economic Interest Grouping (Groupement d'Intérêt Économique) headquartered in Le Mans, founded in 1994, that designs, deploys and operates the secure electronic-exchange infrastructure linking French healthcare professionals (liberal practitioners, establishments, sanitary transporters, medico-social actors, teleconsultation and DMN-DTx operators) with the mandatory (AMO) and complementary (AMC) health insurance organisations. It holds a state-mandated role for the carte Vitale production chain (including the European Health Insurance Card/CEAM), the national SESAM-Vitale billing and teletransmission system (FSE/DRE/SCOR), and — as of 2026 — the appli carte Vitale mobile identity and the new Web Vitale browser-based card reader. The technology stack includes a KMS/HSM (PSE2/PSE3+) security chain, the Cryptolib CPS smart-card library, an OIDC-based Identity Provider integrated with FranceConnect, the maintained Table des Organismes Destinataires (TOD) reference dataset, and compatibility matrices across Windows, macOS, Linux, Citrix and major browsers.
GIE SESAM-Vitale operates a non-commercial model: it is funded by its member organisations (the three AMO regimes and AMC), executes its activity through 101 formal public procurement marchés (95% of financial volume with French suppliers, 50% with SMEs, PNAD 2022-2025 / loi Climat et Résilience framework with 5% rising to 10% CSR criterion), and distributes its services indirectly through more than 500 industrial partners offering 1,000+ referenced products under homologation or self-declarative referencing regimes. Pricing is not publicly disclosed; software editors obtain components such as PRO-PS and teleservices (AATi/DMTi/IMTi/HRi/EBDi/SEFi) after signing the licence d'exploitation and obtaining TLSi authorisation via CNDA. The organisation processes millions of electronic FSE daily, has activated more than 3 million appli carte Vitale users, federates 47 Mon espace santé catalogue solutions, and counts 35 doctors software packages authorised for national e-prescription rollout as of June 2026.
GIE SESAM-Vitale firmographics
Firmographics- Name
- GIE SESAM-Vitale
- Legal name
- GIE SESAM-Vitale®
- Website
- https://sesam-vitale.fr
- Company type
- Private
- Founded year
- 1994
- Operating status
- Operating
- Headcount range
- 101–250 employees
- Short description
- GIE SESAM-Vitale is the French state-mandated operator of the Vitale card, electronic FSE teletransmission, appli carte Vitale Identity Provider and Web Vitale, serving healthcare professionals, AMO and AMC health insurers, and 500+ industrial software and equipment partners.
- Ownership category
- akta.pro rank
GIE SESAM-Vitale industry classification
Industry- Product category
- Digital Health Infrastructure
- NAICS
- Professional, Scientific, and Technical Services (541)
- SIC
- Services-Misc Health & Allied Services, Nec (8090)
- akta.pro primary industry
- Public Health & Immunization Data Exchange (ELR, case reporting, registry reporting) (HLACABAL)
- akta.pro secondary industry
- Provider Network, Credentialing & Contracting Support (BPAAAFAI)
Keywords
Where GIE SESAM-Vitale is headquartered
LocationHeadquarters
- HQ city
- Le Mans
- HQ country
- France
- HQ region
- Europe
Offices1 record
Markets served
GIE SESAM-Vitale business model
Business model- GTM type
- B2B
- Offering type
- Software
- Cost components
- Personnel, Technology or R&D, Operations, Infrastructure, Marketing or Sales, Supply Chain
Revenue model
- Member funding from mandatory and complementary health insurance organizations: GIE SESAM-Vitale is an Economic Interest Grouping funded by its members (the major AMO regimes – régime général, régime agricole, régimes spéciaux – and AMC organizations). Members commission and finance its services on their behalf; revenue is therefore essentially member-contribution based rather than commercial.
- Public procurement (marchés publics): Activity is run through formal public procurement: 101 marchés in execution in 2025, 14 marchés notifiés above 25 K€ HT, with 95% of financial volume engaged with French companies and 74 local Sarthe-based firms. Procurement is governed by the PNAD 2022-2025 and the loi Climat et Résilience with a CSR criterion weighted at 5% (rising to 10%).
- Adresses des centres payeurs licensing / data distribution: Distribution of the "Table de Codification des Organismes Destinataires et Adresses des Centres Payeurs" (v3.76, 17/02/2026) and associated access components to software editors, with downloadable data files and an annual/bi-annual newsletter subscription for updates.
Go-to-market motion1 record
Distribution channels7 records
Marketing channels9 records
GIE SESAM-Vitale product offering
Product offeringCore offering
GIE SESAM-Vitale designs, operates and maintains the secure IT infrastructure that enables electronic exchanges between French healthcare professionals and mandatory/complementary health insurance organizations. Its core offerings include the SESAM-Vitale electronic billing and teletransmission system (FSE/DRE/SCOR), the Carte Vitale production and personalization chain (including the European Health Insurance Card/CEAM), the appli carte Vitale mobile identity provider (now federated with FranceConnect via OIDC), Web Vitale for browser-based card reading, supporting teleservices (AATi, DMTi, IMTi, HRi, EBDi, INSi, SCOR, ADRi, ALDi, SEFi), and the Table des Organismes Destinataires (TOD) reference data set. The organization also runs the national e-prescription (Ordonnance numérique) framework and processes referencing requests for the Mon espace santé services catalogue on behalf of Assurance Maladie and the French Ministry of Health.
Differentiator
Problem solved
Functional benefit
Brands
- appli carte Vitale (ApCV): Smartphone-based digital equivalent of the physical carte Vitale, conceived and deployed by GIE SESAM-Vitale; evolved into an Identity Provider for online health, social and medico-social services.
- Web Vitale
Products and services
- Facturation SESAM-Vitale National electronic billing and teletransmission system (FSE/DRE/SCOR) that enables healthcare professionals (liberal, establishments, sanitary transporters) to transmit care sheets electronically to AMO and AMC paying centres. Used by the entire French healthcare ecosystem; millions of electronic FSE are transmitted daily.
- Carte Vitale (production and personalization) Industrial production and personalization of the Carte Vitale health insurance card and the European Health Insurance Card (CEAM) for the three French mandatory health insurance regimes (régime général, régime agricole, régimes spéciaux), with PVID-compliant identity verification for digital activation.
- appli carte Vitale (ApCV)
Quantifiable outcome
- More than 3 million insured users have activated the appli carte Vitale (June 2026)
- +6 more outcomes
Companies that use GIE SESAM-Vitale
Customer profileNamed customers2 records
Ideal customer profiles3 records
GIE SESAM-Vitale technology and API
TechnologyTechnology focussed Yes
API detail
- API docs
- API detail
Core technology
AI maturity
App detail
Integration7 records
Feature8 records
GIE SESAM-Vitale partnerships and signals
Strategic signalPartnerships
17 partnerships are on record, tiered flagship / structural, core and minor.
- French mandatory health insurance organisations (AMO) – régime général, régime agricole, régimes spéciauxflagship / structuralGIE SESAM-Vitale is a Groupement d'Intérêt Économique (GIE) created and funded by these AMO organisations; it operates the SESAM-Vitale electronic billing, the carte Vitale/Appli carte Vitale production, and the AMO teleservices on their behalf. The partnership is contractual and governance-driven, not a customer/vendor relationship.
- French complementary health insurance organisations (AMC)flagship / structuralAMC organisations are also members of the GIE and benefit from the secure electronic exchanges operated by GIE SESAM-Vitale, with services that may be common to AMO/AMC or specific to AMC.
- Agence du Numérique en Santé (ANS)flagship / structuralStrategic partner in the Doctrine du Numérique en Santé 2026 and in the Ségur du numérique en santé (solutions référencées Ségur). Co-produces the Doctrice 2026 alongside DNS, Cnam and Assurance Maladie.
- Délégation au Numérique en Santé (DNS) and Ministère chargé de la Santéflagship / structuralPublic co-construction partner for the Doctrine du Numérique en Santé 2026; DNS coordinates the broader e-health roadmap in which GIE SESAM-Vitale contributes its expertise.
- CNAM (Caisse nationale de l'Assurance Maladie)flagship / structuralCo-pilot of the Appli carte Vitale project; joint presentation with Orisha at Santexpo (19/05/2026); commissions GIE SESAM-Vitale for Mon espace santé referencing and Doctrine du Numérique en Santé 2026.
- ANSSI (Agence nationale de la sécurité des systèmes d'information)coreProvides the PVID (Prestation de Vérification d'Identité à Distance) reference framework, or equivalent, that the PAN-26-9/0 call for tender must comply with for the appli carte Vitale PVID identity verification.
- CNDA (Centre National de Dépôt et d'Agrément)coreDelivers the TLSi (téléservices) authorisation used by editors integrating SEFi and other teleservices; editors test their solutions to obtain TLSi authorisation from CNDA before being listed in the Catalogue produits.
- CEGEDIM SANTE (éditeur of Medimust)minorIndustrial partner whose Medimust software (version 13.01) completed the e-prescription "médecins" pre-series on 03/04/2026 and is now authorised to deploy e-prescription nationally.
- ALOR (éditeur of Oplus)minorIndustrial partner whose Oplus software (version 7) completed the e-prescription pre-series on 19/06/2026, raising to 35 the number of doctors software authorised for national e-prescription rollout.
- EIG (éditeur of Eo)minorEo version 12.30 completed the e-prescription pre-series on 29/05/2026.
- PREMIOCAREminorPremiocare version 1.0.0 completed the e-prescription pre-series on 29/05/2026.
- FOLLOW HEALTH (éditeur of Follow)minorFollow version 3 completed the e-prescription pre-series on 23/03/2026.
- A10 TECHNOLOGIE (éditeur of Xmed)minorXmed version 1.80 completed the e-prescription pre-series on 24/03/2026.
- JULIE (éditeur of Julie)minorJulie version 3.47 (dental surgeons) completed the e-prescription pre-series on 23/04/2026, becoming the 3rd dental-surgeon software authorised for national e-prescription rollout.
- Orisha Socialcare (Teranga) – éditeur of DUI NetsoinscoreIndustrial partner in the 2e expérimentation e-prescription en EHPAD which ended on 22/05/2026; co-presentation with Cnam at Santexpo on 19/05/2026.
- Elfie (fr.elfie.co)minorApplication newly referenced in the Mon espace santé services catalogue on 12/06/2026; used by more than 1.5 million people worldwide. Referencing is processed by GIE SESAM-Vitale on behalf of Assurance Maladie and the Ministry of Health.
- Le Mans School of AI / CCI du MansminorPartner for the 24h du code 2026: Le Mans School of AI proposed the AI challenge and the CCI du Mans organised the event, with GIE SESAM-Vitale supporting the team !(CVitale2Dormir).
Scale indicators12 records
Recent moves6 records
Expansion highlights6 records
GIE SESAM-Vitale competitors and assessment
Company assessmentBroad incumbents
- Agence du Numérique en Santé (ANS): French state agency co-producing the Doctrine du Numérique en Santé 2026 with GIE SESAM-Vitale and co-administering Mon espace santé; comparable as the other pillar of the French sovereign e-health infrastructure, with overlapping scope on identity, interoperability and référentiels.
- Dedalus: Major European healthcare-IT vendor with a strong French hospital information-system footprint; comparable as a large incumbent offering interoperable solutions that must align with SESAM-Vitale teleservices and reference frameworks.
- Thales (Digital Identity & Security): Provides identity, KMS/HSM and secure-element infrastructure (e.g., PSE2/PSE3+ equivalents) that underlies national eID schemes comparable to the Vitale card and Appli carte Vitale production chain; relevant as an enabling technology peer in sovereign health identity.
- Idemia: Global identity and secure-document vendor producing health-insurance smart cards across Europe; comparable as an enabling technology supplier in the sovereign e-health card production chain that GIE SESAM-Vitale orchestrates in France.
Direct peers
- FranceConnect: French national identity broker through which the Appli carte Vitale Identity Provider exposes its authentication; operates as a competing/complementary federated identity layer in the French public sector eID stack and therefore the closest direct peer in identity-provider territory.
- Cegedim Santé: French health-IT software editor whose Medimust suite is among the doctor software authorised for SESAM-Vitale teletransmission and e-prescription; comparable as one of the éditeurs that integrates and distributes the SESAM-Vitale stack to liberal healthcare professionals.
- Doctolib: Dominant French teleconsultation and health-software platform integrating with the SESAM-Vitale billing and teleconsultation ecosystem; comparable as a French digital health Service Provider that consumes SESAM-Vitale teleservices and competes for the same healthcare-professional workflow.
- Maincare Solutions: French health-IT editor providing hospital information systems and shared medical file solutions integrated with SESAM-Vitale components; comparable as a domestic éditeur in the same distribution and referencing ecosystem.
- Pro Santé Connect: French national identity service for healthcare professionals, evolving into Pro Santé Identité under the Doctrine du Numérique en Santé 2026 with GIE SESAM-Vitale's contribution; directly comparable as the professional-side counterpart to the citizen-side Appli carte Vitale.
Emerging players
- Orisha Socialcare (Teranga): Industrial partner whose DUI Netsoins software participated in the 2e expérimentation e-prescription en EHPAD with GIE SESAM-Vitale; comparable as a medico-social éditeur building on the SESAM-Vitale stack and integrating Appli carte Vitale.
Market position
Strengths5 records
Weaknesses5 records
Competitive moat6 records
Key risks6 records
Key highlights7 records
Customer concentration
GIE SESAM-Vitale social profiles
Digital presenceGIE SESAM-Vitale compliance and trust
Trust signalCompliance5 records
GIE SESAM-Vitale financial estimates
Financial estimateRevenue estimate
Valuation estimate
GIE SESAM-Vitale leadership team
Management profileNumber of profiles
GIE SESAM-Vitale funding detail
Funding detailFunding overview
Funding rounds
Investors
Funding detail is available on the Subscription and Enterprise plan.Contact sales →
GIE SESAM-Vitale M&A and investment
M&A and investmentM&A
Investments
M&A and investment is available on the Subscription and Enterprise plan.Contact sales →
Frequently asked questions about GIE SESAM-Vitale
What does GIE SESAM-Vitale do?
GIE SESAM-Vitale designs, operates and maintains the secure IT infrastructure that enables electronic exchanges between French healthcare professionals and mandatory/complementary health insurance organizations. Its core offerings include the SESAM-Vitale electronic billing and teletransmission system (FSE/DRE/SCOR), the Carte Vitale production and personalization chain (including the European Health Insurance Card/CEAM), the appli carte Vitale mobile identity provider (now federated with FranceConnect via OIDC), Web Vitale for browser-based card reading, supporting teleservices (AATi, DMTi, IMTi, HRi, EBDi, INSi, SCOR, ADRi, ALDi, SEFi), and the Table des Organismes Destinataires (TOD) reference data set. The organization also runs the national e-prescription (Ordonnance numérique) framework and processes referencing requests for the Mon espace santé services catalogue on behalf of Assurance Maladie and the French Ministry of Health.
Is GIE SESAM-Vitale a public or private company?
GIE SESAM-Vitale is a private company. It is classified as nonprofit foundation owned and is currently operating.
When was GIE SESAM-Vitale founded?
GIE SESAM-Vitale was founded in 1994. It employs 101 to 250 people.
Where is GIE SESAM-Vitale based?
GIE SESAM-Vitale is headquartered in Le Mans, France, in the Europe region.
How does GIE SESAM-Vitale make money?
Three revenue lines are on record. Member funding from mandatory and complementary health insurance organizations are the primary driver. The others are public procurement (marchés publics) and adresses des centres payeurs licensing / data distribution.
Who are GIE SESAM-Vitale's main competitors?
Broad incumbents on record are Agence du Numérique en Santé (ANS), Dedalus, Thales (Digital Identity & Security) and Idemia. Direct peers are FranceConnect, Cegedim Santé, Doctolib, Maincare Solutions and Pro Santé Connect. Orisha Socialcare (Teranga) is listed as an emerging player.
What industry is GIE SESAM-Vitale in?
GIE SESAM-Vitale's product category is Digital Health Infrastructure. Its primary akta.pro industry code is HLACABAL, Public Health & Immunization Data Exchange (ELR, case reporting, registry reporting), with a secondary code of BPAAAFAI, Provider Network, Credentialing & Contracting Support. Its NAICS code is 541 and its SIC code is 8090.