What Is Convergent?
Convergent is provider data management, reimagined for the AI era.
Built for lean health plans and forward-thinking health systems, Convergent transforms messy, redundant provider data into a single source of truth—accurate, audit-ready, and automation-friendly.
Why Convergent Exists
Provider data isn’t just messy—it’s a liability. Outdated rosters, ghost providers, and conflicting sources can lead to:
- Millions in CMS penalties
- Frustrated providers and members
- Siloed systems that don’t talk to each other
- Manual audits and regulatory headaches
The traditional “directory update” model can’t keep up. Convergent was designed to fix the root cause: fragmented, unvalidated provider data.
What Does Convergent Do?
Convergent ingests, cleans, and validates provider data—continuously—so you don’t have to chase down errors or maintain dozens of out-of-sync spreadsheets.
Key Capabilities
| Capability | What It Means |
|---|---|
| Real-Time Data Integrity | Continuous ingestion, standardization, deduplication, and enrichment across NPPES, PECOS, and state boards. |
| Golden Record Creation | Establishes a unified “truth” for each provider, resolving conflicts across source systems. |
| Compliance Built-In | Native support for No Surprises Act, CMS requirements, ADA/508 accessibility, and audit logs. |
| Modular Architecture | Start with validation, expand to roster ingestion, provider search, API delivery, and more. |
| Interoperability | FHIR-native APIs and prebuilt connections to credentialing, claims, and directories. |
Who Uses Convergent?
- Medicare Advantage plans striving for 95%+ provider directory accuracy
- Medicaid MCOs facing DFS or DOH compliance audits
- Health systems and HIEs streamlining intake, referrals, and roster updates
- Product teams building AI-powered directories, search tools, or credentialing workflows
What Makes Convergent Different?
- AI Meets Standards: Combines machine learning with trusted sources like USCDI, SNOMED, and FHIR.
- Audit-Ready by Default: Every change is traceable. Every source is logged.
- Designed for Lean Teams: Built for speed, scale, and simplicity—without a 12-month implementation.
When Should You Use Convergent?
If you’re dealing with:
- Duplicate provider records
- Slow, manual roster updates
- Inaccurate directory listings
- Repetitive provider outreach
- Missed CMS compliance thresholds
...it’s already costing you. Convergent stops the bleeding and sets you up for scalable, automated workflows.
The Bottom Line
Clean provider data isn’t a nice-to-have. It’s foundational to compliance, care access, and every downstream system—from credentialing to claims.
Convergent helps health plans and health systems build that foundation—and make it future-proof.
Ready to see how Convergent can make your team more efficient? Book a demo today.