THE U.S. HEALTHCARE DENIAL MANAGEMENT MARKET SIZE WAS VALUED AT USD 3.57 BILLION IN 2021 AND IS EXPECTED TO REACH USD 5.94 BILLION BY 2027, GROWING AT A CAGR OF 8.86% DURING THE FORECAST PERIOD

U.S. Healthcare Denial Management Market Research Report Includes Size, Share, & Trends Analysis by Component (Soft Denial and Hard Denial), Type (Integrated and Standalone), Delivery Mode (Web & Cloud-Based and On-Premises), End-User (Healthcare Providers (Hospitals, Physician’s Office, and Others) and Healthcare Payers), Industry Analysis Report, Regional Outlook, Growth Potential, Price Trends, Competitive Market Share & Forecast, 2022–2027

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189 Pages

78 Tables

76 Charts

1 Regions

1 Countries

66 Companies

6 Market Segment

U.S. HEALTHCARE DENIAL MANAGEMENT MARKET REPORT SCOPE

Report Attribute Details
MARKET SIZE (REVENUE) USD 5.94 Billion (2027)
CAGR 8.86% (2022-2027)
BASE YEAR 2021
FORECAST YEAR 2022-2027
MARKET SEGMENTS Component (Soft Denial and Hard Denial), Type (Integrated and Standalone), Delivery Mode (Web & Cloud Based and On-Premises), End-User (Healthcare Providers (Hospitals, Physician’s Office, and Others) and Healthcare Payers)
COUNTRY COVERED United States

U.S. HEALTHCARE DENIAL MANAGEMENT MARKET OVERVIEW

The US healthcare denial management market size was valued at USD 3.57 billion in 2021 and is expected to reach USD 5.94 billion by 2027, growing at a CAGR of 8.86% during the forecast period. Over the past several years, the claim denial rates in hospitals moved upwards but reached new highs with the public health emergency of COVID-19. During this time, the medical claim denials have risen 11% nationwide in the US, with the most denial rates accounting for 13.1% in the Pacific Coast and 12.9% in the Northeast. In the US, the Coronavirus Aid, Relief, and Economic Security (CARES) Act was developed for providing healthcare resources that were needed to fight COVID-19. CARES Act included medical billing provisions, leading to an uptick in claim denials. This will further drive Healthcare Claims Management in the country.

KEY HIGHLIGHTS

  • The rise in automation and AI-based denial management is a major trend in the market by helping in better managing claim denials.
  • The growing need to reduce and manage claim denial as well as decrease the revenue impact to healthcare systems due to the loss in denials is contributing to the increase in adoption of denial management software
  • The shift toward value-based solutions in the market is encouraging healthcare companies to shift towards automated denial management solutions.
  • To maximize reimbursement and recuperate the lost healthcare revenue, providers have started enhancing claim denial management with various strategies which will increase the adoption of the healthcare denial management market in the US.
  • Hospitals are witnessing more denials of claims from the payers with an average rate rising by 23% in 2020 in comparison with 2016. This factor is driving demand in revenue cycle management & denial management programs in the healthcare sector.

U.S. HEALTHCARE DENIAL MANAGEMENT MARKET SEGMENTS

U.S. healthcare denial management market is segmented on the basis of-

  • Component
  • Type
  • Delivery Mode
  • End-user

U.S. HEALTHCARE DENIAL MANAGEMENT MARKET SEGMENTATION

  • Integrated held the major share by type. This can be attributed to the fact that EHR integrated with denial management has many benefits. This includes easy access to health information, improved diagnostics, and treatment, data privacy and security, minimizing medical errors, enhancing efficiency, and reducing costs.
  • Cloud-based solutions give insurers the flexibility to service policyholders and efficiently manage heavy workloads. Increasing adoption of the cloud-based model across several regions is enabling a mechanism to distribute the system and data across different locations. Also, cloud-based solutions mitigate the risk of data loss or inaccessibility due to a disaster. All these factors will drive the growth of cloud-based solutions in denials management programs.
  • Healthcare organizations are working toward better patient care by closely observing their internal processes and technology. Healthcare providers require denials management solutions that are cost-effective, customer-focused, and adaptable. With the integration of electronic health records, the usage of denials has become easier with the availability of total patient information. All such factors are boosting the use of healthcare denial managing solutions by healthcare providers.

VENDOR LANDSCAPE

  • The key players in the healthcare denial management market are UnitedHealth Group, McKesson Corporation, Change Healthcare, eClinicalWorks, Experian, Allscripts Healthcare Solutions, etc.
  • There has been a rise in acquisitions of many third-party vendors by large companies. For instance, ARMC, specializing in denials management, was recently acquired by Longshore Capital Partners and Revco Solutions to expand geographic coverage and add an extra service for its clients.
  • MRO, a leading clinical data workflow platform, acquired Cobius Healthcare Solutions, a leading provider of reimbursement and compliance risk management tools for widening its software and workflow solutions in audit and denial management.
  • Change healthcare launched a new AI-powered tool for helping providers proactively spot potentially problematic claims and fix issues that can cause denials.

The U.S. healthcare denial management market report includes in-depth coverage of the industry analysis with revenue and forecast insights for the following segments:

Market Segmentation by Component

  • Soft Denial
  • Hard Denial

Market Segmentation by Type

  • Integrated
  • Standalone

Market Segmentation by Delivery Mode

  • Web & Cloud-Based
  • On-Premises

Market Segmentation by End-User

  • Healthcare Providers
    • Hospitals
    • Physician’s Office
    • Others
  • Healthcare Payers

Frequently Asked Questions

The U.S. healthcare denial claims management market size was valued at USD 3.57 billion in 2021 and is expected to reach USD 5.94 billion by 2027
The shift towards value-based reimbursement, increasing demand for standardization, and the use of AI to develop solutions are some trends driving the U.S. healthcare denial management market.
The key players in the healthcare denial management market are UnitedHealth Group, McKesson Corporation, Change Healthcare, eClinicalWorks, Experian, Allscripts Healthcare Solutions, etc.
The end-users in the U.S. healthcare denial management industry are Healthcare Providers and Healthcare Payers.
Web and cloud-based solutions accounted for the highest share in the U.S. healthcare denial management market.
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The U.S. healthcare denial management market size was valued at USD 3.57 billion in 2021 and is expected to reach USD 5.94 billion by 2027, growing at a CAGR of 8.86% during the forecast period.

The following factors are likely to contribute to the growth of the healthcare denial management market –

  • A growing number of medical claim denials
  • Increasing payer complexities for healthcare claims
  • Shift Towards Value-based Reimbursement
  • Errors in Medical Billing and Healthcare Claims
  • Need for standardization & trained professionals

Base Year: 2021

Forecast Year: 2022-2027

The study considers a detailed scenario of the present healthcare denial 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 report offers both the demand and supply aspects of the market. It profiles and examines leading companies and other prominent ones operating in the market.

Key Vendors

  • UnitedHealth Group
    • Business Overview
    • Product Offerings
    • Key Strengths
    • Key Strategies
    • Key Opportunities
  • McKesson
  • Change Healthcare
  • eClinicalWorks
  • Experian
  • Allscripts Healthcare Solutions

Other Prominent Vendors

  • 24/7 Medical Billing Services
    • Business Overview
    • Product Offerings
  • 3D Solutions
  • 3Gen Consulting
  • 4D Global
  • Accenture
  • Access Healthcare
  • Acrologic Business Solutions
  • AdvancedMD
  • AdvantEdge Healthcare Solutions
  • Advantum Health
  • Aergo Solutions
  • Aetna
  • Alaska Billing Services
  • AllianceMed
  • BillingParadise
  • Bizmatics
  • CareCloud
  • ChartLogic
  • Cigna
  • Cognizant
  • Coronis Health
  • Craneware
  • Credit Management Company
  • CureMD Healthcare
  • Data Marshall
  • DrChrono
  • EHealthSource
  • Greenway Health
  • Golden West Medical Billing
  • InSync Healthcare Solutions
  • IntelliRCM
  • Intersect Healthcare
  • iSalus
  • Kareo
  • McBee Associates
  • MedEx Medical Billing
  • Medforce Technologies
  • Medical Billers and Coders
  • Medmecs Billing Services
  • MGSI
  • MRO
  • NXGN Management
  • OSP
  • Persistent Systems
  • PMMC
  • Procure Billing Solutions
  • Promantra
  • Quadax
  • QWay Healthcare
  • R1 RCM
  • Resolutions Billing & Consulting
  • Revele
  • RevenueXL
  • Right Medical Billing
  • Savista
  • Superior Medical Management
  • TriMed Technologies
  • Vee Technologies
  • Vitruvian MedPro
  • Waystar

Market Segmentation by Component

  • Soft Denial
  • Hard Denial

Market Segmentation by Type

  • Integrated
  • Standalone

Market Segmentation by Delivery Mode

  • Web & Cloud-Based
  • On-Premises

Market Segmentation by End-User

  • Healthcare Providers
    • Hospitals
    • Physician’s Office
    • Others
  • Healthcare Payers

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

 

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 & Automation Improving Denial Management

8.2         Rising Importance Of Denial Management In Medical Claims

8.3         Reducing Reimbursement Rates And Increasing Denials

8.4         Increase In Outsourcing Of Denial Management

 

9             Market Growth Enablers

9.1         Growing Volume Of Medical Claim Denials

9.2         Increasing Payer Complexities For Healthcare Claims

9.3         Shift Toward Value-Based Reimbursement

9.4         Errors In Medical Billing And Healthcare Claims

 

10          Market Restraints

10.1       Lack Of Financial Resources & Outdated Strategies

10.2       Need For Standardization & Trained Professionals

10.3       Growing Concern For Data Security & Privacy Issues

 

11          Market Landscape

11.1       Market Overview

11.2       Market Size & Forecast

11.2.1   Component Insights

11.2.2   Type Insights

11.2.3   Delivery Mode Insights

11.2.4   End-User Insights

11.3       Impact Of Covid-19 On US Denials Management

11.4       Five Forces Analysis

11.4.1   Threat Of New Entrants

11.4.2   Bargaining Power Of Suppliers

11.4.3   Bargaining Power Of Buyers

11.4.4   Threat Of Substitutes

11.4.5   Competitive Rivalry

 

12          Component

12.1       Market Snapshot & Growth Engine

12.2       Market Overview

12.3       Soft Denial

12.3.1   Market Overview

12.3.2   Market Size & Forecast

12.4       Hard Denial

12.4.1   Market Overview

12.4.2   Market Size & Forecast

 

13          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

13.4       Standalone

13.4.1   Market Overview

13.4.2   Market Size & Forecast

 

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

14.4       On-Premises

14.4.1   Market Overview

14.4.2   Market Size & Forecast

 

15          End-User

15.1       Market Snapshot & Growth Engine

15.2       Market Overview

 

16          Healthcare Providers

16.1       Market Overview

16.2       Market Size & Forecast

16.3       Healthcare Providers: Type

16.3.1   Hospitals: Market Size & Forecast

16.3.2   Physician’s Office: Market Size & Forecast

16.3.3   Others: Market Size & Forecast

 

17          Healthcare Payers

17.1       Market Overview

17.2       Market Size & Forecast

 

18          Competitive Landscape

18.1       Competition Overview

18.2       Market Share Analysis

18.2.1   UNITEDHEALTH Group In US Healthcare Denial Management Market

18.2.2   MCKESSON In US Healthcare Denial Management Market

18.2.3   Change Healthcare In US Healthcare Denial Management Market

18.2.4   ECLINICAL works In US Healthcare Denial Management Market

18.2.5   Experian Information Solutions In US Healthcare Denial Management Market

18.2.6   Allscripts Healthcare In US Healthcare Denial Management Market

 

19          Key Company Profiles

19.1       UNITEDHEALTH Group

19.1.1   Business Overview

19.1.2   UNITEDHEALTH Group In US Healthcare Denial Management Market

19.1.3   Product Offerings

19.1.4   Key Strategies

19.1.5   Key Strengths

19.1.6   Key Opportunities

19.2       MCKESSON

19.2.1   Business Overview

19.2.2   MCKESSON In US Healthcare Denial Management Market

19.2.3   Product Offerings

19.2.4   Key Strategies

19.2.5   Key Strengths

19.2.6   Key Opportunities

19.3       CHANGE HEALTHCARE

19.3.1   Business Overview

19.3.2   Change Healthcare In US Healthcare Denial Management Market

19.3.3   Product Offerings

19.3.4   Key Strategies

19.3.5   Key Strengths

19.3.6   Key Opportunities

19.4       ECLINICALWORKS

19.4.1   Business Overview

19.4.2   ECLINICAL works In US Healthcare Denial Management Market

19.4.3   Product Offerings

19.4.4   Key Strategies

19.4.5   Key Strengths

19.4.6   Key Opportunities

19.5       EXPERIAN

19.5.1   Business Overview

19.5.2   Experian Information Solutions In US Healthcare Denial Management Market

19.5.3   Product Offerings

19.5.4   Key Strategies

19.5.5   Key Strengths

19.5.6   Key Opportunities

19.6       ALLSCRIPTS HEALTHCARE SOLUTIONS

19.6.1   Business Overview

19.6.2   Allscripts Healthcare In US Healthcare Denial Management Market

19.6.3   Product Offerings

19.6.4   Key Strategies

19.6.5   Key Strengths

19.6.6   Key Opportunities

 

20          Other Prominent Vendors

20.1       24/7 MEDICAL BILLING SERVICES

20.1.1   Business Overview

20.1.2   Product Offerings

20.2       3D SOLUTIONS

20.2.1   Business Overview

20.2.2   Product Offerings

20.3       3GEN CONSULTING

20.3.1   Business Overview

20.3.2   Product Offerings

20.4       4D GLOBAL

20.4.1   Business Overview

20.4.2   Product Offerings

20.5       ACCENTURE

20.5.1   Business Overview

20.5.2   Product Offerings

20.6       ACCESS HEALTHCARE

20.6.1   Business Overview

20.6.2   Product Offerings

20.7       ACROLOGIC BUSINESS SOLUTIONS

20.7.1   Business Overview

20.7.2   Product Offerings

20.8       ADVANCEDMD

20.8.1   Business Overview

20.8.2   Product Offerings

20.9       ADVANTEDGE HEALTHCARE SOLUTIONS

20.9.1   Business Overview

20.9.2   Product Offerings

20.10    ADVANTUM HEALTH

20.10.1 Business Overview

20.10.2 Product Offerings

20.11    AERGO SOLUTIONS

20.11.1 Business Overview

20.11.2 Product Offerings

20.12    AETNA

20.12.1 Business Overview

20.12.2 Product Offerings

20.13    ALASKA BILLING SERVICES

20.13.1 Business Overview

20.13.2 Product Offerings

20.14    ALLIANCEMED

20.14.1 Business Overview

20.14.2 Product Offerings

20.15    BILLINGPARADISE

20.15.1 Business Overview

20.15.2 Product Offerings

20.16    BIZMATICS

20.16.1 Business Overview

20.16.2 Product Offerings

20.17    CARECLOUD

20.17.1 Business Overview

20.17.2 Product Offerings

20.18    CHARTLOGIC

20.18.1 Business Overview

20.18.2 Product Offerings

20.19    CIGNA

20.19.1 Business Overview

20.19.2 Product Offerings

20.20    COGNIZANT

20.20.1 Business Overview

20.20.2 Product Offerings

20.21    CORONIS HEALTH

20.21.1 Business Overview

20.21.2 Product Offerings

20.22    CRANEWARE

20.22.1 Business Overview

20.22.2 Product Offerings

20.23    CREDIT MANAGEMENT COMPANY

20.23.1 Business Overview

20.23.2 Product Offerings

20.24    CUREMD HEALTHCARE

20.24.1 Business Overview

20.24.2 Product Offerings

20.25    DATA MARSHALL

20.25.1 Business Overview

20.25.2 Product Offerings

20.26    DRCHRONO

20.26.1 Business Overview

20.26.2 Product Offerings

20.27    EHEALTHSOURCE

20.27.1 Business Overview

20.27.2 Product Offerings

20.28    GREENWAY HEALTH

20.28.1 Business Overview

20.28.2 Product Offerings

20.29    GOLDEN WEST MEDICAL BILLING

20.29.1 Business Overview

20.29.2 Product Offerings

20.30    INSYNC HEALTHCARE SOLUTIONS

20.30.1 Business Overview

20.30.2 Product Offerings

20.31    INTELLIRCM

20.31.1 Business Overview

20.31.2 Product Offerings

20.32    INTERSECT HEALTHCARE

20.32.1 Business Overview

20.32.2 Product Offerings

20.33    ISALUS

20.33.1 Business Overview

20.33.2 Product Offerings

20.34    KAREO

20.34.1 Business Overview

20.34.2 Product Offerings

20.35    MCBEE ASSOCIATES

20.35.1 Business Overview

20.35.2 Product Offerings

20.36    MEDEX MEDICAL BILLING

20.36.1 Business Overview

20.36.2 Product Offerings

20.37    MEDFORCE TECHNOLOGIES

20.37.1 Business Overview

20.37.2 Product Offerings

20.38    MEDICAL BILLERS AND CODERS

20.38.1 Business Overview

20.38.2 Product Offerings

20.39    MEDMECS BILLING SERVICES

20.39.1 Business Overview

20.39.2 Product Offerings

20.40    MGSI

20.40.1 Business Overview

20.40.2 Product Offerings

20.41    MRO

20.41.1 Business Overview

20.41.2 Product Offerings

20.42    NXGN MANAGEMENT

20.42.1 Business Overview

20.42.2 Product Offerings

20.43    OSP

20.43.1 Business Overview

20.43.2 Product Offerings

20.44    PERSISTENT SYSTEMS

20.44.1 Business Overview

20.44.2 Product Offerings

20.45    PMMC

20.45.1 Business Overview

20.45.2 Product Offerings

20.46    PROCURE BILLING SOLUTIONS

20.46.1 Business Overview

20.46.2 Product Offerings

20.47    PROMANTRA

20.47.1 Business Overview

20.47.2 Product Offerings

20.48    QUADAX

20.48.1 Business Overview

20.48.2 Product Offerings

20.49    QWAY HEALTHCARE

20.49.1 Business Overview

20.49.2 Product Offerings

20.50    R1 RCM

20.50.1 Business Overview

20.50.2 Product Offerings

20.51    RESOLUTIONS BILLING & CONSULTING

20.51.1 Business Overview

20.51.2 Product Offerings

20.52    REVELE

20.52.1 Business Overview

20.52.2 Product Offerings

20.53    REVENUEXL

20.53.1 Business Overview

20.53.2 Product Offerings

20.54    RIGHT MEDICAL BILLING

20.54.1 Business Overview

20.54.2 Product Offerings

20.55    SAVISTA

20.55.1 Business Overview

20.55.2 Product Offerings

20.56    SUPERIOR MEDICAL MANAGEMENT

20.56.1 Business Overview

20.56.2 Product Offerings

20.57    TRIMED TECHNOLOGIES

20.57.1 Business Overview

20.57.2 Product Offerings

20.58    VEE TECHNOLOGIES

20.58.1 Business Overview

20.58.2 Product Offerings

20.59    VITRUVIAN MEDPRO

20.59.1 Business Overview

20.59.2 Product Offerings

20.60    WAYSTAR

20.60.1 Business Overview

20.60.2 Product Offerings

 

21          Report Summary

21.1       Key Takeaways

21.2       Strategic Recommendations

 

22          Quantitative Summary

22.1       Component

22.2       Type

22.3       Delivery Mode

22.4       End-User

 

23          Appendix

23.1       Abbreviations

LIST OF EXHIBITS            

Exhibit 1              Segmentation of US Healthcare Denial Management Market

Exhibit 2              Market Size Calculation Approach 2021

Exhibit 3              Factors Leading to Increase in Denial Rates

Exhibit 4              Research Findings on Denial Management 2016

Exhibit 5              Impact of AI & Automation Improving Denial Management

Exhibit 6              Impact of Rising Importance of Denial Management in Medical Claims

Exhibit 7              Impact of Reducing Reimbursement Rates and Increasing Denials

Exhibit 8              Impact of Increase in Outsourcing of Denial Management

Exhibit 9              Impact of Growing Volume of Medical Claim Denials

Exhibit 10            Major Causes for Denials of Medical Claims

Exhibit 11            Impact of Increasing Payer Complexities for Healthcare Claims

Exhibit 12            Impact of Shift Toward Value-Based Reimbursement

Exhibit 13            Impact of Errors in Medical Billing and Healthcare Claims

Exhibit 14            Impact of Lack of Financial Resources & Outdated Strategies

Exhibit 15            Impact of Need for Standardization & Trained Professionals

Exhibit 16            Impact of Growing Concern Over Data Security & Privacy Issues

Exhibit 17            US Healthcare Denial Management Market 2021–2027 ($ billion)

Exhibit 18            US Healthcare Denial Management Market by Component

Exhibit 19            US Healthcare Denial Management Market by Type

Exhibit 20            US Healthcare Denial Management Market by Delivery Mode

Exhibit 21            US Healthcare Denial Management Market by End-User

Exhibit 22            Five Forces Analysis 2021

Exhibit 23            Incremental Growth by Component 2021 & 2027

Exhibit 24            US Healthcare Denial Management Market by Component

Exhibit 25            US Healthcare Denial Management Market by Component: Incremental Growth

Exhibit 26            US Healthcare Denial Management Market by Component: Absolute Growth

Exhibit 27            US Healthcare Soft Denial Management Market: Incremental & Absolute Growth

Exhibit 28            US Healthcare Soft Denial Management Market 2021–2027 ($ billion)

Exhibit 29            US Healthcare Hard Denial Management Market: Incremental & Absolute Growth

Exhibit 30            US Healthcare Hard Denial Management Market 2021–2027 ($ billion)

Exhibit 31            Incremental Growth by Type 2021 & 2027

Exhibit 32            US Healthcare Denial Management Market by Type

Exhibit 33            US Healthcare Denial Management Market by Type: Incremental Growth

Exhibit 34            US Healthcare Denial Management Market by Type: Absolute Growth

Exhibit 35            US Healthcare Integrated Denial Management Market: Incremental & Absolute Growth

Exhibit 36            US Healthcare Integrated Denial Management Market 2021–2027 ($ billion)

Exhibit 37            US Healthcare Standalone Denial Management Market: Incremental & Absolute Growth

Exhibit 38            US Healthcare Standalone Denial Management Market 2021–2027 ($ billion)

Exhibit 39            Incremental Growth by Delivery Mode 2021 & 2027

Exhibit 40            US Healthcare Denial Management Market by Delivery Mode

Exhibit 41            US Healthcare Denial Management Market by Delivery Mode: Incremental Growth

Exhibit 42            US Healthcare Denial Management Market by Delivery Mode: Absolute Growth

Exhibit 43            US Healthcare Web & Cloud-based Denial Management Market: Incremental & Absolute Growth

Exhibit 44            US Healthcare Web & Cloud-based Denial Management Market 2021–2027 ($ billion)

Exhibit 45            US Healthcare On-premises Denial Management Market: Incremental & Absolute Growth

Exhibit 46            US Healthcare On-premises Denial Management Market 2021–2027 ($ billion)

Exhibit 47            Incremental Growth by End-User 2021 & 2027

Exhibit 48            US Healthcare Denial Management Market by End-User

Exhibit 49            US Healthcare Denial Management Market by End-user: Incremental Growth

Exhibit 50            US Healthcare Denial Management Market by End-user: Absolute Growth

Exhibit 51            US Healthcare Denial Management Market by Healthcare Providers: Incremental & Absolute Growth

Exhibit 52            US Healthcare Denial Management Market by Healthcare Providers 2021–2027 ($ billion)

Exhibit 53            Incremental Growth by Healthcare Providers 2021 & 2027

Exhibit 54            US Healthcare Denial Management Market by Hospitals 2021–2027 ($ billion)

Exhibit 55            US Healthcare Denial Management Market by Physicians’ Office 2021–2027 ($ billion)

Exhibit 56            US Healthcare Denial Management Market by Others 2021–2027 ($ billion)

Exhibit 57            US Healthcare Denial Management Market by Healthcare Payers: Incremental & Absolute Growth

Exhibit 58            US Healthcare Denial Management Market by Healthcare Payers 2021–2027 ($ billion)

Exhibit 59            US Healthcare Denial Management Market: Vendor Ranking (2021)

Exhibit 60            UnitedHealth Group: Total Revenue 2018–2020 ($ million)

Exhibit 61            UnitedHealth Group: Revenue by Business Segment 2018–2020 ($ million)

Exhibit 62            UnitedHealth Group: Revenue Share by UnitedHealthcare Segments 2018–2020 ($ million)

Exhibit 63            McKesson: Total Revenue 2019–2021 ($ million)

Exhibit 64            McKesson: Revenue by Business Segment 2019–2021 ($ million)

Exhibit 65            McKesson: R&D Expenditure 2019–2021 ($ million)

Exhibit 66            Change Healthcare: Total Revenue 2019–2020 ($ million)

Exhibit 67            Change Healthcare: Revenue by Business Segment 2019–2020 ($ million)

Exhibit 68            Change Healthcare: R&D Expenditure 2019–2020 ($ million)

Exhibit 69            Experian: Total Revenue 2019–2021 ($ million)

Exhibit 70            Experian: Revenue by Business Segment 2019–2021 ($ million)

Exhibit 71            Experian: R&D Expenditure 2019–2021 ($ million)

Exhibit 72            Experian: Revenue by Geographic Region 2019–2021 ($ million)

Exhibit 73            Allscripts Healthcare Solutions: Total Revenue 2019–2021 ($ million)

Exhibit 74            Allscripts Healthcare Solutions: Revenue by Business Segments 2019–2021 ($ million)

Exhibit 75            Allscripts Healthcare Solutions: R&D Expenditure 2019–2021 ($ million)

Exhibit 76            Allscripts Healthcare Solutions: Revenue by Geographic Region 2019–2021 ($ million)

                        

LIST OF TABLES

Table 1               Key Caveats

Table 2              Currency Conversion 2015−2021

Table 3               Difference Between Hard and Soft Denials

Table 4               Difference Between Clinical and Administrative Denials

Table 5               Optum: Major Product Offerings

Table 6                McKesson: Major Product Offerings

Table 7                Change Healthcare: Major Product Offerings

Table 8                eClinicalWorks: Major Product Offerings

Table 9                Experian Information Solutions: Major Product Offerings

Table 10              Allscripts Healthcare: Major Product Offerings

Table 11              24/7 Medical Billing Services: Major Product Offerings

Table 12              3D Solutions: Major Product Offerings

Table 13              3Gen Consulting: Major Product Offerings

Table 14              4D Global: Major Product Offerings

Table 15              Accenture: Major Product Offerings

Table 16              Access Healthcare: Major Product Offerings

Table 17              Acrologic Business Solutions: Major Product Offerings

Table 18              AdvancedMD: Major Product Offerings

Table 19              AdvantEdge Healthcare Solutions: Major Product Offerings

Table 20              Advantum Health: Major Product Offerings

Table 21              Aergo Solutions: Major Product Offerings

Table 22              Aetna: Major Product Offerings

Table 23              Alaska Billing Services: Major Product Offerings

Table 24              AllianceMed: Major Product Offerings

Table 25              BillingParadise: Major Product Offerings

Table 26              Bizmatics: Major Product Offerings

Table 27              CareCloud: Major Product Offerings

Table 28              ChartLogic: Major Product Offerings

Table 29              Cigna: Major Product Offerings

Table 30              Cognizant: Major Product Offerings

Table 31              Coronis Health: Major Product Offerings

Table 32              Craneware: Major Product Offerings

Table 33              Credit Management Company: Major Product Offerings

Table 34              CureMD Healthcare: Major Product Offerings

Table 35              Data Marshall: Major Product Offerings

Table 36              DrChrono: Major Product Offerings

Table 37              EHealthSource: Major Product Offerings

Table 38              Greenway Health: Major Product Offerings

Table 39              Golden West Medical Billing: Major Product Offerings

Table 40              InSync Healthcare Solutions: Major Product Offerings

Table 41              IntelliRCM: Major Product Offerings

Table 42              Intersect Healthcare: Major Product Offerings

Table 43              iSalus: Major Product Offerings

Table 44              Kareo: Major Product Offerings

Table 45              McBee Associates: Major Product Offerings

Table 46              MedEx Medical Billing: Major Product Offerings

Table 47              Medforce Technologies: Major Product Offerings

Table 48              Medical Billers and Coders: Major Product Offerings

Table 49              Medmecs Billing Services: Major Product Offerings

Table 50              MGSI: Major Product Offerings

Table 51              MRO: Major Product Offerings

Table 52              NXGN Management: Major Product Offerings

Table 53              OSP: Major Product Offerings

Table 54              Persistent Systems: Major Product Offerings

Table 55              PMMC: Major Product Offerings

Table 56              Procure Billing Solutions: Major Product Offerings

Table 57              Promantra: Major Product Offerings

Table 58              Quadax: Major Product Offerings

Table 59              QWay Healthcare: Major Product Offerings

Table 60              R1 RCM: Major Product Offerings

Table 61              Resolutions Billing & Consulting: Major Product Offerings

Table 62              Revele: Major Product Offerings

Table 63              RevenueXL: Major Product Offerings

Table 64              Right Medical Billing: Major Product Offerings

Table 65              Savista: Major Product Offerings

Table 66              Superior Medical Management: Major Product Offerings

Table 67              TriMed Technologies: Major Product Offerings

Table 68              Vee Technologies: Major Product Offerings

Table 69              Vitruvian MedPro: Major Product Offerings

Table 70              Waystar: Major Product Offerings

Table 71              US Healthcare Denial Management Market by Component 2021−2027 ($ billion)

Table 72              US Healthcare Denial Management Market by Component 2021−2027 (%)

Table 73              US Healthcare Denial Management Market by Type 2021−2027 ($ billion)

Table 74              US Healthcare Denial Management Market by Type 2021−2027 (%)

Table 75              US Healthcare Denial Management Market by Delivery Mode 2021−2027 ($ billion)

Table 76              US Healthcare Denial Management Market by Delivery Mode 2021−2027 (%)

Table 77              US Healthcare Denial Management Market by End-User 2021−2027 ($ billion)

Table 78              US Healthcare Denial Management Market by End-User 2021−2027 (%)

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