THE HEALTHCARE CLAIMS MANAGEMENT MARKET WAS VALUED AT USD 8.91 BILLION IN 2021 AND IS EXPECTED TO REACH USD 11.80 BILLION BY 2027, GROWING AT A CAGR OF 4.79%.

The Healthcare Claims Management Market Size, Share, & Trends Analysis Report By Component (Software, and Services), Type (Integrated, and Standalone), Delivery mode (Web and cloud-based, and On-premises), End-user (Healthcare payers, and Healthcare providers) and Geography (North America, Europe, APAC, Latin America, and the Middle East and Africa), Industry Analysis Report, Regional Outlook, Growth Potential, Price Trends, Competitive Market Share & Forecast 2022–2027

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Most Exhaustive Report

298 Pages

120 Tables

142 Charts

5 Regions

18 Countries

52 Companies

5 Market Segment

HEALTHCARE CLAIMS MANAGEMENT MARKET REPORT SCOPE

Report Attribute Details
MARKET SIZE (REVENUE) USD 11.80 BILLION (2027)
CAGR 4.79% (2022-2027)
BASE YEAR` 2021
FORECAST PERIOD 2022 –2027
MARKET SEGMENTS Component (Software, and Services), Type (Integrated, and Standalone), Delivery mode (Web and cloud based, and On-premises), and End-user (Healthcare payers, and Healthcare providers)
GEOGRAPHICAL ANALYSIS North America, Europe, APAC, Latin America, and Middle East and Africa
COUNTRIES COVERED US, Canada, Germany, UK, France, Italy, Spain, China, Japan, India, South Korea, Australia, Brazil, Mexico, Argentina, Turkey, South Africa, and Saudi Arabia

THE HEALTHCARE CLAIMS MANAGEMENT MARKET INSIGHTS

  • The global healthcare claims management market was valued at USD 8.91 billion in 2021 and is expected to reach USD 11.80 billion by 2027, growing at a CAGR of 4.79%.
  • Artificial Intelligence (AI) has transformed various industries across the globe and radically can alter the healthcare field. With growing advancements in the healthcare industry, AI has become an efficient, faster, and inexpensive choice for healthcare claims management.
  • Medical claims management is the organization, billing, filing, updating, and processing of medical claims related to diagnoses, treatment, and medication of patients. Medical billing is one of the areas in which healthcare uses automation to a large extent.
  • Medical billing is one of the significant parameters in healthcare revenue cycle management. The medical billing and their respective coding help establish and categorize patient information that dictates the billing of Medicare and insurance companies.
  • Increased digitalization in the healthcare segment, has increased adoption of the automation in the medical billing process. Majority of the healthcare organizations are turning to automation to streamline and error-proof their billing systems.
  • One of the major advantages due to the automation of the medical billing process is making comprehensive data reporting. The information that flows through the automation can be translated into accurate data reports. The automated system is accessible 24/7 hours and these reports are available to view for making any decisions.

SNIPPETS

  • The growing health insurance coverage, the rising importance of medical denials, demand for automated medical claims processing systems, and the rise in the number of private insurance companies contribute to the growth of the healthcare claims management market.
  • By component, the global healthcare claims management market is segmented into software and services, of which software is expected to witness the highest CAGR of approximately 5% during the forecast period.
  • By type, the global healthcare claims management market is segmented into integrated and standalone of which integrated is expected to witness the highest CAGR of 5% during the forecast period.
  • By delivery mode, the global healthcare claims management market is segmented into web & cloud-based and on-premises. Web & cloud-based is expected to witness the highest CAGR of approximately 6% during the forecast period.
  • By end-user, the global healthcare claims management market is segmented into healthcare payers and healthcare providers, of which healthcare providers are expected to witness the highest CAGR of 5.21% during the forecast period.
  • In the global healthcare claims management market by geography, APAC is expected to witness the highest CAGR of 6% during the forecast period.

THE HEALTHCARE CLAIMS MANAGEMENT MARKET SEGMENTATION

This research report includes a detailed segmentation by

  • Component
  • Type
  • Delivery mode
  • End-users
  • Geography

SEGMENTATION ANALYSIS

  • A good medical claims management system must service existing products with added built-in flexibility for supporting products with new and unique features, including outpatient coverage or products with a savings component.
  • The growing demand for claims management processing services is majorly from physicians and other healthcare providers. With the rise in physician visits, the number of medical claims increases, thereby, creating demand for the industry.
  • Healthcare claims management software is used by manufacturers, insurers, and healthcare providers that require claims processing systems, this software enables organizations to build and deploy automated end-to-end claims processes that are extremely intelligent, agile, and readily deliver the return of investment.
  • Healthcare claims management systems are commonly used by independent and enterprise insurance agencies to support their agents in managing their clients’ claims. These systems can be implemented either as a standalone solution or as part of an integrated insurance suite.
  • Healthcare providers accounted for the share of 34.12% in global healthcare claims management. Healthcare providers such as hospitals, clinics, and physician practices play a major role in reimbursement systems.

GEOGRAPHICAL ANALYSIS

  • North America dominates the global healthcare claims management market with a rise in the number of patients with medical insurance, rise in patient volume, adoption of EHRs and e-prescribing services, the rising importance of denials management, increase in medical billing errors, rising government investments, and advancing healthcare infrastructure in the region.
  • APAC is anticipated to be the fastest-growing region in the global healthcare claims management market with growing awareness for medical claims and the rising cost of medical treatments.
  • In 2021, North America dominated global healthcare claims management with a major share of around 45%. North America is expected to witness the highest incremental growth of USD 1.06 billion, but APAC is expected to witness the highest absolute growth and CAGR of 41.12% and 5.91%, respectively, during the forecast period.

VENDOR ANALYSIS

  • Cerner acquired AbleVets LLC, a health IT engineering and consulting company specializing in cybersecurity, cloud, and system development solutions for federal organizations, to enhance resource capabilities and growth opportunities within its federal business.
  • eClinicalWorks announced a collaboration with Humana, a leading health and well-being company; GuideWell, the parent to a family of forward-thinking companies focused on transforming healthcare.
  • The market is majorly dominated by Cerner, McKesson, UnitedHealth Group, eClinicalWorks, and Cegedim. Major players are competing with these other prominent players through acquisitions, advanced product lines, and broader availability.

The healthcare claims management market research report includes in-depth coverage of the industry analysis with revenue and forecast insights for the following segments:

Market Segmentation by Component

  • Software
  • Services

Market Segmentation by Type

  • Integrated
  • Standalone

Market Segmentation by Delivery mode

  • Web and cloud-based
  • On-premises

Market Segmentation by End User

  • Healthcare payers
  • Healthcare providers

Market Segmentation by Geography

  • North America
    • US
    • Canada
  • Europe
    • Germany
    • UK
    • France
    • Italy
    • Spain
  • APAC
    • China
    • India
    • Japan
    • Australia
    • South Korea
  • Latin America
    • Brazil
    • Mexico
    • Argentina
  • Middle East and Africa
    • South Africa
    • Turkey
    • Saudi Arabia

Frequently Asked Questions

The healthcare claims management market was valued at USD 8.91 billion In 2021 and is expected to reach USD 11.80 billion by 2027.
The healthcare claims management market growth is expected to grow at a CAGR of 4.79%.
Factors driving the growth of the market include the rise in the aging population, the growing number of chronic and infectious diseases number of surgical procedures performed, increasing hospitalization rates, and government initiatives to improve the quality of healthcare systems.
Cerner, McKesson Corporation, UnitedHealth Group, eClinicalWorks, Cegedim are the key players in the market
The European region holds the largest healthcare claims management market globally.
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The healthcare claims management market by revenue is expected to grow at a CAGR of 4.79% during the period 2022–2027.

The following factors are likely to contribute to the growth of the healthcare claims management market.

  • AI-powered Smart Healthcare Claims Management
  • Advancement of Automated Medical Billing and Management
  • Upsurge in Private Health Insurance
  • Growing Importance of Denials Management
  • Linking Electronic Health Records & E-Prescription with Claims Management
  • Growing Adoption of Cloud-based Solutions

Base Year: 2021

Forecast year: 2022-2027

The report considers the present scenario of the global healthcare claims management market and its market dynamics for the period 2022−2027. It covers a detailed overview of several market growth enablers, restraints, and trends. The study covers both the demand and supply sides of the market. It also profiles and analyses leading companies and several other prominent companies operating in the market.

Prominent Vendors

  • Cerner
    • Business Overview
    • Product Offerings
    • Key Strategies
    • Key Strengths
    • Key Opportunities
  • McKesson Corporation
  • UnitedHealth Group
  • eClinicalWorks
  • Cegedim

Other Prominent Vendors

  • Advanced Billing
    • Business Overview
    • Product Offerings
  • AdvancedMD
  • Allscripts Healthcare
  • Athenahealth
  • Availity
  • Bizmatics
  • Brightree
  • CareCloud
  • Clearwave
  • Cognizant
  • Comindware
  • Conduent
  • Conifer Health Solutions
  • DataGenix
  • eMD technologies
  • Epic Systems Corporation
  • Experian Information Solutions
  • Flatworld Solutions
  • GeBBS Healthcare Solutions
  • Genpact
  • Global Excel Management
  • Healix
  • IBM
  • Kareo
  • Majesco
  • Manorama Infosolutions
  • Milliman
  • Modernizing Medicine
  • Nextech Systems
  • NXGN Management
  • nThrive Revenue Systems
  • Damar Software
  • Oracle
  • OSP Labs
  • PayerFusion Holdings
  • Pegasystems
  • PLEXIS Healthcare Systems
  • Proclaim
  • Pulse Systems
  • SS&C Technologies
  • Quest Diagnostics
  • RAM Technologies
  • RXNT
  • SequelMed
  • SSI Group
  • TotalMD
  • Waystar

Market Segmentation by Component

  • Software
  • Services

Market Segmentation by Type

  • Integrated
  • Standalone

Market Segmentation by Delivery mode

  • Web and cloud-based
  • On-premises

Market Segmentation by End User

  • Healthcare payers
  • Healthcare providers

Market Segmentation by Geography

  • North America
    • US
    • Canada
  • Europe
    • Germany
    • UK
    • France
    • Italy
    • Spain
  • APAC
    • China
    • India
    • Japan
    • Australia
    • South Korea
  • Latin America
    • Brazil
    • Mexico
    • Argentina
  • Middle East and Africa
    • South Africa
    • Turkey
    • Saudi Arabia

1                           Research Methodology

2                           Research Objectives

3                           Research Process

 

4                           Scope & Coverage

4.1                       Market Definition

4.1.1                    Inclusions

4.1.2                    Exclusions

4.1.3                    Market Estimation Caveats

4.2                       Base Year

4.3                       Scope Of The Study

4.3.1                    Market Segmentation By Component

4.3.2                    Market Segmentation By Type

4.3.3                    Market Segmentation By Delivery Mode

4.3.4                    Market Segmentation By End User

4.3.5                    Market Segmentation By Geography

 

5                           Report Assumptions & Caveats

5.1                       Key Caveats

5.2                       Currency Conversion

5.3                       Market Derivation

 

6                           Market at a Glance

7                           Introduction

7.1                       Overview

 

8                           Market Opportunities & Trends

8.1                       Ai-Powered Smart Healthcare Claims Management

8.2                       Advances In Automated Medical Billing & Claims Management

8.3                       Upsurge In Private Health Insurance

 

9                           Market Growth Enablers

9.1                       Growing Importance Of Denials Management

9.2                       Linking EHR & E-Prescription With Claims Management

9.3                       Rising Adoption Of Cloud-Based Solutions

 

10                        Market Restraints

10.1                     Security Concerns & Data Privacy Issues

10.2                     High Cost Of Claims Processing & Lack Of Skilled Professionals

10.3                     Risk Of Errors & Fraud In Claims Management

 

11                        Market Landscape

11.1                     Market Overview

11.2                     Market Size & Forecast

11.2.1                  Geographic Analysis

11.2.2                  Component Analysis

11.2.3                  Claim Type Analysis

11.2.4                  Delivery Mode Analysis

11.3                     Five Forces Analysis

11.3.1                  Threat Of New Entrants

11.3.2                  Bargaining Power Of Suppliers

11.3.3                  Bargaining Power Of Buyers

11.3.4                  Threat Of Substitutes

11.3.5                  Competitive Rivalry

 

12                        Component

12.1                     Market Snapshot & Growth Engine

12.2                     Market Overview

12.3                     Software

12.3.1                  Market Overview

12.3.2                  Market Size & Forecast

12.3.3                  Software: Geography Segmentation

12.4                     Services

12.4.1                  Market Overview

12.4.2                  Market Size & Forecast

12.4.3                  Services: Geography Segmentation

 

13                        Claim Type

13.1                     Market Snapshot & Growth Engine

13.2                     Market Overview

13.3                     Integrated

13.3.1                  Market Overview

13.3.2                  Market Size & Forecast

13.3.3                  Integrated: Geography Segmentation

13.4                     Standalone

13.4.1                  Market Overview

13.4.2                  Market Size & Forecast

13.4.3                  Standalone: Geography Segmentation

 

14                        Delivery Mode

14.1                     Market Snapshot & Growth Engine

14.2                     Market Overview

14.3                     Web & Cloud-Based

14.3.1                  Market Overview

14.3.2                  Market Size & Forecast

14.3.3                  Web & Cloud-Based: Geography Segmentation

14.4                     On-Premise

14.4.1                  Market Overview

14.4.2                  Market Size & Forecast

14.4.3                  On-Premise: Geography Segmentation

 

15                        End User

15.1                     Market Snapshot & Growth Engine

15.2                     Market Overview

15.3                     Healthcare Providers

15.3.1                  Market Overview

15.3.2                  Market Size & Forecast

15.3.3                  Healthcare Providers: Geography Segmentation

15.4                     Healthcare Payers

15.4.1                  Market Overview

15.4.2                  Market Size & Forecast

15.4.3                  Healthcare Payers: Geography Segmentation

 

16                        Geography

16.1                     Market Snapshot & Growth Engine

16.2                     Geographic Overview

 

17                        North America

17.1                     Market Overview

17.2                     Market Size & Forecast

17.2.1                  North America: Component Segmentation

17.2.2                  North America: Type Segmentation

17.2.3                  North America: Delivery Mode Segmentation

17.2.4                  North America: End-User Segmentation

17.3                     Key Countries

17.3.1                  US: Market Size & Forecast

17.3.2                  Canada: Market Size & Forecast

 

18                        Europe

18.1                     Market Overview

18.2                     Market Size & Forecast

18.2.1                  Europe: Component Segmentation

18.2.2                  Europe: Type Segmentation

18.2.3                  Europe: Delivery Mode Segmentation

18.2.4                  Europe: End-User Segmentation

18.3                     Key Countries

18.3.1                  Germany: Market Size & Forecast

18.3.2                  UK: Market Size & Forecast

18.3.3                  France: Market Size & Forecast

18.3.4                  Italy: Market Size & Forecast

18.3.5                  Spain: Market Size & Forecast

 

19                        APAC

19.1                     Market Overview

19.2                     Market Size & Forecast

19.2.1                  APAC: Component Segmentation

19.2.2                  APAC: Type Segmentation

19.2.3                  APAC: Delivery Mode Segmentation

19.2.4                  APAC: End-User Segmentation

19.3                     Key Countries

19.3.1                  China: Market Size & Forecast

19.3.2                  Japan: Market Size & Forecast

19.3.3                  India: Market Size & Forecast

19.3.4                  South Korea: Market Size & Forecast

19.3.5                  Australia: Market Size & Forecast

 

20                        Latin America

20.1                     Market Overview

20.2                     Market Size & Forecast

20.2.1                  Latin America: Component Segmentation

20.2.2                  Latin America: Type Segmentation

20.2.3                  Latin America: Delivery Mode Segmentation

20.2.4                  Latin America: End-User Segmentation

20.3                     Key Countries

20.3.1                  Brazil: Market Size & Forecast

20.3.2                  Mexico: Market Size & Forecast

20.3.3                  Argentina: Market Size & Forecast

 

21                        Middle East & Africa

21.1                     Market Overview

21.2                     Market Size & Forecast

21.2.1                  Middle East & Africa: Component Segmentation

21.2.2                  Middle East & Africa: Type Segmentation

21.2.3                  Middle East & Africa: Delivery Mode Segmentation

21.2.4                  Middle East & Africa: End-User Segmentation

21.3                     Key Countries

21.3.1                  Turkey: Market Size & Forecast

21.3.2                  South Africa: Market Size & Forecast

21.3.3                  Saudi Arabia: Market Size & Forecast

 

22                        Competitive Landscape

22.1                     Competition Overview

22.2                     Market Share Analysis

22.2.1                  Cerner In Healthcare Claims Management Market

22.2.2                  Mckesson In Healthcare Claims Management Market

22.2.3                  Optum In Healthcare Claims Management Market

22.2.4                  Eclinicalworks In Healthcare Claims Management Market

22.2.5                  Cegedim In Healthcare Claims Management Market

 

23                        Key Company Profiles

23.1                     CERNER

23.1.1                  Business Overview

23.1.2                  Cerner In Healthcare Claims Management Market

23.1.3                  Product Offerings

23.1.4                  Key Strategies

23.1.5                  Key Strengths

23.1.6                  Key Opportunities

23.2                     MCKESSON

23.2.1                  Business Overview

23.2.2                  Mckesson In Healthcare Claims Management Market

23.2.3                  Product Offerings

23.2.4                  Key Strategies

23.2.5                  Key Strengths

23.2.6                  Key Opportunities

23.3                     UNITEDHEALTH GROUP

23.3.1                  Business Overview

23.3.2                  Optum In Healthcare Claims Management Market

23.3.3                  Product Offerings

23.3.4                  Key Strategies

23.3.5                  Key Strengths

23.3.6                  Key Opportunities

23.4                     ECLINICALWORKS

23.4.1                  Business Overview

23.4.2                  Eclinicalworks In Healthcare Claims Management Market

23.4.3                  Product Offerings

23.4.4                  Key Strategies

23.4.5                  Key Strengths

23.4.6                  Key Opportunities

23.5                     CEGEDIM

23.5.1                  Business Overview

23.5.2                  Cegedim In Healthcare Claims Management Market

23.5.3                  Product Offerings

23.5.4                  Key Strategies

23.5.5                  Key Strengths

23.5.6                  Key Opportunities

 

24                        Other Prominent Vendors

24.1                     ADVANCED BILLING

24.1.1                  Business Overview

24.1.2                  Product Offerings

24.2                     ADVANCEDMD

24.2.1                  Business Overview

24.2.2                  Product Offerings

24.3                     ALLSCRIPTS HEALTHCARE

24.3.1                  Business Overview

24.3.2                  Product Offerings

24.4                     ATHENAHEALTH

24.4.1                  Business Overview

24.4.2                  Product Offerings

24.5                     AVAILITY

24.5.1                  Business Overview

24.5.2                  Product Offerings

24.6                     BIZMATICS

24.6.1                  Business Overview

24.6.2                  Product Offerings

24.7                     BRIGHTREE

24.7.1                  Business Overview

24.7.2                  Product Offerings

24.8                     CARECLOUD

24.8.1                  Business Overview

24.8.2                  Product Offerings

24.9                     CLEARWAVE

24.9.1                  Business Overview

24.9.2                  Product Offerings

24.10                   COGNIZANT

24.10.1               Business Overview

24.10.2               Product Offerings

24.11                   COMINDWARE

24.11.1               Business Overview

24.11.2               Product Offerings

24.12                   CONDUENT

24.12.1               Business Overview

24.12.2               Product Offerings

24.13                   CONIFER HEALTH SOLUTIONS

24.13.1               Business Overview

24.13.2               Product Offerings

24.14                   DATAGENIX

24.14.1               Business Overview

24.14.2               Product Offerings

24.15                   EMD TECHNOLOGIES

24.15.1               Business Overview

24.15.2               Product Offerings

24.16                   EPIC SYSTEMS

24.16.1               Business Overview

24.16.2               Product Offerings

24.17                   EXPERIAN INFORMATION SOLUTIONS

24.17.1               Business Overview

24.17.2               Product Offerings

24.18                   FLATWORLD SOLUTIONS

24.18.1               Business Overview

24.18.2               Product Offerings

24.19                   GEBBS HEALTHCARE SOLUTIONS

24.19.1               Business Overview

24.19.2               Product Offerings

24.20                   GENPACT

24.20.1               Business Overview

24.20.2               Product Offerings

24.21                   GLOBAL EXCEL MANAGEMENT

24.21.1               Business Overview

24.21.2               Product Offerings

24.22                   HEALIX

24.22.1               Business Overview

24.22.2               Product Offerings

24.23                   IBM

24.23.1               Business Overview

24.23.2               Product Offerings

24.24                   KAREO

24.24.1               Business Overview

24.24.2               Product Offerings

24.25                   MAJESCO

24.25.1               Business Overview

24.25.2               Product Offerings

24.26                   MANORAMA INFOSOLUTIONS

24.26.1               Business Overview

24.26.2               Product Offerings

24.27                   MILLIMAN

24.27.1               Business Overview

24.27.2               Product Offerings

24.28                   MODERNIZING MEDICINE

24.28.1               Business Overview

24.28.2               Product Offerings

24.29                   NEXTECH SYSTEMS

24.29.1               Business Overview

24.29.2               Product Offerings

24.30                   NXGN MANAGEMENT

24.30.1               Business Overview

24.30.2               Product Offerings

24.31                   NTHRIVE REVENUE SYSTEMS

24.31.1               Business Overview

24.31.2               Product Offerings

24.32                   DAMAR SOFTWARE

24.32.1               Business Overview

24.32.2               Product Offerings

24.33                   ORACLE

24.33.1               Business Overview

24.33.2               Product Offerings

24.34                   OSP LABS

24.34.1               Business Overview

24.34.2               Product Offerings

24.35                   PAYERFUSION HOLDINGS

24.35.1               Business Overview

24.35.2               Product Offerings

24.36                   PEGASYSTEMS

24.36.1               Business Overview

24.36.2               Product Offerings

24.37                   PLEXIS HEALTHCARE SYSTEMS

24.37.1               Business Overview

24.37.2               Product Offerings

24.38                   PROCLAIM

24.38.1               Business Overview

24.38.2               Product Offerings

24.39                   PULSE SYSTEMS

24.39.1               Business Overview

24.39.2               Product Offerings

24.40                   SS&C TECHNOLOGIES

24.40.1               Business Overview

24.40.2               Product Offerings

24.41                   QUEST DIAGNOSTICS

24.41.1               Business Overview

24.41.2               Product Offerings

24.42                   RAM TECHNOLOGIES

24.42.1               Business Overview

24.42.2               Product Offerings

24.43                   RNXT

24.43.1               Business Overview

24.43.2               Product Offerings

24.44                   SEQUELMED

24.44.1               Business Overview

24.44.2               Product Offerings

24.45                   SSI GROUP

24.45.1               Business Overview

24.45.2               Product Offerings

24.46                   TOTALMD

24.46.1               Business Overview

24.46.2               Product Offerings

24.47                   WAYSTAR

24.47.1               Business Overview

24.47.2               Product Offerings

 

25                        Report Summary

25.1                     Key Takeaways

25.2                     Strategic Recommendations

 

26                        Quantitative Summary

26.1                     Market By Component

26.1.1                  North America: Component Segmentation

26.1.2                  Europe: Component Segmentation

26.1.3                  APAC: Component Segmentation

26.1.4                  Latin America: Component Segmentation

26.1.5                  Middle East & Africa: Component Segmentation

26.2                     Market By Claim Type

26.2.1                  North America: Type Segmentation

26.2.2                  Europe: Type Segmentation

26.2.3                  APAC: Type Segmentation

26.2.4                  Latin America: Type Segmentation

26.2.5                  Middle East & Africa: Type Segmentation

26.3                     Market By Delivery Mode

26.3.1                  North America: Delivery Mode Segmentation

26.3.2                  Europe: Delivery Mode Segmentation

26.3.3                  APAC: Delivery Mode Segmentation

26.3.4                  Latin America: Delivery Mode Segmentation

26.3.5                  Middle East & Africa: Delivery Mode Segmentation

26.4                     Market By End User

26.4.1                  North America: End-User Segmentation

26.4.2                  Europe: End-User Segmentation

26.4.3                  APAC: End-User Segmentation

26.4.4                  Latin America: End-User Segmentation

26.4.5                  Middle East & Africa: End-User Segmentation

26.5                     Market By Geography

26.5.1                  Software: Geography Segmentation

26.5.2                  Services: Geography Segmentation

26.5.3                  Integrated: Geography Segmentation

26.5.4                  Standalone: Geography Segmentation

26.5.5                  Web & Cloud Based: Geography Segmentation

26.5.6                  On-Premise: Geography Segmentation

26.5.7                  Healthcare Providers: Geography Segmentation

26.5.8                  Healthcare Payers: Geography Segmentation

 

27                        Appendix

27.1                     Abbreviations

LIST OF EXHIBITS            

Exhibit 1             Segmentation of Global Healthcare Claims Management Market

Exhibit 2             Market Size Calculation Approach 2021

Exhibit 3             Life of a medical claim

Exhibit 4             Desirable Features of IT Systems in Claims Management

Exhibit 5             Impact of AI-powered Smart Healthcare Claims Management

Exhibit 6             Top Reasons for Implementing AI-based Healthcare Claims Management

Exhibit 7             Impact of Advances in Automated Medical Billing and Management

Exhibit 8             Impact of Upsurge in Private Health Insurance

Exhibit 9             Impact of Growing Importance of Denials Management

Exhibit 10           Common Causes Leading to Denial of Healthcare Claims

Exhibit 11           Impact of Linking EHR & E-Prescription with Claims Management

Exhibit 12           Comparison Between Claims Data and EMR Data

Exhibit 13           Impact of Rising Adoption of Cloud-based Solutions

Exhibit 14           Impact of Security Concerns & Data Privacy Issues

Exhibit 15           Impact of High Cost of Claims Processing & Lack of Skilled Professionals

Exhibit 16           Claims Submission: CAQH Index ($ millions)

Exhibit 17           Impact of Risk of Errors & Fraud in Claims Management

Exhibit 18           Statistics of Medical Billing Errors in US

Exhibit 19           Global Healthcare Claims Management Market 2021–2027 ($ billion)

Exhibit 20           Global Healthcare Claims Management Market by Geography

Exhibit 21           Global Healthcare Claims Management Market by Component

Exhibit 22           Global Healthcare Claims Management Market by Type

Exhibit 23           Global Healthcare Claims Management Market by Delivery Mode

Exhibit 24           Global Healthcare Claims Management Market by End User

Exhibit 25           Five Forces Analysis 2021

Exhibit 26           Incremental Growth by Component 2021 & 2027

Exhibit 27           Global Healthcare Claims Management Market by Component

Exhibit 28           Global Healthcare Claims Management Market by Component: Incremental Growth

Exhibit 29           Global Healthcare Claims Management Market by Component: Absolute Growth

Exhibit 30           Global Healthcare Claims Management Software Market: Incremental & Absolute Growth

Exhibit 31           Global Healthcare Claims Management Software Market 2021–2027 ($ billion)

Exhibit 32           Incremental Growth by Geography 2021 & 2027

Exhibit 33           Global Healthcare Claims Management Services Market: Incremental & Absolute Growth

Exhibit 34           Global Healthcare Claims Management Services Market 2021–2027 ($ billion)

Exhibit 35           Incremental Growth by Geography 2021 & 2027

Exhibit 36           Incremental Growth by Type 2021 & 2027

Exhibit 37           Global Healthcare Claims Management Market by Type

Exhibit 38           Pros & Cons of Integrated Claims Management Solutions

Exhibit 39           Global Healthcare Claims Management Market by Type: Incremental Growth

Exhibit 40           Global Healthcare Claims Management Market by Type: Absolute Growth

Exhibit 41           Global Integrated Healthcare Claims Management Market: Incremental & Absolute Growth

Exhibit 42           Global Integrated Healthcare Claims Management Market 2021–2027 ($ billion)

Exhibit 43           Incremental Growth by Geography 2021 & 2027

Exhibit 44           Global Standalone Healthcare Claims Management Market: Incremental & Absolute Growth

Exhibit 45           Global Standalone Healthcare Claims Management Market 2021–2027 ($ billion)

Exhibit 46           Incremental Growth by Geography 2021 & 2027

Exhibit 47           Incremental Growth by Delivery Mode 2021 & 2027

Exhibit 48           Global Healthcare Claims Management Market by Delivery Mode

Exhibit 49           Global Healthcare Claims Management Market by Delivery Mode: Incremental Growth

Exhibit 50           Global Healthcare Claims Management Market by Delivery Mode: Absolute Growth

Exhibit 51           Global Web & Cloud-based Healthcare Claims Management Market: Incremental & Absolute Growth

Exhibit 52           Global Web & Cloud-based Healthcare Claims Management Market 2021–2027 ($ billion)

Exhibit 53           Incremental Growth by Geography 2021 & 2027

Exhibit 54           Global On-premise Healthcare Claims Management Market: Incremental & Absolute Growth

Exhibit 55           Global On-premise Healthcare Claims Management Market 2021–2027 ($ billion)

Exhibit 56           Incremental Growth by Geography 2021 & 2027

Exhibit 57           Incremental Growth by End-User 2021 & 2027

Exhibit 58           Global Healthcare Claims Management Market by End User

Exhibit 59           Various Types of Healthcare Payers & Services

Exhibit 60           Global Healthcare Claims Management Market by End User: Incremental Growth

Exhibit 61           Global Healthcare Claims Management Market by End User: Absolute Growth

Exhibit 62           Global Healthcare Providers Claims Management Market: Incremental & Absolute Growth

Exhibit 63           Global Healthcare Providers Claims Management Market 2021–2027 ($ billion)

Exhibit 64           Incremental Growth by Geography 2021 & 2027

Exhibit 65           Global Healthcare Payers Claims Management Market: Incremental & Absolute Growth

Exhibit 66           Global Healthcare Payers Claims Management Market 2021–2027 ($ billion)

Exhibit 67           Incremental Growth by Geography 2021 & 2027

Exhibit 68           Incremental Growth by Geography 2021 & 2027

Exhibit 69           Global Healthcare Claims Management Market by Geography

Exhibit 70           Global Healthcare Claims Management Market by Geography: Key Countries (2021)

Exhibit 71           Global Healthcare Claims Management Market by Geography: Incremental Growth

Exhibit 72           Global Healthcare Claims Management Market by Geography: Absolute Growth

Exhibit 73           North America Healthcare Claims Management Market: Key Countries (2021)

Exhibit 74           North America Healthcare Claims Management Market: Incremental & Absolute Growth

Exhibit 75           North America Healthcare Claims Management Market 2021–2027 ($ billion)

Exhibit 76           Incremental Growth by Component 2021 & 2027

Exhibit 77           Incremental Growth by Type 2021 & 2027

Exhibit 78           Incremental Growth by Delivery Mode 2021 & 2027

Exhibit 79           Incremental Growth by End User 2021 & 2027

Exhibit 80           Incremental Growth in North America 2021 & 2027

Exhibit 81           US Healthcare Claims Management Market 2021–2027 ($ billion)

Exhibit 82           Healthcare Claims Management Market in Canada 2021–2027 ($ billion)

Exhibit 83           Europe Healthcare Claims Management Market: Key Countries (2021)

Exhibit 84           Europe Healthcare Claims Management Market: Incremental & Absolute Growth

Exhibit 85           Europe Healthcare Claims Management Market 2021–2027 ($ billion)

Exhibit 86           Incremental Growth by Component 2021 & 2027

Exhibit 87           Incremental Growth by Type 2021 & 2027

Exhibit 88           Incremental Growth by Delivery Mode 2021 & 2027

Exhibit 89           Incremental Growth by End User 2021 & 2027

Exhibit 90           Incremental Growth in Europe 2021 & 2027

Exhibit 91           Healthcare Claims Management Market in Germany 2021–2027 ($ billion)

Exhibit 92           Healthcare Claims Management Market in UK 2021–2027 ($ billion)

Exhibit 93           Healthcare Claims Management Market in France 2021–2027 ($ billion)

Exhibit 94           Healthcare Claims Management Market in Italy 2021–2027 ($ billion)

Exhibit 95           Healthcare Claims Management Market in Spain 2021–2027 ($ billion)

Exhibit 96           APAC Healthcare Claims Management Market: Key Countries (2021)

Exhibit 97           APAC Healthcare Claims Management Market: Incremental & Absolute Growth

Exhibit 98           APAC Healthcare Claims Management Market 2021–2027 ($ billion)

Exhibit 99           Incremental Growth by Component 2021 & 2027

Exhibit 100         Incremental Growth by Type 2021 & 2027

Exhibit 101         Incremental Growth by Delivery Mode 2021 & 2027

Exhibit 102         Incremental Growth by End User 2021 & 2027

Exhibit 103         Incremental Growth in APAC 2021 & 2027

Exhibit 104         Healthcare Claims Management Market in China 2021–2027 ($ billion)

Exhibit 105         Healthcare Claims Management Market in Japan 2021–2027 ($ billion)

Exhibit 106         Healthcare Claims Management Market in India 2021–2027 ($ billion)

Exhibit 107         Healthcare Claims Management Market in South Korea 2021–2027 ($ billion)

Exhibit 108         Healthcare Claims Management Market in Australia 2021–2027 ($ billion)

Exhibit 109         Latin America Healthcare Claims Management Market: Key Countries (2021)

Exhibit 110         Latin America Healthcare Claims Management Market: Incremental & Absolute Growth

Exhibit 111         Latin America Healthcare Claims Management Market 2021–2027 ($ billion)

Exhibit 112         Incremental Growth by Component 2021 & 2027

Exhibit 113         Incremental Growth by Type 2021 & 2027

Exhibit 114         Incremental Growth by Delivery Mode 2021 & 2027

Exhibit 115         Incremental Growth by End User 2021 & 2027

Exhibit 116         Incremental Growth in Latin America 2021 & 2027

Exhibit 117         Healthcare Claims Management Market in Brazil 2021–2027 ($ billion)

Exhibit 118         Healthcare Claims Management Market in Mexico 2021–2027 ($ billion)

Exhibit 119         Healthcare Claims Management Market in Argentina 2021–2027 ($ billion)

Exhibit 120         Middle East & Africa Healthcare Claims Management Market: Key Countries (2021)

Exhibit 121         Middle East & Africa Healthcare Claims Management Market: Incremental & Absolute Growth

Exhibit 122         Middle East & Africa Healthcare Claims Management Market 2021–2027 ($ billion)

Exhibit 123         Incremental Growth by Component 2021 & 2027

Exhibit 124         Incremental Growth by Type 2021 & 2027

Exhibit 125         Incremental Growth by Delivery Mode 2021 & 2027

Exhibit 126         Incremental Growth by End User 2021 & 2027

Exhibit 127         Incremental Growth in Middle East & Africa 2021 & 2027

Exhibit 128         Healthcare Claims Management Market in Turkey 2021–2027 ($ billion)

Exhibit 129         Healthcare Claims Management Market in South Africa 2021–2027 ($ billion)

Exhibit 130         Healthcare Claims Management Market in Saudi Arabia 2021–2027 ($ billion)

Exhibit 131         Global Healthcare Claims Management Market:  Vendor Share (2021)

Exhibit 132         Cerner: Total Revenue 2018–2020 ($ million)

Exhibit 133         Cerner: Revenue by Business Segments 2018–2020 ($ million)

Exhibit 134         Cerner: R&D Expenditure 2018–2020 ($ million)

Exhibit 135         McKesson: Total Revenue 2019–2021 ($ million)

Exhibit 136         McKesson: Revenue by Business Segments 2019–2021 ($ million)

Exhibit 137         McKesson: R&D Expenditure 2019–2021 ($ million)

Exhibit 138         UnitedHealth Group: Total Revenue 2018–2020 ($ million)

Exhibit 139         UnitedHealth Group: Revenue by Business Segments 2018–2020 ($ million)

Exhibit 140         UnitedHealth Group: Revenue Share by UnitedHealthcare Segments 2018–2020 ($ million)

Exhibit 141         Cegedim Group: Total Revenue 2018–2020 ($ million)

Exhibit 142         Cegedim Group: Revenue by Business Segments 2019–2020 ($ million)

                       

LIST OF TABLES

Table 1                Key Caveats

Table 2                Currency Conversion 2015–2021

Table 3                Cerner: Major Product Offerings

Table 4                McKesson: Major Product Offerings

Table 5                Optum: Major Product Offerings

Table 6                eClinicalWorks: Major Product Offerings

Table 7                Cegedim: Major Product Offerings

Table 8                Advanced Billing: Major Product Offerings

Table 9                AdvancedMD: Major Product Offerings

Table 10              Allscripts Healthcare: Major Product Offerings

Table 11              athenahealth: Major Product Offerings

Table 12              Availity: Major Product Offerings

Table 13              Bizmatics: Major Product Offerings

Table 14              Brightree: Major Product Offerings

Table 15              CareCloud: Major Product Offerings

Table 16              Clearwave: Major Product Offerings

Table 17              Cognizant: Major Product Offerings

Table 18              Comindware: Major Product Offerings

Table 19              Conduent: Major Product Offerings

Table 20              Conifer Health Solutions: Major Product Offerings

Table 21              DataGenix: Major Product Offerings

Table 22              eMD technologies: Major Product Offerings

Table 23              Epic Systems: Major Product Offerings

Table 24              Experian Information Solutions: Major Product Offerings

Table 25              Flatworld Solutions: Major Product Offerings

Table 26              GeBBS Healthcare Solutions: Major Product Offerings

Table 27              Genpact: Major Product Offerings

Table 28              Global Excel Management: Major Product Offerings

Table 29              Healix: Major Product Offerings

Table 30              IBM: Major Product Offerings

Table 31              Kareo: Major Product Offerings

Table 32              Majesco: Major Product Offerings

Table 33              Manorama Infosolutions: Major Product Offerings

Table 34              Milliman: Major Product Offerings

Table 35              Modernizing Medicine: Major Product Offerings

Table 36              Nextech Systems: Major Product Offerings

Table 37              NXGN Management: Major Product Offerings

Table 38              nThrive Revenue Systems: Major Product Offerings

Table 39              Damar Software: Major Product Offerings

Table 40              Oracle: Major Product Offerings

Table 41              OSP Labs: Major Product Offerings

Table 42              PayerFusion Holdings: Major Product Offerings

Table 43              Pegasystems: Major Product Offerings

Table 44              PLEXIS Healthcare Systems: Major Product Offerings

Table 45              Proclaim: Major Product Offerings

Table 46              Pulse Systems: Major Product Offerings

Table 47              SS&C Technologies: Major Product Offerings

Table 48              Quest Diagnostics: Major Product Offerings

Table 49              RAM Technologies: Major Product Offerings

Table 50              RXNT: Major Product Offerings

Table 51              SequelMed: Major Product Offerings

Table 52              SSI Group: Major Product Offerings

Table 53              TotalMD: Major Product Offerings

Table 54              Waystar: Major Product Offerings

Table 55              Global Healthcare Claims Management Market by Component 2021–2027 ($ billion)

Table 56              Global Healthcare Claims Management Market by Component 2021–2027 (%)

Table 57              North America Healthcare Claims Management Market by Component 2021–2027 ($ billion)

Table 58              North America Healthcare Claims Management Market by Component 2021–2027 (%)

Table 59              Europe Healthcare Claims Management Market by Component 2021–2027 ($ billion)

Table 60              Europe Healthcare Claims Management Market by Component 2021–2027 (%)

Table 61              APAC Healthcare Claims Management Market by Component 2021–2027 ($ billion)

Table 62              APAC Healthcare Claims Management Market by Component 2021–2027 (%)

Table 63              Latin America Healthcare Claims Management Market by Component 2021–2027 ($ billion)

Table 64              Latin America Healthcare Claims Management Market by Component 2021–2027 (%)

Table 65              Middle East & Africa Healthcare Claims Management Market by Component 2021–2027 ($ billion)

Table 66              Middle East & Africa Healthcare Claims Management Market by Component 2021–2027 (%)

Table 67              Global Healthcare Claims Management Market by Type 2021–2027 ($ billion)

Table 68              Global Healthcare Claims Management Market by Type 2021–2027 (%)

Table 69              North America Healthcare Claims Management Market by Type 2021–2027 ($ billion)

Table 70              North America Healthcare Claims Management Market by Type 2021–2027 (%)

Table 71              Europe Healthcare Claims Management Market by Type 2021–2027 ($ billion)

Table 72              Europe Healthcare Claims Management Market by Type 2021–2027 (%)

Table 73              APAC Healthcare Claims Management Market by Type 2021–2027 ($ billion)

Table 74              APAC Healthcare Claims Management Market by Type 2021–2027 (%)

Table 75              Latin America Healthcare Claims Management Market by Type 2021–2027 ($ billion)

Table 76              Latin America Healthcare Claims Management Market by Type 2021–2027 (%)

Table 77              Middle East & Africa Healthcare Claims Management Market by Type 2021–2027 ($ billion)

Table 78              Middle East & Africa Healthcare Claims Management Market by Type 2021–2027 (%)

Table 79              Global Healthcare Claims Management Market by Delivery Mode 2021–2027 ($ billion)

Table 80              Global Healthcare Claims Management Market by Delivery Mode 2021–2027 (%)

Table 81              North America Healthcare Claims Management Market by Delivery Mode 2021–2027 ($ billion)

Table 82              North America Healthcare Claims Management Market by Delivery Mode 2021–2027 (%)

Table 83              Europe Healthcare Claims Management Market by Delivery Mode 2021–2027 ($ billion)

Table 84              Europe Healthcare Claims Management Market by Delivery Mode 2021–2027 (%)

Table 85              APAC Healthcare Claims Management Market by Delivery Mode 2021–2027 ($ billion)

Table 86              APAC Healthcare Claims Management Market by Delivery Mode 2021–2027 (%)

Table 87              Latin America Healthcare Claims Management Market by Delivery Mode 2021–2027 ($ billion)

Table 88              Latin America Healthcare Claims Management Market by Delivery Mode 2021–2027 (%)

Table 89              Middle East & Africa Healthcare Claims Management Market by Delivery Mode 2021–2027 ($ billion)

Table 90              Middle East & Africa Healthcare Claims Management Market by Delivery Mode 2021–2027 (%)

Table 91              Global Healthcare Claims Management Market by End User 2021–2027 ($ billion)

Table 92              Global Healthcare Claims Management Market by End User 2021–2027 (%)

Table 93              North America Healthcare Claims Management Market by End User 2021–2027 ($ billion)

Table 94              North America Healthcare Claims Management Market by End User 2021–2027 (%)

Table 95              Europe Healthcare Claims Management Market by End User 2021–2027 ($ billion)

Table 96              Europe Healthcare Claims Management Market by End User 2021–2027 (%)

Table 97              APAC Healthcare Claims Management Market by End User 2021–2027 ($ billion)

Table 98              APAC Healthcare Claims Management Market by End User 2021–2027 (%)

Table 99              Latin America Healthcare Claims Management Market by End User 2021–2027 ($ billion)

Table 100           Latin America Healthcare Claims Management Market by End User 2021–2027 (%)

Table 101           Middle East & Africa Healthcare Claims Management Market by End User 2021–2027 ($ billion)

Table 102           Middle East & Africa Healthcare Claims Management Market by End User 2021–2027 (%)

Table 103           Global Healthcare Claims Management Market by Geography 2021–2027 ($ billion)

Table 104           Global Healthcare Claims Management Market by Geography 2021–2027 (%)

Table 105           Global Healthcare Claims Management Software Market by Geography 2021–2027 ($ billion)

Table 106           Global Healthcare Claims Management Software Market by Geography 2021–2027 (%)

Table 107           Global Healthcare Claims Management Services Market by Geography 2021–2027 ($ billion)

Table 108           Global Healthcare Claims Management Services Market by Geography 2021–2027 (%)

Table 109           Global Integrated Healthcare Claims Management Market by Geography 2021–2027 ($ billion)

Table 110           Global Integrated Healthcare Claims Management Market by Geography 2021–2027 (%)

Table 111           Global Standalone Healthcare Claims Management Market by Geography 2021–2027 ($ billion)

Table 112           Global Standalone Healthcare Claims Management Market by Geography 2021–2027 (%)

Table 113           Global Web & Cloud based Healthcare Claims Management Market by Geography 2021–2027 ($ billion)

Table 114           Global Web & Cloud based Healthcare Claims Management Market by Geography 2021–2027 (%)

Table 115           Global On-premise Healthcare Claims Management Market by Geography 2021–2027 ($ billion)

Table 116           Global On-premise Healthcare Claims Management Market by Geography 2021–2027 (%)

Table 117           Global Healthcare Providers Claims Management Market by Geography 2021–2027 ($ billion)

Table 118           Global Healthcare Providers Claims Management Market by Geography 2021–2027 (%)

Table 119           Global Healthcare Payers Claims Management Market by Geography 2021–2027 ($ billion)

Table 120           Global Healthcare Payers Claims Management Market by Geography 2021–2027 (%)

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