What Convema Supply Management does

CONVEMA Versorgungsmanagement GmbH (doing business as CONVEMA, an IQVIA business) is a Berlin-based healthcare management company operating in the German statutory health insurance (GKV) system. The company was founded in 2007 and operates as a subsidiary of IQVIA (NYSE:IQV), sitting within IQVIA's Payer, Provider and Government (PPG) division. CONVEMA serves three primary customer segments: statutory health insurance funds (Krankenkassen), healthcare providers (Leistungserbringer including contract doctors and therapists), and digital health application (DiGA) manufacturers. Its offerings span hospital billing verification (Abrechnungspr\u00fcfung covering DRG claims), selective contract development (Selektivvertr\u00e4ge) across 12+ care programs, and digital health billing infrastructure.

The company's technology stack comprises three core platforms: CONnect, a web portal enabling contract doctors to submit electronic claims, manage appointments, and exchange documents with Krankenkassen; VeriDiGA, a DiGA verification and billing system connected to 93 statutory health insurance funds for code clearance and compliant billing; and CONtrol KH, a hospital billing controlling module supporting retaxation processes with KPIs and audit-rule optimization. All platforms transmit data under current security standards with documented GDPR/DSGVO compliance. The company holds DIN EN ISO 9001:2015 certification.

CONVEMA generates revenue through four streams: professional services for hospital DRG billing verification, professional services for selective contract development and management, transaction fees via VeriDiGA for DiGA billing with 93 Krankenkassen, and managed services through the CONnect web portal. The company distributes through direct B2B enterprise sales to Krankenkassen complemented by self-service web portals (CONnect for doctors, VeriDiGA for DiGA manufacturers). Notable operational milestones include management of the STEP.De innovation fund project (sports therapy for depression, recommended for standard care in October 2023) and consortium leadership of the SCAVIS innovation fund project on internet-related disorders (results presented February 2025).

Name

Convema Supply Management

Legal name

CONVEMA Versorgungsmanagement GmbH

Website

https://convema.com

Company type

Private

Founded year

2016

Operating status

Operating

Headcount range

11–50 employees

Short description

CONVEMA Versorgungsmanagement GmbH is a Berlin-based IQVIA subsidiary providing hospital billing verification, selective contract management, and DiGA billing infrastructure for 93 German statutory health insurance funds and healthcare providers.

Ownership category

akta.pro rank

Product category

Healthcare Billing and Care Management Services

NAICS

Pharmacy Benefit Management and Other Third Party Administration of Insurance and Pension Funds (524292), Financial Transactions Processing, Reserve, and Clearinghouse Activities (522320), Agencies, Brokerages, and Other Insurance Related Activities (5242)

SIC

Hospital & Medical Service Plans (6324), Insurance Agents, Brokers & Service (6411)

akta.pro primary industry

Claims Management, Scrubbing & Clearinghouse (HLACACAB)

akta.pro secondary industries

Patient Financial Engagement (Estimates, Billing Presentment, Payments) (HLACAEAI), Healthcare Billing & Patient Payments Presentment (FSAMAJAH)

Keywords

• Medical billing verification
• Hospital billing audit
• Digital health applications
• Healthcare management services
• Selective contract management

Headquarters

HQ city

Berlin

HQ country

Germany

HQ region

Europe

Offices2 records

Markets served

GTM type

B2B

Offering type

Services

Cost components

Personnel, Operations, Technology or R&D, Marketing or Sales, Others

Revenue model

1. Hospital Billing Verification Services: CONVEMA provides billing verification services for hospitals, reviewing DRG claims and other hospital billing to identify errors and recover costs for Krankenkassen.
2. Selective Contract Management: CONVEMA develops and manages Selektivverträge (selective contracts) between Krankenkassen and Leistungserbringer, providing administrative and operational support for these agreements.
3. DiGA Verification and Billing (VeriDiGA): VeriDiGA enables code clearance and compliant billing for digital health applications (DiGAs) with Krankenkassen, charging for verification and billing processing services.
4. Electronic Billing Platform (CONnect): The CONnect web portal provides electronic billing, appointment booking, and document exchange services for contract doctors, with CONVEMA generating billing for Krankenkassen and transmitting electronically.

Go-to-market motion2 records

Distribution channels3 records

Marketing channels5 records

Core offering

CONVEMA provides hospital billing verification (Abrechnungsprüfung) for statutory health insurers, electronic billing infrastructure via the CONnect web portal for contract doctors, DiGA verification and billing services through the VeriDiGA platform connecting digital health app providers to 93 Krankenkassen, and selective contract management (health:care) with multiple care programs including sports therapy for depression and online vision training for amblyopia. It also operates CONtrol KH, a controlling and metrics product supporting hospital billing retaxation.

Product overview

CONVEMA operates as a healthcare management company offering an integrated portfolio of billing, care management, and digital health services. The core offerings include CONnect (web portal for electronic billing and document exchange between service providers and health insurers), VeriDiGA (DiGA verification and billing for digital health applications), Abrechnungsprüfung (hospital billing review services), and health:care (selective contract and care program development). The company also provides care programs for specific conditions including Amblyopie treatment, sports therapy for depression (STEP.De), and other therapeutic areas. CONVEMA functions as an IQVIA business and serves as a competent partner for billing and care management in the healthcare sector.

Differentiator

Problem solved

Functional benefit

Products and services

• Abrechnungsprüfung (Hospital Billing Review) Professional service reviewing hospital DRG and outpatient claims on behalf of German statutory health insurers, identifying billing errors and recovering costs through retaxation. Includes MDK case conferences and advanced review software.
• CONnect Web Portal Electronic billing and document exchange portal for contract doctors and therapists to submit claims, manage appointments, and exchange documents with statutory health insurance funds.
• VeriDiGA Verification and billing service for digital health applications (DiGAs) providing code clearance and compliant billing across 93 statutory health insurance funds in Germany.
• health:care (Selective Contract and Care Program Management) End-to-end selective contract management service covering care deficit identification, solution design, contract negotiation and implementation, with an extensive portfolio of named care programs (Versorgungsprogramme).
• Spielend besser sehen (Amblyopie Care Program) Web-based stimulation therapy for pediatric amblyopia, offered jointly with Caterna Vision GmbH to insured persons of selected German statutory health insurance funds.

Quantifiable outcome

• STEP.De project received recommendation from Innovationsausschuss for transfer into standard care (Regelversorgung), demonstrating measurable impact on depression treatment.
• +1 more outcomes

Named customers6 records

Segments3 records

Ideal customer profiles3 records

Technology focussed Yes

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature4 records

Partnerships

Ten partnerships are on record, tiered core and flagship.

• IQVIA Commercial GmbH & Co. OHGcoreOthers · 1 July 2024CONVEMA is a subsidiary of IQVIA, operating as 'an IQVIA business'. IQVIA (NYSE:IQV) is a leading global provider of advanced analytics, technology solutions and contract research services to the life sciences industry. CONVEMA falls under the PPG (Payer, Provider, Government) business unit managed by Fabian Marx.
• DAVASO GmbHcoreOthersPart of the same IQVIA PPG (Payer, Provider, Government) business unit as CONVEMA. Both companies represent Germany along with IVM plus GmbH and other integrated firms.
• IVM plus GmbHcoreOthersPart of the same IQVIA PPG (Payer, Provider, Government) business unit as CONVEMA.
• BKK-VBUflagshipStrategic or Co-development PartnerHealth insurance partner in the STEP.De sports therapy project for depression. BKK-VBU was the first Krankenkasse to bring STEP.De therapy to all statutory insureds and played a leading role in the project's development.
• Universität PotsdamcoreStrategic or Co-development PartnerAcademic partner evaluating the STEP.De project alongside FU Berlin. Contributed to project development and data analysis.
• Freie Universität Berlin (FU Berlin)coreStrategic or Co-development PartnerAcademic partner evaluating the STEP.De project alongside Universität Potsdam. Contributed to project development and data analysis.
• ZEGD GmbHcoreStrategic or Co-development PartnerResponsible for qualification of sports therapists, psychotherapists, and case managers in the STEP.De program. Partnered with CONVEMA to provide interested Krankenkassen access to sports therapy care.
• Sport-Gesundheitspark Berlin e.V.coreStrategic or Co-development PartnerProject partner in the STEP.De sports therapy project, providing sports therapy facilities and expertise.
• Caterna Vision GmbHcoreTechnology or IntegrationMedical device manufacturer providing the online vision training software for the Amblyopie 'Spielend besser sehen' care program. CONVEMA offers the online vision training together with Caterna to insureds of selected Krankenkassen.
• GWQ ServicePlus AGcoreChannel Partner/ Reseller/ DistributorDistribution partner enabling the Amblyopie care program to be offered to member Krankenkassen through GWQ's network.

Scale indicators2 records

Recent moves5 records

Expansion highlights5 records

Direct peers

• RZVK GmbH: RZVK is a German healthcare IT and billing infrastructure provider operating at the intersection of payers and providers; its data and clearinghouse services directly overlap with CONVEMA's electronic billing and claims verification activities.
• Helmsauer Gruppe: Helmsauer Gruppe is a German group providing medical billing, RCM, and healthcare administrative services to physicians, hospitals, and other providers; it operates comparable Abrechnungs- and Honorarabrechnung services to CONVEMA's provider-side billing franchise.
• GWQ ServicePlus AG: GWQ is a German TPA and contracting company owned by multiple Krankenkassen, delivering selective contract design and care program distribution; it is both an active CONVEMA channel partner and a structural peer in Krankenkassen TPA services.
• BFS health finance GmbH: BFS health finance is a German clearinghouse and billing specialist focused on selective contracts (Selektivverträge) between Krankenkassen and Leistungserbringer, directly overlapping with CONVEMA's Abrechnungsprüfung and health:care service lines.
• Mediserv GmbH: Mediserv provides medical billing and revenue cycle management services to hospitals, physicians, and other healthcare providers in Germany, making it a directly comparable RCM and Abrechnungsprüfung peer to CONVEMA.
• IVM plus GmbH: IVM plus is a third entity within IQVIA's PPG business unit, operating alongside CONVEMA and DAVASO in German healthcare administration; together they form a coordinated payer-provider services portfolio within IQVIA Commercial GmbH & Co. OHG.
• DAVASO GmbH: DAVASO is a sister company to CONVEMA within IQVIA's Payer, Provider and Government (PPG) unit, providing health insurance administration and billing-related services to German payers, and is explicitly co-led by the same managing directors (Dr. Frank Wartenberg and Fabian Marx).
• PVS rhein-ruhr GmbH: PVS rhein-ruhr is a long-established German private medical billing (Privatliquidation) and RCM firm serving physicians and other Leistungserbringer, providing analogous billing-platform services to CONVEMA's CONnect portal and Abrechnungsprüfung offering.

Emerging players

• m.Doc GmbH: m.Doc is a Cologne-based digital health platform offering patient-facing apps, portals and care pathways to hospitals and providers in Germany, intersecting with CONVEMA's CONnect and digital health initiatives as an emerging player in provider-facing health IT.

Broad incumbents

• Doctolib GmbH: Doctolib is a large European digital health incumbent operating appointment booking, teleconsultation, and increasingly patient communication tools across Germany, representing a broader-platform incumbent with overlapping provider-facing healthcare software ambitions.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat4 records

Key risks6 records

Key highlights7 records

Customer concentration

Compliance3 records

Revenue estimate

Valuation estimate

Number of profiles

Profiles7 records

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about Convema Supply Management