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THE HEALTHCARE CLAIMS MANAGEMENT MARKET SIZE 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 Global Healthcare Claims Management Market Size, Share, & Trends Analysis Report By
Component
- Software
- Services
Type
- Integrated
- Standalone
Delivery mode
- Web and cloud-based
- On-premises
End-User
- Healthcare payers
- Healthcare providers
Industry Analysis Report, Regional Outlook, Growth Potential, Price Trends, Competitive Market Share & Forecast 2022–2027
This report includes market data points, ranging from trend
analyses to market estimates & forecasts that you can customize
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 size is projected to reach USD 12 billion by 2027, growing at a CAGR of 5% from 2021 to 2027. The market revenue in 2021 was USD 8.9 billion. A health insurance claim or a medical insurance claim is a request raised by a policyholder for compensation of expenses incurred during medical treatment. Based on the type of claim procedure opted by a client, the insurance company verifies the claim to either clear the bills directly with the hospital or reimburse the amount spent. The high adoption rate of health insurance policies among patients for financial assistance is driving the growth of the global healthcare claims management market.
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 claims management. The shift toward value-based solutions is encouraging healthcare companies to move toward automated medical claims management solutions. Medical billing is one of the significant parameters in healthcare revenue cycle management. The medical billing and their respective coding contribute to establishing and categorizing patient information that dictates the billing of Medicare and insurance companies.
Moreover, increased digitalization has accelerated the adoption of automation in the medical billing process. Most organizations are turning to automation to streamline and error-proof their billing systems. The significant advantage of medical billing process automation is making comprehensive data reporting. 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 healthcare claims management market growth.
GLOBAL HEALTHCARE CLAIMS MANAGEMENT MARKET SEGMENTS
This research report includes a detailed segmentation by
Component - Healthcare claims management software provides significant benefits to insurance organizations across a comprehensive range of key business areas. Claims management software is a powerful tool that ensures swift and successful medical claims processing. The global healthcare claims management software market is projected to witness the highest CAGR of approximately 5% during the forecast period.
Type - An integrated claims management solution includes workflow automation tools that can improve claims handling by driving informed decisions and productivity and contributing to rapid, cost-effective claims closure. The integrated segment in the healthcare claims management market is expected to reach over 5% during the forecast year.
Delivery mode - The demand for web & cloud-based medical claims management systems is likely to increase in the coming years due to several benefits and advanced features. In 2021, the global web & cloud-based healthcare claims management solutions market was valued at USD 6.80 billion and will witness growth in the upcoming years.
End-users –By end-user, the market is segmented into payers and providers, of which the providers are expected to witness the highest CAGR of 5.21% during the forecast period. Payers in the industry are change leaders who make effective changes to health plans and overall care services. However, payers also use existing technologies to digitize portions of the healthcare claims management process, which can enable them to gain significant value and competitive advantages.
GEOGRAPHICAL ANALYSIS
North America: Medical expenses in the US are much higher compared to other countries in the region. Various reasons contribute to the high medical inflation rate in the region. In 2021, the North American healthcare claims management market was valued at over 3 billion and will grow significantly in the upcoming years.
Europe: The rise in the number of surgeries performed in European countries every year drives the demand for health coverage. Moreover, in Europe, insurance companies that offer the best-in-class customer experiences are growing faster and gaining positive brand recognition. The healthcare claim management market is expected to grow in the region.
APAC: APAC is anticipated to emerge as the fastest-growing regional market due to the growing awareness of medical claims and the rising cost of medical treatments. Also, the increasing government investments in advancing the medical IT infrastructure are creating vast opportunities for claim management providers and contributing to the industry's growth.
Latin America: Most Latin American countries have a unique medical system. Also, medical services tend to be much cheaper in Latin American countries than in other parts of the world, thereby gaining traction in the industry.
The Middle East and Africa: With the growth in medical tourism, countries in the Middle East and Africa are gaining popularity due to their cost-effective surgical procedures. The Middle East & Africa (MEA) healthcare claims management market is expected to grow at a CAGR of 3.72% during the forecast period.
COMPETITIVE ANALYSIS
The healthcare claims management market is dominated by Cerner, McKesson, UnitedHealth Group, eClinicalWorks, and Cegedim. Major players are competing with the other prominent players through acquisitions, advanced product lines, and broader availability. Established companies are acquiring or collaborating with smaller vendors offering complementary products, technologies, or services to expand their presence in the marketplace. For instance, 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. Several key players are indulging in mergers and acquisitions to remain competitive and expand their reach through inorganic growth strategies.
Frequently Asked Questions
How big is the healthcare claims management market?
What is the growth rate of the healthcare claims management market?
What are the factors driving the healthcare claims management market?
Who are the key players in the healthcare claims management market?
Which region accounted for the largest healthcare claims management market share?
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
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 (%)
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
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