The services of the National Social Security Fund (Caisse Nationale de Sécurité Sociale – CNSS) interact with each other and with other institutions, contributors and insured persons. They exchange data, which are either provided or used by the CNSS information system. These exchanges create standardization and security problems. In light of this, the CNSS has created a computer-based tool that generates automatically and on demand generic, standard and secure Web services in the implementation of its various roles in these exchanges.

The National Social Security Fund (Caisse nationale de sécurité sociale – CNSS) of Tunisia has for the past two decades faced problems relating to fiscal imbalance and budgetary constraints. This double bind led it to revamp its internal management style and methods of work by introducing a Lean Management approach. 

The National Social Security Fund of Tunisia (Caisse nationale de sécurité sociale – CNSS) is a social security body covering the public service and managing eight schemes with a total of more than 2,250,000 insured members, 135,000 employees, and 690,000 pensioners. It embarked on a reform and modernization of its information system. The reform drew on ISSA Guidelines and involved three specific projects:

As part of its quality approach, which promotes remote contact, and after developing its own interactive Internet site (www.cnam.nat.tn) and customer service by freephone, the National Health Insurance Fund (Caisse nationale d'assurance maladie (CNAM)) launched a new, free messaging service in September 2013: SMS CNAM.

This service communicates useful information to insured persons and the health professionals involved in the handling of their files, as well as messaging alerts and any other information about preventive measures.

The objectives of the National Health Insurance Fund (Caisse nationale d'assurance sociale (CNAM)) are expenditure control and improving the quality of care. Electronic transmission requirements and medical control prerogatives have made it necessary for the CNAM to invest in the automated processing of medical claim forms.

The main objective is the establishment of a decision-support system with a medical knowledge base which would take into account the specificities of each medical claim form.