Convergent automatically produces flawless provider directories.

Convergent is the last provider directory investment you’ll ever make. It seamlessly transforms any source of healthcare provider data into a continuously updated single source of truth. By automating health plans’ operations with verified provider data, we eliminate data silos, improve workforce productivity, and ensure no surprise billing.

Convergent automatically produces flawless provider directories.
Convergent automatically produces flawless provider directories.

Convergent automatically produces

flawless provider directories.

Convergent Features

Algorithmically mastered
Algorithmically mastered

Seamlessly create a continuously updated single source of trust using Convergent. Upon ingestion, Convergent's matching engine algorithmically masters, standardizes, and deduplicates provider data with an option to enrich using our Primary Source & Enrichment service.

Nationwide reference dataset
Primary Source & Enrichment API

Convergent’s primary source dataset includes over 6mm providers and 1.5mm organizations. The data is comprised of Medicare and Commercial Claims, FHIR API Data, State Licensure Boards, DEA, NPPES, CMS, OIG, SAM, and proprietary web-scraped data. We use this robust dataset to verify and enrich your provider directories.

White-label provider search
White-label provider search

Convergent provides white-label provider search which is configurable for any backend.

Meet interoperability rule requirements
Meet compliance requirements

Provider Directory Compliance in one seamless solution. We cover the CMS Interoperability Rule, No Surprises Act, Consolidated Appropriations Act, and the Medicaid Managed Care Rule (508-Compliance).

BUSINESS PROCESS AUTOMATION

Convergent shrinks provider data turnaround time by 96%, freeing up valuable human resources and ensuring compliance with the No Surprises Act.
speedometer
96%

Increase in roster ingestion speed

management
73%

Time saved per employee per quarter

file
99%

Average Convergent Enrichment Rate

Convergent turns manual tasks with an average four-week turnaround time per file into automated, seamless updates. Once data is loaded and mastered by Convergent, it is instantly available in any system you need it.

STANDARDIZE

Convergent transforms provider data to standard formats like SNOMED, FHIR, USPS, HSD, as well as custom templates to supply claims, clinical, or directories.

DEDUPLICATE

Smart matching algorithms find and match the same providers across disparate data sources.

ENRICH

Convergent’s nationwide reference dataset hydrates missing elements and corrects inaccuracies.

INTEGRATE WITH ANY DOWNSTREAM SYSTEM INCLUDING REPORTING, CLAIMS, CLINICAL, AND PROVIDER SEARCH.

FHIR® 4.0.1, bulk FHIR, and a range of other options make integrations a breeze.

Fhir.png FHIR 4.0.1 + Bulk FHIR
FHIR 4.0.1 + Bulk FHIR
Industry-Standard Extracts
Industry-Standard Extracts
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Flexible APIs
SQL Query
SQL Query

FAQs

This is the core function of the Convergent Provider Data Hub, and what it was designed to do. The Data Hub allows all systems and business functions across the enterprise to “call plays” from the same provider data “playbook.” Convergent transforms a health plan’s existing, fragmented provider data assets into an accurately mastered and enriched set of golden records, which can be utilized by all components of the business as well as external stakeholders. Convergent automates provider data mastering, seamlessly integrating with all systems that rely on accurate and timely provider data.

Convergent leverages Microsoft PowerBI as its reporting engine. PowerBI provides interactive visualizations and business intelligence capabilities with an interface simple enough for end-users to create their own reports and dashboards. The capabilities include drillable graphs, counts and lists.

Yes. Each delegated network roster is treated as its own distinct data source in Convergent Data Hub, with its own data ingestion pipeline. Most delegated roster uploads can be landed by SFTP and automated. Within the hub, every data source remains logically separated.  Recurring updates to each source are tracked and fully auditable. Golden record logic determines how attributes from delegated rosters are pushed to downstream systems.

Our data structure encompasses hundreds of fields or attributes for each record and is extensible, meaning that additional attributes can be added as needed on the fly. The data model divides records into two types, practitioners and organizations, accommodating sub-types such as non-physician practitioners (NPs, PAs, etc.) and non-hospital organizations (ancillary, etc.). Mappings of many-to-many are maintained between practitioners and organizations to reflect the complex set of relationships that exist among entities—this allows, for instance, for an organization’s NPI or NPIs to be associated with an individual practitioner when that information is needed.

In addition to out of the box compliance with the CMS Interoperability Rule and the No Surprises Act, Convergent can automate a range of required report submissions. his includes automatically generating HSD and California 274 reports, as well as comparable reports in other states, which can be scheduled to be dropped automatically to an SFTP location or delivered by some other means.

Our modular, API-first architecture allows us to support virtually any integration, both with respect to “data in” and “data out.” Out of the box, we support integration with CAQH ProView and DocuSign CLM, as examples.

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The Pioneers

Key Team Members

David Finney
David Finney
Partner

Partner & Co-founder, Leap Orbit
Co-founder, Phase10
CRISP
Peace Corps
Audacious Inquiry
Yale
Johns Hopkins

Mrinal Bhasker
Mrinal Bhasker
Partner

Partner & Co-founder, Leap Orbit
Co-founder, Phase10
Microsoft
HealthyUnity
Audacious Inquiry
RightCare Solutions
IIT
Wharton

Jake Tunney
Jake Tunney
Convergent Product Manager

I3 Healthcare Consulting
SC&H Capital
Windsor Healthcare Equities
Loyola University MD

Untitled design (17)
Sandeep Alapatt
VP Of Engineering

Overall Technical Leadership
Enterprise Architecture
20 years of Software and Leadership Experience
Microsoft Alum
Joined 2022

Our Clients

Leading healthcare organizations trust us as their interoperability partner

Our Clients

Leading healthcare organizations trust us as their interoperability partner

Ready to Connect?

Compliance

Eliminate the regulatory risk associated with your provider data operations

Network Operations

Reap the benefits of automation and reference data

Provider Relations

Integrate our provider data into your applications and workflows

Developers

Integrate our provider data into your applications and workflows

Compliance

Eliminate the regulatory risk associated with your provider data operations

Network Operations

Reap the benefits of automation and reference data

Provider Relations

Integrate our provider data into your applications and workflows

Developers

Integrate our provider data into your applications and workflows

About Convergent

The Convergent Provider Data Platform reduces the costly burden of maintaining provider data. Convergent is a product of Leap Orbit, the trusted innovation partner to the leading health data networks.

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