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1370556

醫療保健索賠管理市場：2023-2028 年全球產業趨勢、佔有率、規模、成長、機會與預測

Healthcare Claims Management Market: Global Industry Trends, Share, Size, Growth, Opportunity and Forecast 2023-2028
出版日期: | 出版商: IMARC | 英文 140 Pages | 商品交期: 2-3個工作天內

價格

概要

市場概況：

2022年，全球醫療保健理賠管理市場規模達到143億美元。展望未來，IMARC Group預計到2028年市場規模將達到244億美元，2023-2028年年複合成長率（CAGR）為9.1%。醫療保健管理系統日益複雜、醫療保健成本上升和成本控制的需求、自動化和人工智慧（AI）的採用等技術的進步以及向基於價值的護理模式的轉變是推動市場的一些主要因素。

醫療保健索賠管理是醫療保健行業的一個重要方面，涉及處理和處理患者和醫療保健提供者提出的醫療索賠的過程。它涵蓋了索賠的整個生命週期，從提交到報銷。索賠管理的主要目標是確保索賠處理的準確性、效率和及時性，同時最大限度地減少錯誤並最大限度地提高醫療保健組織的收入。醫療保健索賠管理的核心是醫療保健提供者、保險公司和患者之間的互動。當患者接受醫療服務時，醫療保健提供者向患者的保險公司提交索賠，詳細說明所提供的服務並要求報銷。然後保險公司審查索賠的完整性、準確性以及是否符合其保單。這涉及驗證患者的資格、所提供服務的適當性以及提供者和保險公司之間的合約義務。索賠管理涉及各種任務，包括資料輸入、編碼、計費、索賠提交、未決索賠的後續、拒絕管理和上訴。高效率的理賠管理需要深入了解醫療編碼系統、保險政策、計費法規和行業標準。

醫療保健計費和編碼法規日益複雜，需要索賠管理系統，這創造了積極的市場前景。隨著法規的發展，醫療保健提供者必須確保提交準確且合規的索賠，以避免處罰和拒絕付款。這使得對複雜的索賠管理解決方案的需求不斷增加，這些解決方案可以處理複雜的編碼、文件和計費要求。此外，對醫療保健成本的上升和成本控制的需求正在推動市場成長。除此之外，高效的理賠管理實踐有助於識別和減少計費錯誤、詐欺和濫用，從而為醫療機構和付款人節省成本。除此之外，向基於價值的護理模式的轉變強調了醫療保健索賠管理的重要性。醫療服務提供者擴大根據護理結果和品質進行激勵，需要細緻的理賠管理來追蹤和衡量績效指標。此外，電子健康記錄 (EHR) 和健康資訊交換 (HIE) 系統等技術進步實現了無縫資料交換，提高了索賠處理的準確性和速度。自動化和人工智慧 (AI) 也正在徹底改變索賠管理、簡化流程、減少錯誤並最佳化報銷。

醫療保健索賠管理市場趨勢/促進因素：

醫療保健計費和編碼法規的複雜性日益增加

隨著法規變得更加複雜和嚴格，醫療保健提供者必須掌握複雜的編碼系統、文件要求和計費指南，以確保準確提交索賠。不遵守這些規定可能會導致付款被拒絕、審計和處罰。為了應對這項挑戰，理賠管理系統和流程旨在確保遵守計費和編碼法規、最大限度地減少錯誤並最大限度地提高報銷金額。強大的理賠管理解決方案提供必要的工具和專業知識來應對不斷變化的監管環境，確保合規性並最佳化醫療保健組織的收入。

醫療費用的上升和成本控制的需要

隨著醫療保健費用的增加，醫療保健組織和付款人面臨著降低成本和提高財務績效的壓力。醫療保健索賠管理在識別計費錯誤、詐欺活動和不當付款方面發揮著至關重要的作用，這些可能會導致不必要的支出。透過實施強大的索賠管理流程，組織可以識別並糾正這些問題，從而節省成本並提高收入。此外，高效的索賠管理有助於最大限度地減少付款延遲和拒絕付款，確保醫療保健提供者及時報銷和財務穩定。因此，它是醫療保健產業控制成本和最佳化財務成果的關鍵策略。

技術進步

採用電子健康記錄（EHR）和健康資訊交換（HIE）系統可以實現患者資料的無縫共享和處理，從而提高理賠管理的準確性和速度。除此之外，技術進步使醫療保健組織能夠利用資料和自動化，從而簡化索賠管理流程、提高準確性並增強收入週期管理。自動化和人工智慧 (AI) 工具簡化索賠流程、減少人為錯誤並提高效率。機器學習演算法可以識別索賠資料中的模式，檢測潛在的詐欺或錯誤。此外，技術驅動的解決方案有助於即時資格驗證、電子索賠提交和電子匯款建議，從而簡化索賠管理工作流程。

醫療保健索賠管理行業細分：

IMARC Group 提供了全球醫療保健索賠管理市場報告各細分市場主要趨勢的分析，以及 2023 年至 2028 年全球、區域和國家層面的預測。我們的報告根據產品、組件、解決方案類型、交付模式和最終用戶對市場進行了分類。

按產品分類：

醫療帳單

專業的

制度性

索賠處理

醫療帳單主導市場

該報告根據該產品對醫療保健理賠管理市場進行了詳細的細分和分析。這包括醫療帳單（專業和機構）和索賠處理。報告顯示，醫療帳單佔最大佔有率。

醫療帳單涉及將醫療程序、診斷和服務準確轉換為帳單代碼以進行報銷的過程。高效的醫療計費可確保及時提交索賠、減少計費錯誤並最大限度地提高醫療保健提供者的收入。透過簡化計費流程，醫療保健組織可以最佳化其收入週期、最大限度地減少付款延遲並提高財務績效。有效的醫療計費系統和實踐對於順利的索賠管理流程至關重要，確保醫療保健提供者的準確報銷和財務生存能力。

索賠處理包括審查、裁決和支付已提交的醫療索賠。高效率的索賠處理可確保索賠得到準確評估，符合付款人的政策和法規。它涉及驗證患者資格、編碼審查、索賠提交和付款對帳等任務。簡化索賠處理工作流程可以最大限度地減少延遲、減少錯誤並提高索賠管理流程的整體效率。透過確保及時、準確的索賠處理，醫療保健組織可以最佳化收入，改善提供者與付款人的關係，並增強醫療保健生態系統的整體財務健康。

按組件分類：

服務

軟體

軟體佔整體市佔率的大部分

該報告還提供了基於該組成部分的醫療保健索賠管理市場的詳細細分和分析。這包括服務和軟體。報告稱，軟體代表了最大的細分市場。

醫療保健索賠管理軟體提供了一個數位平台來簡化整個索賠生命週期。這些解決方案使手動流程自動化，促進電子索賠提交，提供編碼和計費指導，提供即時資格驗證，並產生用於績效評估的分析和報告。醫療保健索賠管理軟體提高了效率、準確性和合規性，從而改善了醫療保健組織的收入週期管理和財務成果。它可以與電子健康記錄 (EHR) 系統無縫整合，增強互通性，並促進索賠管理流程中數據驅動的決策。

醫療保健索賠管理服務為編碼、計費、索賠提交、拒絕管理和收入週期最佳化提供全面的解決方案。這些服務可協助醫療保健提供者應對複雜的計費法規、提高準確性、減少錯誤並最佳化報銷。透過將索賠管理外包給經驗豐富的服務提供者，醫療保健組織可以專注於提供優質護理，同時確保高效且有效的索賠處理。

依解決方案類型細分：

綜合解決方案

獨立解決方案

整合解決方案代表了最受歡迎的解決方案類型

該報告根據解決方案類型對醫療保健索賠管理市場進行了詳細的細分和分析。這包括整合和獨立解決方案。報告顯示，整合解決方案佔據最大佔有率。

整合解決方案提供了在單一系統中結合多種功能的綜合平台。這些解決方案與電子健康記錄 (EHR) 系統、計費軟體和其他醫療保健應用程式整合，從而實現無縫資料交換和簡化的工作流程。整合解決方案還提供端到端索賠管理功能，從編碼和文件到索賠提交和付款對帳。它們提供患者資訊的統一視圖、自動化流程、提高準確性並提高效率。透過消除對多個斷開連接的系統的需求，整合解決方案簡化了索賠管理流程，增強了利害關係人之間的協作，並最佳化了收入週期管理。

獨立解決方案提供僅專注於索賠處理和管理的專用工具。這些解決方案可能提供特定的功能，例如索賠提交、拒絕管理或分析。獨立解決方案旨在解決特定的痛點，以滿足醫療保健組織的特定需求。它們提供有針對性的功能和自訂選項，允許組織根據其要求選擇和實施特定模組。獨立解決方案靈活、可擴展，並且通常可以與現有系統互通。它們使醫療保健組織能夠有效地解決特定的理賠管理挑戰，提高生產力，並透過解決特定的痛點來改善財務績效。

按交付方式分類：

本地

基於雲端

基於網路

網路為基礎的交付模式佔據最大市場佔有率

該報告根據交付模式對醫療保健索賠管理市場進行了詳細的細分和分析。這包括本地、基於雲端和基於 Web。報告顯示，基於網路的佔比最大。

基於網路的醫療索賠管理交付模式是使用線上平台或基於網路的系統處理和處理醫療索賠的過程。醫療保健提供者透過入口網站或專用軟體系統以電子方式提交索賠。這些索賠包含患者詳細資訊、提供的服務、診斷代碼和相關費用等資訊。它涉及向患者提供的醫療服務索賠的提交、處理、裁決和支付。基於網路的系統可以存取即時資格資料，以確定患者是否受保險覆蓋以及所提供的服務是否有資格獲得報銷。此外，入口網站允許醫療保健提供者和付款人之間進行安全和直接的通訊，從而促進更快地解決與索賠相關的查詢和問題。本地交付模式允許組織在內部託管和管理其索賠管理系統。此模式提供對基礎架構、資料安全性和自訂選項的完全控制。具有特定安全性和合規性要求的組織更喜歡本地解決方案，使他們能夠在自己的場所內維護敏感的患者資料。

基於雲端的交付模式透過提供託管在遠端伺服器上的基於 Web 的解決方案來推動理賠管理市場。基於雲端的解決方案提供靈活性、可擴展性，並且可以在任何有網路連線的地方進行存取。它們消除了對複雜現場基礎設施​​的需求，降低了維護成本，並提供自動軟體更新。基於雲端的解決方案可實現快速部署、輕鬆整合和無縫資料共享，促進利害關係人之間的協作，並實現跨多個位置和裝置的高效索賠管理。

按最終用戶分類：

醫療保健支付者

醫療保健機構

其他

該報告還提供了基於最終用戶的醫療保健索賠管理市場的詳細細分和分析。這包括醫療保健付款人、醫療保健提供者和其他人。

醫療保健付款人透過制定醫療保健服務的政策、指南和報銷率來推動索賠管理流程。他們制定了醫療保健提供者在提交報銷索賠時必須遵循的規則和要求。付款人在評估和裁決索賠、確保遵守監管標準以及管理付款流程方面發揮著至關重要的作用。他們投資先進的索賠管理系統，僱用熟練的專業人員，並實施詐欺檢測機制，以最佳化索賠處理和成本控制。

醫療保健提供者透過向付款人提交準確、完整的報銷索賠來推動索賠管理。他們負責對醫療服務進行編碼、記錄患者就診情況並及時提交索賠。提供者投資於高效的索賠管理流程、軟體和員工培訓，以最大限度地減少錯誤、避免索賠被拒絕並最大限度地提高報銷金額。他們還與付款人合作，了解並遵守不斷變化的報銷政策，確保提供適當的文件，並對被拒絕的索賠進行上訴和跟進。提供者不斷努力提高索賠管理效率，以最佳化收入和財務永續性。

按地區分類：

北美洲

美國

加拿大

亞太

中國

日本

印度

韓國

澳洲

印尼

其他

歐洲

德國

法國

英國

義大利

西班牙

俄羅斯

其他

拉丁美洲

巴西

墨西哥

其他

中東和非洲

北美表現出明顯的主導地位，佔據最大的醫療索賠管理市場佔有率

該報告還對所有主要區域市場進行了全面分析，其中包括北美（美國和加拿大）；歐洲（德國、法國、英國、義大利、西班牙、俄羅斯等）；亞太地區（中國、日本、印度、韓國、澳洲、印尼等）；拉丁美洲（巴西、墨西哥等）；以及中東和非洲。根據該報告，北美是醫療保健索賠管理的最大市場。

在北美，由於強大的醫療基礎設施、嚴格的監管環境和技術進步，醫療保健領域擴大採用索賠管理。該地區強調高效的索賠處理、詐欺檢測和成本控制。它投資於創新的索賠管理解決方案，利用電子健康記錄 (EHR) 整合，並採用先進的分析來最佳化收入週期並改善患者治療結果。

歐洲醫療保健索賠管理專注於互通性、標準化編碼系統和具有成本效益的醫療保健服務。該地區強調基於價值的護理模式、以患者為中心的方法以及無縫索賠處理和報銷的跨境合作。它投資於綜合健康資訊系統、資料共享平台和遠距醫療解決方案，以簡化索賠管理流程並提高整體醫療保健效率。

快速的數位轉型、醫療保健服務範圍的擴大和健康保險的成長正在推動亞太地區醫療保健索賠管理市場的發展。該地區利用雲端運算和行動醫療解決方案等技術進步來提高索賠處理和報銷準確性。它強調索賠管理系統的可擴展性、可負擔性和互通性，以滿足不同的醫療保健環境和人群的需求。亞太地區也專注於創新支付模式、監管改革和採用電子索賠提交，以推動醫療保健行業的高效索賠管理和財務永續性。

競爭格局：

醫療保健索賠管理市場的主要參與者已經做出了各種努力來推動行業的進步和創新。他們投資開發了強大的理賠管理軟體和平台，與電子健康記錄 (EHR) 系統整合，實現無縫資料交換和高效理賠處理。此外，這些參與者還致力於整合自動化和人工智慧 (AI) 技術，以簡化索賠工作流程、提高準確性並減少人為錯誤。此外，主要參與者積極與醫療保健提供者和付款人合作，以了解他們的特定需求和挑戰，並相應地自訂他們的解決方案。他們也進行合作和收購，以擴大產品範圍並加強市場佔有率。此外，領先的參與者強調遵守不斷變化的監管要求的重要性，以確保他們的解決方案符合必要的標準。此外，主要參與者還投資於研發，不斷增強其索賠管理解決方案，結合預測分析、機器學習和數據驅動的見解，以提高流程效率並最佳化收入週期。這些努力共同推動了醫療保健索賠管理市場的成長和進步。

該報告對全球醫療保健理賠管理市場的競爭格局進行了全面分析。也提供了所有主要公司的詳細資料。市場上的一些主要參與者包括：

埃森哲公司

Allscripts 醫療保健解決方案公司

雅典娜健康

關懷雲端公司

認知

針葉樹健康解決方案（Tenet Healthcare Corporation）

麥克森公司

Optum Inc.（聯合健康集團公司）

甲骨文公司

Plexis 醫療保健系統

探索診斷

SSI 集團有限責任公司。

最近的發展：

埃森哲公司透過開發創新的醫療保健解決方案，包括電子健康記錄 (EHR) 整合患者參與、護理管理、財務和網路管理，推動了整個醫療保健提供者價值鏈的數位轉型。

2019 年，新的 athenahealth 成立，匯集了兩家在醫療保健技術領域擁有數十年經驗的公司：athenahealth, Inc. 和 Virence Health。這兩家公司的技術、洞察力、專業知識和客戶群相結合，在全國各地擁有廣闊的足跡。

2023 年，Conifer Health Solutions 和 Welldoc 建立策略合作夥伴關係，推出個人化數位健康應用程式 Conifer connect，實現協作護理和改善健康。

本報告回答的關鍵問題

  • 全球醫療保健理賠管理市場有多大
  • 2023-2028年全球醫療保健理賠管理市場的預期成長率是多少
  • 推動全球醫療保健理賠管理市場的關鍵因素是什麼
  • COVID-19 對全球醫療保健索賠管理市場有何影響
  • 基於產品的全球醫療保健索賠管理市場的細分是什麼
  • 基於組成部分的全球醫療保健索賠管理市場的細分是什麼
  • 根據解決方案類型，全球醫療保健索賠管理市場的細分如何
  • 基於交付模式的全球醫療保健理賠管理市場的細分是什麼
  • 全球醫療保健理賠管理市場的關鍵區域有哪些
  • 10. 全球醫療保健理賠管理市場的主要參與者/公司有哪些？

本報告回答的關鍵問題

  • 全球醫療保健理賠管理市場有多大？
  • 2023-2028年全球醫療保健理賠管理市場的預期成長率為何？
  • 推動全球醫療保健理賠管理市場的關鍵因素是什麼？
  • COVID-19 對全球醫療保健索賠管理市場有何影響？
  • 基於該產品的全球醫療保健理賠管理市場的詳細情形如何？
  • 基於組件的全球醫療保健索賠管理市場的細分是什麼？
  • 根據解決方案類型，全球醫療保健索賠管理市場的細分如何？
  • 根據交付模式，全球醫療保健理賠管理市場的細分如何？
  • 全球醫療保健理賠管理市場的關鍵區域有哪些？
  • 全球醫療保健索賠管理市場的主要參與者/公司有哪些？

目錄

第 1 章：前言

第 2 章：範圍與方法

  • 研究目的
  • 利害關係人
  • 資料來源
    • 主要資源
    • 二手資料
  • 市場預測
    • 自下而上的方法
    • 自上而下的方法
  • 預測方法

第 3 章：執行摘要

第 4 章：簡介

  • 概述
  • 主要行業趨勢

第 5 章：全球醫療保健索賠管理市場

  • 市場概況
  • 市場業績
  • COVID-19 的影響
  • 市場預測

第 6 章：按產品分類的市場區隔

  • 醫療帳單
    • 市場走向
    • 關鍵環節
      • 專業的
      • 制度性
    • 市場預測
  • 索賠處理
    • 市場走向
    • 市場預測

第 7 章：按成分分類的市場區隔

  • 服務
    • 市場走向
    • 市場預測
  • 軟體
    • 市場走向
    • 市場預測

第 8 章：按解決方案類型分類的市場區隔

  • 綜合解決方案
    • 市場走向
    • 市場預測
  • 獨立解決方案
    • 市場走向
    • 市場預測

第 9 章：按交付模式分類的市場細分

  • 本地
    • 市場走向
    • 市場預測
  • 基於雲端
    • 市場走向
    • 市場預測
  • 基於網路
    • 市場走向
    • 市場預測

第 10 章：最終用戶的市場區隔

  • 醫療保健支付者
    • 市場走向
    • 市場預測
  • 醫療保健機構
    • 市場走向
    • 市場預測
  • 其他
    • 市場走向
    • 市場預測

第 11 章：按地區分類的市場細分

  • 北美洲
    • 美國
      • 市場走向
      • 市場預測
    • 加拿大
      • 市場走向
      • 市場預測
  • 亞太
    • 中國
      • 市場走向
      • 市場預測
    • 日本
      • 市場走向
      • 市場預測
    • 印度
      • 市場走向
      • 市場預測
    • 韓國
      • 市場走向
      • 市場預測
    • 澳洲
      • 市場走向
      • 市場預測
    • 印尼
      • 市場走向
      • 市場預測
    • 其他
      • 市場走向
      • 市場預測
  • 歐洲
    • 德國
      • 市場走向
      • 市場預測
    • 法國
      • 市場走向
      • 市場預測
    • 英國
      • 市場走向
      • 市場預測
    • 義大利
      • 市場走向
      • 市場預測
    • 西班牙
      • 市場走向
      • 市場預測
    • 俄羅斯
      • 市場走向
      • 市場預測
    • 其他
      • 市場走向
      • 市場預測
  • 拉丁美洲
    • 巴西
      • 市場走向
      • 市場預測
    • 墨西哥
      • 市場走向
      • 市場預測
    • 其他
      • 市場走向
      • 市場預測
  • 中東和非洲
    • 市場走向
    • 按國家/地區分類的市場細分
    • 市場預測

第 12 章：SWOT 分析

  • 概述
  • 優勢
  • 弱點
  • 機會
  • 威脅

第 13 章：價值鏈分析

第 14 章：波特五力分析

  • 概述
  • 買家的議價能力
  • 供應商的議價能力
  • 競爭程度
  • 新進入者的威脅
  • 替代品的威脅

第 15 章：價格分析

第16章：競爭格局

  • 市場結構
  • 關鍵參與者
  • 關鍵參與者簡介
    • Accenture plc
    • Allscripts Healthcare Solutions Inc.
    • Athenahealth
    • Carecloud Inc
    • Cognizant
    • Conifer Health Solutions (Tenet Healthcare Corporation)
    • Mckesson Corporation
    • Optum Inc. (UnitedHealth Group Incorporated)
    • Oracle Corporation
    • Plexis Healthcare Systems
    • Quest Diagnostics
    • The SSI Group LLC
Product Code: SR112023A6530

Abstract

Market Overview:

The global healthcare claims management market size reached US$ 14.3 Billion in 2022. Looking forward, IMARC Group expects the market to reach US$ 24.4 Billion by 2028, exhibiting a growth rate (CAGR) of 9.1% during 2023-2028. The increasing complexity of healthcare management systems, rising healthcare costs and the need for cost containment, advancements in technology like adoption of automation and artificial intelligence (AI), and the shift toward value-based care models are some of the major factors propelling the market.

Healthcare claims management is a crucial aspect of the healthcare industry that involves the process of handling and processing medical claims made by patients and healthcare providers. It encompasses the entire lifecycle of a claim, from submission to reimbursement. The primary goal of claims management is to ensure accuracy, efficiency, and timely processing of claims, while minimizing errors and maximizing revenue for healthcare organizations. At the core of healthcare claims management is the interaction between healthcare providers, insurance companies, and patients. When a patient receives medical services, the healthcare provider submits a claim to the patient's insurance company, detailing the services rendered and requesting reimbursement. The insurance company then reviews the claim for completeness, accuracy, and compliance with its policies. This involves verifying the patient's eligibility, the appropriateness of the services provided, and the contractual obligations between the provider and the insurance company. Claims management involves various tasks, including data entry, coding, billing, claims submission, follow-up on outstanding claims, denial management, and appeals. Efficient claims management requires a deep understanding of medical coding systems, insurance policies, billing regulations, and industry standards.

The increasing complexity of healthcare billing and coding regulations necessitates claims management systems, which is creating a positive market outlook. As regulations evolve, healthcare providers must ensure accurate and compliant claims submission to avoid penalties and payment denials. This is escalating the demand for sophisticated claims management solutions that can handle the intricacies of coding, documentation, and billing requirements. Additionally, the rise in healthcare costs and the need for cost containment is propelling the market growth. Besides this, efficient claims management practices help identify and reduce billing errors, fraud, and abuse, leading to cost savings for healthcare organizations and payers. Other than this, the shift toward value-based care models emphasizes the importance of healthcare claims management. Providers are increasingly incentivized based on outcomes and quality of care, requiring meticulous claims management to track and measure performance metrics. Furthermore, advancements in technology, such as electronic health records (EHR) and health information exchange (HIE) systems, enable seamless data exchange, improving the accuracy and speed of claims processing. Automation and artificial intelligence (AI) are also revolutionizing claims management, streamlining processes, reducing errors, and optimizing reimbursement.

Healthcare Claims Management Market Trends/Drivers:

Increasing complexity of healthcare billing and coding regulations

As regulations become more intricate and stringent, healthcare providers must navigate complex coding systems, documentation requirements, and billing guidelines to ensure accurate claims submission. Failure to comply with these regulations can result in payment denials, audits, and penalties. To address this challenge, claims management systems and processes are designed to ensure adherence to billing and coding regulations, minimize errors, and maximize reimbursement. Robust claims management solutions provide the necessary tools and expertise to navigate the evolving regulatory landscape, ensuring compliance and optimizing revenue for healthcare organizations.

Rise in healthcare costs and the need for cost containment

With the increasing healthcare expenses, healthcare organizations and payers are under pressure to reduce costs and improve financial performance. Healthcare claims management plays a crucial role in identifying billing errors, fraudulent activities, and improper payments, which can contribute to unnecessary expenditures. By implementing robust claims management processes, organizations can identify and rectify these issues, leading to cost savings and improved revenue. Additionally, efficient claims management helps minimize payment delays and denials, ensuring timely reimbursement and financial stability for healthcare providers. As a result, it is a key strategy in containing costs and optimizing financial outcomes in the healthcare industry.

Advancements in technology

The adoption of electronic health records (EHR) and health information exchange (HIE) systems enable seamless sharing and processing of patient data, thus enhancing the accuracy and speed of claims management. Apart from this, technological advancements empower healthcare organizations to leverage data and automation, resulting in streamlined claims management processes, improved accuracy, and enhanced revenue cycle management. Automation and artificial intelligence (AI) tools streamline claims processes, reduce manual errors and improve efficiency. Machine learning algorithms can identify patterns in claims data, detecting potential fraud or errors. Additionally, technology-driven solutions facilitate real-time eligibility verification, electronic claim submission, and electronic remittance advice, simplifying the claims management workflow.

Healthcare Claims Management Industry Segmentation:

IMARC Group provides an analysis of the key trends in each segment of the global healthcare claims management market report, along with forecasts at the global, regional, and country levels from 2023-2028. Our report has categorized the market based on the product, component, solution type, delivery mode, and end user.

Breakup by Product:

Medical Billing

Professional

Institutional

Claims Processing

Medical billing dominates the market

The report has provided a detailed breakup and analysis of the healthcare claims management market based on the product. This includes medical billing (professional and institutional) and claims processing. According to the report, medical billing accounted for the largest share.

Medical billing involves the process of accurately translating medical procedures, diagnoses, and services into billing codes for reimbursement. Efficient medical billing ensures timely claims submission, reduces billing errors, and maximizes revenue for healthcare providers. By streamlining the billing process, healthcare organizations can optimize their revenue cycle, minimize payment delays, and enhance financial performance. Effective medical billing systems and practices are essential for a smooth claims management process, ensuring accurate reimbursement and financial viability for healthcare providers.

Claims processing involves the review, adjudication, and payment of submitted medical claims. Efficient claims processing ensures that claims are evaluated accurately, in compliance with payer policies and regulations. It involves tasks such as verification of patient eligibility, coding review, claims submission, and payment reconciliation. Streamlining the claims processing workflow minimizes delays, reduces errors, and enhances the overall efficiency of the claims management process. By ensuring timely and accurate claims processing, healthcare organizations can optimize revenue, improve provider-payer relationships, and enhance the overall financial health of the healthcare ecosystem.

Breakup by Component:

Services

Software

Software holds the majority of the overall market share

A detailed breakup and analysis of the healthcare claims management market based on the component has also been provided in the report. This includes services and software. According to the report, software represented the largest market segment.

Healthcare claims management software provides a digital platform to streamline the entire claims lifecycle. These solutions automate manual processes, facilitate electronic claims submission, offer coding and billing guidance, provide real-time eligibility verification, and generate analytics and reports for performance evaluation. Healthcare claims management software enhances efficiency, accuracy, and compliance, leading to improved revenue cycle management and financial outcomes for healthcare organizations. It enables seamless integration with electronic health records (EHR) systems, enhances interoperability, and promotes data-driven decision-making in the claims management process.

Healthcare claims management services offer comprehensive solutions for coding, billing, claims submission, denial management, and revenue cycle optimization. These services help healthcare providers navigate complex billing regulations, improve accuracy, reduce errors, and optimize reimbursement. By outsourcing claims management to experienced service providers, healthcare organizations can focus on delivering quality care while ensuring efficient and effective claims processing.

Breakup by Solution Type:

Integrated Solutions

Standalone Solutions

Integrated solutions represent the most popular solution type

The report has provided a detailed breakup and analysis of the healthcare claims management market based on the solution type. This includes integrated and standalone solutions. According to the report, integrated solutions accounted for the largest share.

Integrated solutions offer comprehensive platforms that combine multiple functionalities within a single system. These solutions integrate with electronic health record (EHR) systems, billing software, and other healthcare applications, allowing seamless data exchange and streamlined workflows. Integrated solutions also provide end-to-end claims management capabilities, from coding and documentation to claims submission and payment reconciliation. They offer a unified view of patient information, automate processes, enhance accuracy, and improve efficiency. By eliminating the need for multiple disconnected systems, integrated solutions simplify the claims management process, enhance collaboration between stakeholders, and optimize revenue cycle management.

Standalone solutions offer specialized tools focused solely on claims processing and management. These solutions may provide specific functionalities like claims submission, denial management, or analytics. Standalone solutions are designed to address specific pain points to cater to specific needs of healthcare organizations. They offer targeted features and customization options, allowing organizations to choose and implement specific modules as per their requirements. Standalone solutions are flexible, scalable, and often interoperable with existing systems. They enable healthcare organizations to address specific claims management challenges efficiently, enhance productivity, and improve financial performance by addressing specific pain points.

Breakup by Delivery Mode:

On-premises

Cloud-based

Web-based

Web-based delivery mode accounts for the largest market share

The report has provided a detailed breakup and analysis of the healthcare claims management market based on the delivery mode. This includes o-premises, cloud-based, and web-based. According to the report, web-based accounted for the largest share.

Web-based delivery mode of healthcare claims management is the process of handling and processing medical claims using online platforms or web-based systems. Healthcare providers submit claims electronically through web portals or dedicated software systems. These claims contain information such as patient details, services rendered, diagnosis codes, and associated costs. It involves the submission, processing, adjudication, and payment of claims for medical services provided to patients. Web-based systems can access real-time eligibility data to determine if a patient is covered by insurance and if the services provided are eligible for reimbursement. Moreover, web portals allow for secure and direct communication between healthcare providers and payers, thereby facilitating quicker resolution of claim-related inquiries and issues.On-premises delivery mode allows organizations to host and manage their claims management systems internally. This mode provides complete control over the infrastructure, data security, and customization options. On-premises solutions are preferred by organizations with specific security and compliance requirements, allowing them to maintain sensitive patient data within their own premises.

Cloud-based delivery mode drives the claims management market by providing web-based solutions hosted on remote servers. Cloud-based solutions offer flexibility, scalability, and accessibility from anywhere with an internet connection. They eliminate the need for complex on-site infrastructure, reduce maintenance costs, and provide automatic software updates. Cloud-based solutions enable rapid deployment, easy integration, and seamless data sharing, promoting collaboration between stakeholders and enabling efficient claims management across multiple locations and devices.

Breakup by End User:

Healthcare Payers

Healthcare Providers

Others

A detailed breakup and analysis of the healthcare claims management market based on the end user has also been provided in the report. This includes healthcare payers, healthcare providers, and others.

Healthcare payers drive the claims management process by setting policies, guidelines, and reimbursement rates for healthcare services. They establish the rules and requirements that healthcare providers must follow when submitting claims for reimbursement. Payers play a crucial role in evaluating and adjudicating claims, ensuring compliance with regulatory standards, and managing payment processes. They invest in advanced claims management systems, employ skilled professionals, and implement fraud detection mechanisms to optimize claims processing and cost containment.

Healthcare providers drive claims management by submitting accurate and complete claims for reimbursement to payers. They are responsible for coding medical services, documenting patient encounters, and submitting claims in a timely manner. Providers invest in efficient claims management processes, software, and staff training to minimize errors, avoid claim denials, and maximize reimbursement. They also collaborate with payers to understand and adhere to the evolving reimbursement policies, ensure proper documentation, and engage in appeals and follow-ups for denied claims. Providers continuously strive to improve claims management efficiency to optimize revenue and financial sustainability.

Breakup by Region:

North America

United States

Canada

Asia-Pacific

China

Japan

India

South Korea

Australia

Indonesia

Others

Europe

Germany

France

United Kingdom

Italy

Spain

Russia

Others

Latin America

Brazil

Mexico

Others

Middle East and Africa

North America exhibits a clear dominance, accounting for the largest healthcare claims management market share

The report has also provided a comprehensive analysis of all the major regional markets, which include North America (the United States and Canada); Europe (Germany, France, the United Kingdom, Italy, Spain, Russia, and others); Asia Pacific (China, Japan, India, South Korea, Australia, Indonesia, and others); Latin America (Brazil, Mexico, and others); and the Middle East and Africa. According to the report, North America was the largest market for healthcare claims management.

In North America, there has been a growing adoption of claims management in the healthcare sector due to robust healthcare infrastructure, stringent regulatory environment, and technological advancements. The region emphasizes on efficient claims processing, fraud detection, and cost containment. It invests in innovative claims management solutions, leverages electronic health records (EHR) integration, and adopts advanced analytics to optimize revenue cycles and improve patient outcomes.

Europe healthcare claims management focuses on interoperability, standardized coding systems, and cost-effective healthcare delivery. The region emphasizes value-based care models, patient-centric approaches, and cross-border cooperation for seamless claims processing and reimbursement. It invests in integrated health information systems, data sharing platforms, and telemedicine solutions to streamline claims management processes and enhance overall healthcare efficiency.

The rapid digital transformation, expanding healthcare access, and growing health insurance is driving the Asia Pacific healthcare claims management market. The region leverages technological advancements, such as cloud computing and mobile health solutions, to improve claims processing and reimbursement accuracy. It emphasizes scalability, affordability, and interoperability of claims management systems to cater to diverse healthcare settings and populations. Asia Pacific also focuses on innovative payment models, regulatory reforms, and adoption of electronic claim submission to drive efficient claims management and financial sustainability in the healthcare industry.

Competitive Landscape:

The key players in the healthcare claims management market have undertaken various efforts to drive advancements and innovation in the industry. They have invested in developing robust claims management software and platforms that integrate with electronic health records (EHR) systems, enabling seamless data exchange and efficient claims processing. Additionally, these players have focused on incorporating automation and artificial intelligence (AI) technologies to streamline claims workflows, improve accuracy, and reduce manual errors. Furthermore, key players have actively collaborated with healthcare providers and payers to understand their specific needs and challenges, tailoring their solutions accordingly. They have also engaged in partnerships and acquisitions to expand their offerings and strengthen their market presence. Additionally, the leading players are emphasizing the importance of compliance with evolving regulatory requirements, ensuring their solutions meet the necessary standards. Moreover, key players have invested in research and development to continuously enhance their claims management solutions, incorporating predictive analytics, machine learning, and data-driven insights to drive process efficiency and optimize revenue cycles. These efforts collectively drive the growth and advancement of the healthcare claims management market.

The report has provided a comprehensive analysis of the competitive landscape in the global healthcare claims management market. Detailed profiles of all major companies have also been provided. Some of the key players in the market include:

Accenture Plc

Allscripts Healthcare Solutions Inc.

Athenahealth

Carecloud Inc.

Cognizant

Conifer Health Solutions (Tenet Healthcare Corporation)

Mckesson Corporation

Optum Inc. (United Health Group Incorporated)

Oracle Corporation

Plexis Healthcare Systems

Quest Diagnostics

The SSI Group LLC.

Recent Developments:

Accenture Plc has driven digital transformation across the healthcare provider value chain by developing innovative healthcare solutions, including electronic health records (EHR) integration patient engagement, care management, financials and network management.

In 2019, a new athenahealth was formed, bringing together two companies with decades of experience in healthcare technology: athenahealth, Inc. and Virence Health. The combined technology, insight, expertise, and customer base of these two companies offer a vast, nationwide footprint.

In 2023, Conifer Health Solutions and Welldoc entered a strategic partnership to launch Conifer connect, a personalized digital health app, enabling collaborative care and better health.

Key Questions Answered in This Report

  • 1. How big is the global healthcare claims management market?
  • 2. What is the expected growth rate of the global healthcare claims management market during 2023-2028?
  • 3. What are the key factors driving the global healthcare claims management market?
  • 4. What has been the impact of COVID-19 on the global healthcare claims management market?
  • 5. What is the breakup of the global healthcare claims management market based on the product?
  • 6. What is the breakup of the global healthcare claims management market based on the component?
  • 7. What is the breakup of the global healthcare claims management market based on the solution type?
  • 8. What is the breakup of the global healthcare claims management market based on the delivery mode?
  • 9. What are the key regions in the global healthcare claims management market?
  • 10. Who are the key players/companies in the global healthcare claims management market?

Table of Contents

1 Preface

2 Scope and Methodology

  • 2.1 Objectives of the Study
  • 2.2 Stakeholders
  • 2.3 Data Sources
    • 2.3.1 Primary Sources
    • 2.3.2 Secondary Sources
  • 2.4 Market Estimation
    • 2.4.1 Bottom-Up Approach
    • 2.4.2 Top-Down Approach
  • 2.5 Forecasting Methodology

3 Executive Summary

4 Introduction

  • 4.1 Overview
  • 4.2 Key Industry Trends

5 Global Healthcare Claims Management Market

  • 5.1 Market Overview
  • 5.2 Market Performance
  • 5.3 Impact of COVID-19
  • 5.4 Market Forecast

6 Market Breakup by Product

  • 6.1 Medical Billing
    • 6.1.1 Market Trends
    • 6.1.2 Key Segments
      • 6.1.2.1 Professional
      • 6.1.2.2 Institutional
    • 6.1.3 Market Forecast
  • 6.2 Claims Processing
    • 6.2.1 Market Trends
    • 6.2.2 Market Forecast

7 Market Breakup by Component

  • 7.1 Services
    • 7.1.1 Market Trends
    • 7.1.2 Market Forecast
  • 7.2 Software
    • 7.2.1 Market Trends
    • 7.2.2 Market Forecast

8 Market Breakup by Solution Type

  • 8.1 Integrated Solutions
    • 8.1.1 Market Trends
    • 8.1.2 Market Forecast
  • 8.2 Standalone Solutions
    • 8.2.1 Market Trends
    • 8.2.2 Market Forecast

9 Market Breakup by Delivery Mode

  • 9.1 On-premises
    • 9.1.1 Market Trends
    • 9.1.2 Market Forecast
  • 9.2 Cloud-based
    • 9.2.1 Market Trends
    • 9.2.2 Market Forecast
  • 9.3 Web-based
    • 9.3.1 Market Trends
    • 9.3.2 Market Forecast

10 Market Breakup by End User

  • 10.1 Healthcare Payers
    • 10.1.1 Market Trends
    • 10.1.2 Market Forecast
  • 10.2 Healthcare Providers
    • 10.2.1 Market Trends
    • 10.2.2 Market Forecast
  • 10.3 Others
    • 10.3.1 Market Trends
    • 10.3.2 Market Forecast

11 Market Breakup by Region

  • 11.1 North America
    • 11.1.1 United States
      • 11.1.1.1 Market Trends
      • 11.1.1.2 Market Forecast
    • 11.1.2 Canada
      • 11.1.2.1 Market Trends
      • 11.1.2.2 Market Forecast
  • 11.2 Asia-Pacific
    • 11.2.1 China
      • 11.2.1.1 Market Trends
      • 11.2.1.2 Market Forecast
    • 11.2.2 Japan
      • 11.2.2.1 Market Trends
      • 11.2.2.2 Market Forecast
    • 11.2.3 India
      • 11.2.3.1 Market Trends
      • 11.2.3.2 Market Forecast
    • 11.2.4 South Korea
      • 11.2.4.1 Market Trends
      • 11.2.4.2 Market Forecast
    • 11.2.5 Australia
      • 11.2.5.1 Market Trends
      • 11.2.5.2 Market Forecast
    • 11.2.6 Indonesia
      • 11.2.6.1 Market Trends
      • 11.2.6.2 Market Forecast
    • 11.2.7 Others
      • 11.2.7.1 Market Trends
      • 11.2.7.2 Market Forecast
  • 11.3 Europe
    • 11.3.1 Germany
      • 11.3.1.1 Market Trends
      • 11.3.1.2 Market Forecast
    • 11.3.2 France
      • 11.3.2.1 Market Trends
      • 11.3.2.2 Market Forecast
    • 11.3.3 United Kingdom
      • 11.3.3.1 Market Trends
      • 11.3.3.2 Market Forecast
    • 11.3.4 Italy
      • 11.3.4.1 Market Trends
      • 11.3.4.2 Market Forecast
    • 11.3.5 Spain
      • 11.3.5.1 Market Trends
      • 11.3.5.2 Market Forecast
    • 11.3.6 Russia
      • 11.3.6.1 Market Trends
      • 11.3.6.2 Market Forecast
    • 11.3.7 Others
      • 11.3.7.1 Market Trends
      • 11.3.7.2 Market Forecast
  • 11.4 Latin America
    • 11.4.1 Brazil
      • 11.4.1.1 Market Trends
      • 11.4.1.2 Market Forecast
    • 11.4.2 Mexico
      • 11.4.2.1 Market Trends
      • 11.4.2.2 Market Forecast
    • 11.4.3 Others
      • 11.4.3.1 Market Trends
      • 11.4.3.2 Market Forecast
  • 11.5 Middle East and Africa
    • 11.5.1 Market Trends
    • 11.5.2 Market Breakup by Country
    • 11.5.3 Market Forecast

12 SWOT Analysis

  • 12.1 Overview
  • 12.2 Strengths
  • 12.3 Weaknesses
  • 12.4 Opportunities
  • 12.5 Threats

13 Value Chain Analysis

14 Porters Five Forces Analysis

  • 14.1 Overview
  • 14.2 Bargaining Power of Buyers
  • 14.3 Bargaining Power of Suppliers
  • 14.4 Degree of Competition
  • 14.5 Threat of New Entrants
  • 14.6 Threat of Substitutes

15 Price Analysis

16 Competitive Landscape

  • 16.1 Market Structure
  • 16.2 Key Players
  • 16.3 Profiles of Key Players
    • 16.3.1 Accenture plc
      • 16.3.1.1 Company Overview
      • 16.3.1.2 Product Portfolio
      • 16.3.1.3 Financials
      • 16.3.1.4 SWOT Analysis
    • 16.3.2 Allscripts Healthcare Solutions Inc.
      • 16.3.2.1 Company Overview
      • 16.3.2.2 Product Portfolio
      • 16.3.2.3 Financials
      • 16.3.2.4 SWOT Analysis
    • 16.3.3 Athenahealth
      • 16.3.3.1 Company Overview
      • 16.3.3.2 Product Portfolio
    • 16.3.4 Carecloud Inc
      • 16.3.4.1 Company Overview
      • 16.3.4.2 Product Portfolio
      • 16.3.4.3 Financials
    • 16.3.5 Cognizant
      • 16.3.5.1 Company Overview
      • 16.3.5.2 Product Portfolio
      • 16.3.5.3 Financials
      • 16.3.5.4 SWOT Analysis
    • 16.3.6 Conifer Health Solutions (Tenet Healthcare Corporation)
      • 16.3.6.1 Company Overview
      • 16.3.6.2 Product Portfolio
    • 16.3.7 Mckesson Corporation
      • 16.3.7.1 Company Overview
      • 16.3.7.2 Product Portfolio
      • 16.3.7.3 Financials
      • 16.3.7.4 SWOT Analysis
    • 16.3.8 Optum Inc. (UnitedHealth Group Incorporated)
      • 16.3.8.1 Company Overview
      • 16.3.8.2 Product Portfolio
    • 16.3.9 Oracle Corporation
      • 16.3.9.1 Company Overview
      • 16.3.9.2 Product Portfolio
      • 16.3.9.3 Financials
      • 16.3.9.4 SWOT Analysis
    • 16.3.10 Plexis Healthcare Systems
      • 16.3.10.1 Company Overview
      • 16.3.10.2 Product Portfolio
    • 16.3.11 Quest Diagnostics
      • 16.3.11.1 Company Overview
      • 16.3.11.2 Product Portfolio
      • 16.3.11.3 Financials
      • 16.3.11.4 SWOT Analysis
    • 16.3.12 The SSI Group LLC
      • 16.3.12.1 Company Overview
      • 16.3.12.2 Product Portfolio

List of Figures

  • Figure 1: Global: Healthcare Claims Management Market: Major Drivers and Challenges
  • Figure 2: Global: Healthcare Claims Management Market: Sales Value (in Billion US$), 2017-2022
  • Figure 3: Global: Healthcare Claims Management Market Forecast: Sales Value (in Billion US$), 2023-2028
  • Figure 4: Global: Healthcare Claims Management Market: Breakup by Product (in %), 2022
  • Figure 5: Global: Healthcare Claims Management Market: Breakup by Component (in %), 2022
  • Figure 6: Global: Healthcare Claims Management Market: Breakup by Solution Type (in %), 2022
  • Figure 7: Global: Healthcare Claims Management Market: Breakup by Delivery Mode (in %), 2022
  • Figure 8: Global: Healthcare Claims Management Market: Breakup by End User (in %), 2022
  • Figure 9: Global: Healthcare Claims Management Market: Breakup by Region (in %), 2022
  • Figure 10: Global: Healthcare Claims Management (Medical Billing) Market: Sales Value (in Million US$), 2017 & 2022
  • Figure 11: Global: Healthcare Claims Management (Medical Billing) Market Forecast: Sales Value (in Million US$), 2023-2028
  • Figure 12: Global: Healthcare Claims Management (Claims Processing) Market: Sales Value (in Million US$), 2017 & 2022
  • Figure 13: Global: Healthcare Claims Management (Claims Processing) Market Forecast: Sales Value (in Million US$), 2023-2028
  • Figure 14: Global: Healthcare Claims Management (Services) Market: Sales Value (in Million US$), 2017 & 2022
  • Figure 15: Global: Healthcare Claims Management (Services) Market Forecast: Sales Value (in Million US$), 2023-2028
  • Figure 16: Global: Healthcare Claims Management (Software) Market: Sales Value (in Million US$), 2017 & 2022
  • Figure 17: Global: Healthcare Claims Management (Software) Market Forecast: Sales Value (in Million US$), 2023-2028
  • Figure 18: Global: Healthcare Claims Management (Integrated Solutions) Market: Sales Value (in Million US$), 2017 & 2022
  • Figure 19: Global: Healthcare Claims Management (Integrated Solutions) Market Forecast: Sales Value (in Million US$), 2023-2028
  • Figure 20: Global: Healthcare Claims Management (Standalone Solutions) Market: Sales Value (in Million US$), 2017 & 2022
  • Figure 21: Global: Healthcare Claims Management (Standalone Solutions) Market Forecast: Sales Value (in Million US$), 2023-2028
  • Figure 22: Global: Healthcare Claims Management (On-premises) Market: Sales Value (in Million US$), 2017 & 2022
  • Figure 23: Global: Healthcare Claims Management (On-premises) Market Forecast: Sales Value (in Million US$), 2023-2028
  • Figure 24: Global: Healthcare Claims Management (Cloud-based) Market: Sales Value (in Million US$), 2017 & 2022
  • Figure 25: Global: Healthcare Claims Management (Cloud-based) Market Forecast: Sales Value (in Million US$), 2023-2028
  • Figure 26: Global: Healthcare Claims Management (Web-based) Market: Sales Value (in Million US$), 2017 & 2022
  • Figure 27: Global: Healthcare Claims Management (Web-based) Market Forecast: Sales Value (in Million US$), 2023-2028
  • Figure 28: Global: Healthcare Claims Management (Healthcare Payers) Market: Sales Value (in Million US$), 2017 & 2022
  • Figure 29: Global: Healthcare Claims Management (Healthcare Payers) Market Forecast: Sales Value (in Million US$), 2023-2028
  • Figure 30: Global: Healthcare Claims Management (Healthcare Providers) Market: Sales Value (in Million US$), 2017 & 2022
  • Figure 31: Global: Healthcare Claims Management (Healthcare Providers) Market Forecast: Sales Value (in Million US$), 2023-2028
  • Figure 32: Global: Healthcare Claims Management (Other End Users) Market: Sales Value (in Million US$), 2017 & 2022
  • Figure 33: Global: Healthcare Claims Management (Other End Users) Market Forecast: Sales Value (in Million US$), 2023-2028
  • Figure 34: North America: Healthcare Claims Management Market: Sales Value (in Million US$), 2017 & 2022
  • Figure 35: North America: Healthcare Claims Management Market Forecast: Sales Value (in Million US$), 2023-2028
  • Figure 36: United States: Healthcare Claims Management Market: Sales Value (in Million US$), 2017 & 2022
  • Figure 37: United States: Healthcare Claims Management Market Forecast: Sales Value (in Million US$), 2023-2028
  • Figure 38: Canada: Healthcare Claims Management Market: Sales Value (in Million US$), 2017 & 2022
  • Figure 39: Canada: Healthcare Claims Management Market Forecast: Sales Value (in Million US$), 2023-2028
  • Figure 40: Asia-Pacific: Healthcare Claims Management Market: Sales Value (in Million US$), 2017 & 2022
  • Figure 41: Asia-Pacific: Healthcare Claims Management Market Forecast: Sales Value (in Million US$), 2023-2028
  • Figure 42: China: Healthcare Claims Management Market: Sales Value (in Million US$), 2017 & 2022
  • Figure 43: China: Healthcare Claims Management Market Forecast: Sales Value (in Million US$), 2023-2028
  • Figure 44: Japan: Healthcare Claims Management Market: Sales Value (in Million US$), 2017 & 2022
  • Figure 45: Japan: Healthcare Claims Management Market Forecast: Sales Value (in Million US$), 2023-2028
  • Figure 46: India: Healthcare Claims Management Market: Sales Value (in Million US$), 2017 & 2022
  • Figure 47: India: Healthcare Claims Management Market Forecast: Sales Value (in Million US$), 2023-2028
  • Figure 48: South Korea: Healthcare Claims Management Market: Sales Value (in Million US$), 2017 & 2022
  • Figure 49: South Korea: Healthcare Claims Management Market Forecast: Sales Value (in Million US$), 2023-2028
  • Figure 50: Australia: Healthcare Claims Management Market: Sales Value (in Million US$), 2017 & 2022
  • Figure 51: Australia: Healthcare Claims Management Market Forecast: Sales Value (in Million US$), 2023-2028
  • Figure 52: Indonesia: Healthcare Claims Management Market: Sales Value (in Million US$), 2017 & 2022
  • Figure 53: Indonesia: Healthcare Claims Management Market Forecast: Sales Value (in Million US$), 2023-2028
  • Figure 54: Others: Healthcare Claims Management Market: Sales Value (in Million US$), 2017 & 2022
  • Figure 55: Others: Healthcare Claims Management Market Forecast: Sales Value (in Million US$), 2023-2028
  • Figure 56: Europe: Healthcare Claims Management Market: Sales Value (in Million US$), 2017 & 2022
  • Figure 57: Europe: Healthcare Claims Management Market Forecast: Sales Value (in Million US$), 2023-2028
  • Figure 58: Germany: Healthcare Claims Management Market: Sales Value (in Million US$), 2017 & 2022
  • Figure 59: Germany: Healthcare Claims Management Market Forecast: Sales Value (in Million US$), 2023-2028
  • Figure 60: France: Healthcare Claims Management Market: Sales Value (in Million US$), 2017 & 2022
  • Figure 61: France: Healthcare Claims Management Market Forecast: Sales Value (in Million US$), 2023-2028
  • Figure 62: United Kingdom: Healthcare Claims Management Market: Sales Value (in Million US$), 2017 & 2022
  • Figure 63: United Kingdom: Healthcare Claims Management Market Forecast: Sales Value (in Million US$), 2023-2028
  • Figure 64: Italy: Healthcare Claims Management Market: Sales Value (in Million US$), 2017 & 2022
  • Figure 65: Italy: Healthcare Claims Management Market Forecast: Sales Value (in Million US$), 2023-2028
  • Figure 66: Spain: Healthcare Claims Management Market: Sales Value (in Million US$), 2017 & 2022
  • Figure 67: Spain: Healthcare Claims Management Market Forecast: Sales Value (in Million US$), 2023-2028
  • Figure 68: Russia: Healthcare Claims Management Market: Sales Value (in Million US$), 2017 & 2022
  • Figure 69: Russia: Healthcare Claims Management Market Forecast: Sales Value (in Million US$), 2023-2028
  • Figure 70: Others: Healthcare Claims Management Market: Sales Value (in Million US$), 2017 & 2022
  • Figure 71: Others: Healthcare Claims Management Market Forecast: Sales Value (in Million US$), 2023-2028
  • Figure 72: Latin America: Healthcare Claims Management Market: Sales Value (in Million US$), 2017 & 2022
  • Figure 73: Latin America: Healthcare Claims Management Market Forecast: Sales Value (in Million US$), 2023-2028
  • Figure 74: Brazil: Healthcare Claims Management Market: Sales Value (in Million US$), 2017 & 2022
  • Figure 75: Brazil: Healthcare Claims Management Market Forecast: Sales Value (in Million US$), 2023-2028
  • Figure 76: Mexico: Healthcare Claims Management Market: Sales Value (in Million US$), 2017 & 2022
  • Figure 77: Mexico: Healthcare Claims Management Market Forecast: Sales Value (in Million US$), 2023-2028
  • Figure 78: Others: Healthcare Claims Management Market: Sales Value (in Million US$), 2017 & 2022
  • Figure 79: Others: Healthcare Claims Management Market Forecast: Sales Value (in Million US$), 2023-2028
  • Figure 80: Middle East and Africa: Healthcare Claims Management Market: Sales Value (in Million US$), 2017 & 2022
  • Figure 81: Middle East and Africa: Healthcare Claims Management Market: Breakup by Country (in %), 2022
  • Figure 82: Middle East and Africa: Healthcare Claims Management Market Forecast: Sales Value (in Million US$), 2023-2028
  • Figure 83: Global: Healthcare Claims Management Industry: SWOT Analysis
  • Figure 84: Global: Healthcare Claims Management Industry: Value Chain Analysis
  • Figure 85: Global: Healthcare Claims Management Industry: Porter's Five Forces Analysis

List of Tables

  • Table 1: Global: Healthcare Claims Management Market: Key Industry Highlights, 2022 and 2028
  • Table 2: Global: Healthcare Claims Management Market Forecast: Breakup by Product (in Million US$), 2023-2028
  • Table 3: Global: Healthcare Claims Management Market Forecast: Breakup by Component (in Million US$), 2023-2028
  • Table 4: Global: Healthcare Claims Management Market Forecast: Breakup by Solution Type (in Million US$), 2023-2028
  • Table 5: Global: Healthcare Claims Management Market Forecast: Breakup by Delivery Mode (in Million US$), 2023-2028
  • Table 6: Global: Healthcare Claims Management Market Forecast: Breakup by End User (in Million US$), 2023-2028
  • Table 7: Global: Healthcare Claims Management Market Forecast: Breakup by Region (in Million US$), 2023-2028
  • Table 8: Global: Healthcare Claims Management Market: Competitive Structure
  • Table 9: Global: Healthcare Claims Management Market: Key Players