Convergent

Convergent, developed by Leap Orbit LLC, is a provider data platform designed to automate the production of accurate and up-to-date provider directories. According to the vendor, Convergent caters to a wide range of healthcare organizations and health plans, aiming to eliminate data silos, enhance workforce productivity, and ensure compliance with regulations like the No Surprises Act. It is utilized by health insurance companies, healthcare providers, healthcare networks, state and federal health agencies, and healthcare IT companies.

Key Features

Algorithmically mastered: According to the vendor, Convergent's matching engine algorithmically masters provider data by eliminating duplicates and creating a single source of truth for healthcare provider information, aiming to ensure accuracy and consistency.

Primary Source & Enrichment API: The vendor states that Convergent provides a Primary Source & Enrichment API, offering a robust dataset of over 6 million providers and 1.5 million organizations. This dataset includes data from various sources such as State Licensure Boards, DEA, NPPES, CMS, OIG, SAM, Network Participation, and proprietary web-scraped sources. The API allows users to validate and enrich their provider directories for accuracy and completeness.

White-label provider search: Convergent offers a white-label provider search feature that can be customized according to an organization's branding and user interface requirements. According to the vendor, this feature aims to provide a seamless and consistent user experience when searching for healthcare providers within the organization's network.

Meet interoperability rule requirements: The vendor claims that Convergent generates provider directory searches in FHIR® 4.0 JSON format, complying with interoperability rules. The search results are ranked using probabilistic algorithms, aiming to deliver accurate and relevant information to users and promote seamless integration with other systems and applications.

Standardize: According to the vendor, Convergent allows users to transform provider data into standard formats such as SNOMED, FHIR, USPS, HSD, and custom templates for claims, clinical, or directories. This standardization feature aims to ensure consistency and compatibility across different systems and applications, simplifying data integration and improving data quality.

Deduplicate: The vendor states that Convergent employs smart matching algorithms to deduplicate provider data from disparate sources, aiming to eliminate duplicate entries and ensure accurate representation of each provider in the directory. This feature is claimed to improve data quality, reduce redundancy, and enhance overall accuracy.

Enrich: Convergent's nationwide reference dataset aims to enrich provider data by adding missing elements and correcting inaccuracies. According to the vendor, this enrichment process aims to ensure that the provider directory contains comprehensive and up-to-date information about healthcare providers, enhancing usability and completeness.

Integrate with any downstream system: Convergent supports integration with various downstream systems, including reporting, claims, clinical, and provider search systems. The vendor claims to offer flexible APIs, including FHIR 4.0.1, bulk FHIR, SQL Query, and other options, aiming to facilitate seamless data exchange and interoperability between different systems.

Security: According to the vendor, Convergent implements robust security measures to protect sensitive provider data from unauthorized access. It adheres to industry-standard security protocols and practices, ensuring compliance with data privacy regulations and providing users with confidence in the confidentiality, integrity, and availability of their data.