Guides

Large Regional Payer: Eliminating Ghost Providers

Ghost networks: they’re the healthcare industry’s worst-kept secret, lurking in the shadows of provider directories and leaving patients and professionals grappling with the specter of care that’s simply not there.

Guides

Ghost Networks in Healthcare: A Quick Overview

Ghost networks: they’re the healthcare industry’s worst-kept secret, lurking in the shadows of provider directories and leaving patients and professionals grappling with the specter of care that’s simply not there.

Guides

How to Choose Your Provider Data Automation Partner

Here’s a quick guide for selecting a provider data automation partner, focusing on transparency, effective implementation, and user adoption.

Guides

3 Steps to Improve the Health Plan Member Experience with Provider Data Management

Enhance your health plan’s member experience with our three-step approach, focusing on provider data quality assessment, strategic improvements, and tech-driven solutions.

Case Study - Interoperability

How IAMHP Created a Universal Standardized Roster with Convergent

Learn how IAMHP established a statewide standardized provider roster in Illinois, enhancing data accuracy and compliance through its innovative data processing and validation capabilities, ultimately streamlining Medicaid health plans and improving healthcare access.

API - FHIR - Interoperability

Convergent responds to CMS’s request for information on establishing a national directory

Convergent responds to CMS’s request for information on establishing a national directory by Jake Tunney, Business Development Manager, Leap Orbit Introduction On October 5th, CMS published an RFI for a National Directory of Healthcare Providers and Services or “NDH.” The NDH would create a “centralized data hub” to once-and-for-all solve the problem of inaccurate provider directories. …

Interoperability - Webinar

Delegated Roster Management: Best Practices for Payers

Delegated Roster Management: Best Practices for Payers by Jake Tunney, Business Development Manager, Leap Orbit Provider Network Development and Management Executive, Loretta Haythorn, joined us on Interoperability Roundtable for a conversation on Delegated Roster Management: Best Practices. Below is a recording and written recap of our conversation.

API - FHIR - Interoperability - News - Value Case

Leap Orbit’s Convergent Provider Data Hub Selected by the Washington Health Benefit Exchange

Leap Orbit, the innovation partner to market-leading health data networks, announced today that has been awarded a new contract from the Washington Health Benefit Exchange, Washington’s state-based exchange.  Leap Orbit’s Convergent Provider Data Hub will deliver comprehensive, up-to-date provider information to power the Exchange’s online marketplace, Washington Healthplanfinder.

API - FHIR - Interoperability

State-Run Exchanges: Lessons learned from carriers

State-Run Exchanges: Lessons learned from carriers by Jake Tunney, Business Development Manager, Leap Orbit Within the last 2-3 years there’s been a big–and escalating–effort by the federal government to improve both the quality and interoperability of carrier provider data.  The intended results include better access to care and the elimination of surprise medical bills.  While state…

Opinion

3 reasons plans need a single source of trust for provider data

Many carriers have legacy systems and processes that manage their provider data.  The result is a confusing array of many manual and semi-automated processes to try to get accurate data to members.  However, some carriers are taking an innovative approach to consolidate their provider data operations without upending their old processes and spurring a mutiny among staff members.  Here are 3 reasons why plans need a single source of trust for provider data.

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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