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13. Complaints
If you have a complaint about charges or reimbursements provided to you then you should contact your local Caisse, normally the Caisse Primaire d’Assurance Maladie (CPAM) for those who are non-active.
They have in place an ombudsman system through an official and ‘independent’ conciliateur.
The decision of the conciliateur is non-binding on both sides, but as a general rule, their recommendations are respected.
Beyond the conciliateur you will need to take your complaint to a specialist tribunal called Tribunal des affaires de sécurité sociale (TASS).
If you have a complaint about medical treatment then, in the first instance, you should take it up with service concerned, failing which you can make a formal complaint to a conciliation body called Commissions régionales de conciliation et d'indemnisation des accidents médicaux, des affections iatrogènes et des infections nosocomiales (CRCI) . These regional boards have the power to award compensation payments.
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