# Nurse-Assisted Teleconsultation: 2026 Guide > Nurse-assisted teleconsultation (IDEL): the nurse's role, workflow, equipment, TLL/TLD billing and funding. The practical 2026 guide. [ Back to blog ](/en/blog) # Nurse-Assisted Teleconsultation (IDEL): The Complete 2026 Guide P Promotal MedConnect June 16, 2026 8 min read [Image: Nurse-Assisted Teleconsultation (IDEL): The Complete 2026 Guide] A nurse-assisted teleconsultation places a healthcare professional — most often a self-employed nurse (in France, an IDEL) — physically beside the patient while a doctor performs the consultation remotely. The doctor remains the one who consults and bills the medical act; the nurse accompanies the patient, performs the clinical examination on the doctor's instruction, transmits measurements, and bills a separate accompaniment act. For a nurse, this is an activity recognized and reimbursed since amendment 6 (avenant 6) to France's national nursing agreement. This complete 2026 guide answers every question doctors, nurses, and CPTS or care-home coordinators may have: what it is exactly, the nurse's role, how a session unfolds, what equipment to use, where it takes place, and how it is paid. ## Nurse-assisted teleconsultation: what exactly are we talking about? Télésanté (digital health) covers all remote care practices. It splits into two legally distinct branches: **télémédecine**, reserved for medical professionals (doctors), and **télésoin** (remote care), which covers remote acts performed by a pharmacist or a medical auxiliary, including the nurse. Distinguishing these clearly is essential, because they are not billed the same way. - **Simple teleconsultation**: the patient is alone in front of the screen with the doctor, with no healthcare professional beside them. - **Assisted (accompanied) teleconsultation**: the same medical act, but a nurse is present beside the patient for the clinical exam, measurements, and the technical side. The doctor bills the medical act; the nurse bills an accompaniment act. - **Télésoin (remote care)**: there is no doctor. The nurse personally delivers a remote care or follow-up act to the patient by video. - **Téléexpertise (remote expert advice)**: an opinion exchanged between two professionals about a patient who is not in the live loop. To understand the overall framework and where each player fits, see our reference page on [assisted teleconsultation](https://promotal-medconnect.com/teleconsultation-assistee). Nurses will find a dedicated overview of their practice on our [solution for nurses](https://promotal-medconnect.com/solutions/infirmiers) page. ## The nurse's role during the session The nurse is not merely technical support: they are the doctor's eyes, hands, and ears at a distance. Concretely, during an assisted teleconsultation, the nurse: - sets up and checks the secure video link and stays physically present with the patient; - performs the clinical examination on the doctor's instruction (auscultation, guided palpation, inspection); - transmits measurements and vital signs, and may use connected medical devices (ECG, digital stethoscope, oximeter, dermatoscope, otoscope, and so on); - gives the doctor real-time clinical context on the patient's situation and progress; - carries out, if needed, a prescribed medical act during the session. The nurse practices in compliance with their professional rules and code of ethics. This presence transforms the teleconsultation: it goes from a simple video chat to a genuine remote clinical examination with objective data. ## An assisted teleconsultation in 4 steps ### 1. Preparation and setup The nurse prepares the station: secure connection, camera, and connected devices. The session must be done by video transmission under conditions that guarantee security, traceability, confidentiality of exchanges, and respect for the patient's privacy. A simple audio phone call, an SMS, or an email is not considered a teleconsultation. ### 2. Clinical data capture The nurse takes vital signs, runs the requested exams, and transmits them to the doctor in real time. This is where [connected medical devices](https://promotal-medconnect.com/materiel-telemedecine) make the difference: a 12-lead ECG or a digital stethoscope feed back reliable medical data the doctor could never have obtained over a plain video call. ### 3. The medical consultation The doctor leads the consultation, questions the patient, guides the exam, and makes the diagnosis. The nurse acts as the link and performs the requested gestures. ### 4. Conclusion and follow-up The doctor issues the prescription and the report; the nurse supports the patient on next steps. Each professional then bills the act that is theirs. ## The equipment you need The quality of an assisted teleconsultation depends directly on the equipment. You need a compliant video platform plus a set of connected, mobile medical devices. Promotal MedConnect, a French manufacturer based in Ernée (Mayenne) within Groupe Eloi (97 years of expertise), offers three formats depending on the use case: - the [teleconsultation kit](https://promotal-medconnect.com/mallette-telemedecine), ideal for nurses' home visits; - the [telemedicine cart](https://promotal-medconnect.com/chariot-telemedecine), designed for care homes and facilities; - the [ultra-light backpack](https://promotal-medconnect.com/sac-telemedecine) for maximum mobility. These formats carry more than 20 medical-grade devices (Cardioline touchECG 12-lead ECG, Riester Ri-Sonic digital stethoscope, dermatoscope, otoscope, vital-signs monitor, oximeter, portable ultrasound, spirometer, bladder scanner, and more) and rely on a [software platform](https://promotal-medconnect.com/logiciel/plateforme-telemedecine) with HDS-hosted video, real-time device-data streaming, patient record, prescription, Carte Vitale billing, and AI scribe. The whole solution is CE-marked, GDPR-compliant, HDS-hosted, and ISO 27001-certified. ## Where does assisted teleconsultation take place? Assisted digital-health acts can take place in several settings: at the patient's **home**, in a **dedicated teleconsultation location**, during an **already-scheduled care visit**, or in a **telemedicine booth** or connected bus. More broadly, teleconsultation also occurs in equipped pharmacies, health centers, and structures such as [care homes (EHPAD)](https://promotal-medconnect.com/solutions/ehpad) and coordinated territorial organizations, notably [CPTS](https://promotal-medconnect.com/solutions/cpts). For chronic conditions, specialized uses are growing, for instance in [tele-cardiology](https://promotal-medconnect.com/specialites/tele-cardiologie) thanks to the connected ECG. ## Coverage and billing: who bills what? The principle is clear: the **doctor** bills the teleconsultation (the medical act) and the **nurse** separately bills their accompaniment act. On the doctor's side, a teleconsultation is billed at **25 € by a general practitioner** and **30 € or more by a specialist**, under the conventional terms in force. On the patient's side, the act is reimbursed at **70 %** of the tariff (100 % for long-term conditions or equivalent situations), within the coordinated care pathway and with the usual direct-access exceptions. ### The nurse's accompaniment act (avenant 6) Amendment 6 (avenant 6) to the national nursing agreement created the role of teleconsultation accompanist, with billing effective from 1 January 2020. The accompaniment act is coded according to where it is performed: CodePlace of performanceFee **TLL**Dedicated / fixed location (nurse's office, MSP, etc.)12 € **TLD**At the patient's home15 € These amounts are the conventional fees for the accompaniment act. Note that conventional tariffs may change over time. Amendment 9 (avenant 9), signed on 27 July 2022, consolidated and broadened this framework: it durably enshrined télésoin, allowed the nurse to request a téléexpertise, and extended accompaniment to teleconsultations requested by any medical professional (for example a midwife), not just a doctor. ### Télésoin (TLS): a distinct act, with no doctor Be careful not to confuse them: **TLS corresponds to télésoin**, a care act performed remotely by the nurse themselves, without a doctor, governed by avenant 9. It is not an accompaniment act. Télésoin requires the patient to be known to the nurse (at least one prior in-person act within the preceding twelve months). For the precise conditions and fees of télésoin, refer to ameli.fr. ### Téléexpertise requested by the nurse Since avenant 9, a nurse can request a téléexpertise from a medical professional. The **requester** (the one asking for the opinion, here the nurse) bills **10 €**, up to a maximum of **3 acts per patient per year**. The **requested professional** (the doctor who provides the opinion) bills **25 €**. The patient is not present live. To go further, see our [téléexpertise](https://promotal-medconnect.com/logiciel/teleexpertise) page and the dedicated guide on [nurse téléexpertise (definition and billing)](https://promotal-medconnect.com/blog-posts/teleexpertise-infirmier-definition-cotation-2026). For the full detail of accompaniment acts, also read our article on [billing assisted teleconsultation](https://promotal-medconnect.com/blog-posts/cotation-teleconsultation-assistee-infirmier-2026). ## Equipment funding and getting started France's Assurance Maladie supports nurses' equipment: under the conventional terms in force, an aid of **350 €/year** is provided for video-connection equipment and **175 €/year** for connected medical devices. The [MedConnect kit](https://promotal-medconnect.com/mallette-telemedecine) is available **from 3,000 € excl. VAT** (the cart is quoted on request). In a CPTS context, ARS funding is possible: depending on the project, the net cost can be brought down to as little as 0 €. To estimate what you would pay, browse our [telemedicine funding](https://promotal-medconnect.com/financement-telemedecine) page. To get started: choose the format suited to your practice, equip yourself with a compliant platform, train on the workflow, and structure cooperation with the doctors in your area. If you are in a CPTS, lean on our [CPTS deployment guide](https://promotal-medconnect.com/blog-posts/teleconsultation-cpts-logiciel-coordination-infirmier-2026) and on the complete guide to nurse-assisted teleconsultation. ## FAQ ### What is the difference between assisted teleconsultation and télésoin? In assisted teleconsultation, a doctor consults remotely and the nurse assists them beside the patient. In télésoin, there is no doctor: the nurse personally performs a remote care or follow-up act for the patient. ### How much does the nurse bill for accompanying a teleconsultation? The accompaniment act is coded by location: 12 € in a dedicated location (TLL) and 15 € at the patient's home (TLD), under the conventional terms in force, which may change. ### Can a phone call replace video? No. Assisted teleconsultation and télésoin must be done by video transmission under secure conditions. An audio-only call, an SMS, or an email is not considered a teleconsultation. ## Related articles [ [Image: Billing assisted teleconsultation by a nurse (2026)] Billing assisted teleconsultation by a nurse (2026) 7 min read ](/en/blog-posts/cotation-teleconsultation-assistee-infirmier-2026)[ [Image: Nurse Teleexpertise: Definition, Framework and Billing (2026)] Nurse Teleexpertise: Definition, Framework and Billing (2026) 8 min read ](/en/blog-posts/teleexpertise-infirmier-definition-cotation-2026)[ [Image: Teleconsultation in a CPTS: software and nurse coordination] Teleconsultation in a CPTS: software and nurse coordination 8 min read ](/en/blog-posts/teleconsultation-cpts-logiciel-coordination-infirmier-2026) ## Discover our telehealth solutions [ Telehealth platform Video consultation, AI scribe, patient records ](/en/software/telehealth-platform) [ Telehealth cart Integrated diagnostic devices ](/en/telehealth-cart) [ Diagnostic equipment Connected ECG, stethoscope, dermatoscope ](/en/diagnostic-equipment) ### Ready to discover MedConnect? 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