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

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78 Tables

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76 Charts

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1 Regions

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1 Countries

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66 Companies

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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

What is the size of the U.S. healthcare denial management market?

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

What are the current trends in the U.S. healthcare denial management market?

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.

Who are the key players in the healthcare denial management market in the U.S.?

The key players in the healthcare denial management market are UnitedHealth Group, McKesson Corporation, Change Healthcare, eClinicalWorks, Experian, Allscripts Healthcare Solutions, etc.

Who are the end-users in the U.S. healthcare denial management industry?

The end-users in the U.S. healthcare denial management industry are Healthcare Providers and Healthcare Payers.

Which segment has the highest share in the U.S. healthcare denial management market?

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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