To be checked first
- Parts sent, date and channel
- Accused, recommended or message
- NIA or final number
- Failure or decision to challenge
To be checked · Verified: 2026-07-26
CPAM lost or not taken into account
Switch from retransmission to a traceable claim and then, if necessary, mediation.
Evidence to be kept
- Coin border
- Proof of dispatch
- Responses from the fund
- Current attestation
Action scale
Do not start with the toughest level: choose according to facts, document and delay.
1
Before any new shipment.
Check Folder
- List each piece and date
- Check address/channel
- Remove duplicates and obsolete versions
Sources of this step
2
If the part is not taken into account or unexplained treatment.
Claim CPAM
- File a complaint via account or mail
- Ask for confirmation of documents
- Distinguish claim and appeal
Sources of this step
Mail for this step
CloseMail draft
Claim to CPAM
When to use: When a file, time limit, refund or document is poorly dealt with; to distinguish from an appeal against a decision.
Consignee: CPAM — claim service
Text in French
Subject matter: Subject: Claim concerning the processing of my file
Ma'am, sir, I wish to file a claim concerning [subject matter]. My file was sent on [date] under the reference [reference]. The steps already taken are as follows: [short chronology]. To date, the difficulty persists: [Factual problem]. I thank you for checking the file, confirming the documents received and indicating the solution or remedy applicable. Regrettably, [First Name] [Social Security Number or NIA] [Address]
Before sending, replace all fields in square brackets and remove unnecessary personal data.
Official sources
In case of deviation, use the source and document specific to your procedure.
3
After unsuccessful complaint: mediator; against a decision: CRA according to notification.
Ombudsman or CRA
- Transmit the chronology to the mediator
- For a decision, follow the path/time
- Do not mix procedures
Sources of this step
Time and urgency
The mediation shall suspend the appeal only under the conditions specified by the Sickness Insurance; read the notification first.
Avoid
- No new shipment without voucher
- No original without request
- Do not publish the social number
Signs of result
- Receipt of each confirmed room
- Remaining known action
- Attestation/updated decision
- Claim answered
Official sources
In case of deviation, use the source and document specific to your procedure.
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