Table of Content

1 INTRODUCTION 25
1.1 OBJECTIVES OF THE STUDY 25
1.2 MARKET DEFINITION 25
1.3 MARKET SCOPE 26
1.3.1 INCLUSIONS AND EXCLUSIONS 26
1.3.2 MARKETS COVERED 27
FIGURE 1 HEALTHCARE EDI MARKET SEGMENTATION 27
1.3.3 YEARS CONSIDERED FOR THE STUDY 27
1.4 LIMITATIONS 28
1.5 CURRENCY 28
1.6 STAKEHOLDERS 28
1.7 SUMMARY OF CHANGES 28

2 RESEARCH METHODOLOGY 30
2.1 RESEARCH DATA 30
FIGURE 2 RESEARCH DESIGN 30
2.1.1 SECONDARY DATA 30
2.1.1.1 Key data from secondary sources 31
2.1.2 PRIMARY DATA 31
FIGURE 3 PRIMARY SOURCES 31
2.1.2.1 Key data from primary sources 32
2.1.2.2 Breakdown of primary sources 33
FIGURE 4 BREAKDOWN OF PRIMARY INTERVIEWS: BY COMPANY,
DESIGNATION, AND REGION 33
2.2 MARKET SIZE ESTIMATION 33
FIGURE 5 MARKET SIZE ESTIMATION: REVENUE SHARE ANALYSIS 34
FIGURE 6 ILLUSTRATIVE EXAMPLE OF OPTUM 34
FIGURE 7 TOP-DOWN APPROACH 35
FIGURE 8 CAGR PROJECTIONS: SUPPLY-SIDE ANALYSIS 36
2.3 MARKET BREAKDOWN AND DATA TRIANGULATION 37
FIGURE 9 DATA TRIANGULATION METHODOLOGY 37
2.4 MARKET SHARE ESTIMATION 38
2.5 ASSUMPTIONS FOR THE STUDY 38
2.6 COVID-19 HEALTH ASSESSMENT 39
2.7 COVID-19 ECONOMIC ASSESSMENT 39
2.8 ASSESSMENT OF THE IMPACT OF COVID-19 ON THE ECONOMIC SCENARIO 40
FIGURE 10 CRITERIA IMPACTING THE GLOBAL ECONOMY 40
FIGURE 11 RECOVERY SCENARIO OF THE GLOBAL ECONOMY 41
2.9 ASSESSMENT OF THE IMPACT OF COVID-19 ON THE ECONOMIC SCENARIO PERTAINING TO THE HEALTHCARE EDI MARKET 42

3 EXECUTIVE SUMMARY 43
FIGURE 12 HEALTHCARE EDI MARKET, BY PRODUCT & SERVICE,
2020 VS. 2025 (USD MILLION) 43
FIGURE 13 HEALTHCARE EDI MARKET, BY DELIVERY MODE,
2020 VS. 2025 (USD MILLION) 44
FIGURE 14 HEALTHCARE EDI MARKET, BY TRANSACTION TYPE,
2020 VS. 2025 (USD MILLION) 44
FIGURE 15 HEALTHCARE EDI MARKET, BY END USER, 2020 VS. 2025 (USD MILLION) 45
FIGURE 16 HEALTHCARE EDI MARKET: GEOGRAPHIC SNAPSHOT 45

4 PREMIUM INSIGHTS 47
4.1 HEALTHCARE EDI MARKET OVERVIEW 47
FIGURE 17 INCREASING ADOPTION OF HEALTHCARE EDI SOLUTIONS TO
DRIVE MARKET GROWTH 47
4.2 NORTH AMERICA: HEALTHCARE EDI MARKET, BY DELIVERY MODE (2020) 48
FIGURE 18 WEB- & CLOUD-BASED EDI TO ACCOUNT FOR THE LARGEST SHARE OF THE NORTH AMERICAN HEALTHCARE EDI MARKET IN 2020 48
4.3 GEOGRAPHICAL SNAPSHOT OF THE HEALTHCARE EDI MARKET 49
FIGURE 19 CHINA TO WITNESS THE HIGHEST GROWTH IN THE HEALTHCARE
EDI MARKET FROM 2020 TO 2025 49

5 MARKET OVERVIEW 50
5.1 INTRODUCTION 50
5.2 MARKET DYNAMICS 50
FIGURE 20 HEALTHCARE EDI MARKET: DRIVERS, RESTRAINTS,
OPPORTUNITIES, AND CHALLENGES 50
5.2.1 KEY MARKET DRIVERS 51
5.2.1.1 Favorable regulations for transaction processes 51
5.2.1.2 Rising need to curtail healthcare costs 51
FIGURE 21 HEALTHCARE EDI SPENDING ON CLAIMS-RELATED BUSINESS TRANSACTIONS 52
5.2.1.3 Government support for HCIT 52
TABLE 1 IMPACT ANALYSIS: MARKET DRIVERS 53
5.2.2 MARKET RESTRAINTS 53
5.2.2.1 Data security?a major concern for patients and EDI users 53
5.2.2.2 High implementation cost of EDI software 53
TABLE 2 IMPACT ANALYSIS: MARKET RESTRAINTS 54
5.2.3 MARKET OPPORTUNITIES 54
5.2.3.1 Increase in outsourcing of EDI services 54
5.2.3.2 Introduction of ICD-11 guidelines 54
TABLE 3 IMPACT ANALYSIS: MARKET OPPORTUNITIES 55
_
5.2.4 MARKET CHALLENGES 55
5.2.4.1 Integration between various HCIT solutions within the healthcare industry 55
5.2.4.2 End-user limitations and requirements 55
TABLE 4 IMPACT ANALYSIS: MARKET CHALLENGES 56
5.3 COVID-19 IMPACT ANALYSIS 56
5.3.1 IMPACT OF COVID-19 ON THE HEALTHCARE EDI MARKET 56
FIGURE 22 IMPACT OF COVID-19 ON THE HEALTHCARE EDI MARKET 57
5.4 ECOSYSTEM 57
FIGURE 23 HEALTHCARE EDI MARKET: ECOSYSTEM 58
5.5 TECHNOLOGY ANALYSIS 58
FIGURE 24 FOCUS ON EDI IN HEALTHCARE MANUFACTURING & DISTRIBUTION AND IPAAS ARE THE MAJOR TRENDS IN THE MARKET 58

6 INDUSTRY INSIGHTS 59
6.1 EVOLUTION OF EDI 59
FIGURE 25 EVOLUTION OF HEALTHCARE EDI 59
6.2 HEALTHCARE EDI STANDARDS 60
6.2.1 ANSI X12 60
6.2.2 EDIFACT 60
6.2.3 OTHERS 60
TABLE 5 HEALTHCARE EDI: MAJOR TRANSACTION TYPES 61
6.3 HEALTHCARE EDI AND VALUE-BASED CARE 62
FIGURE 26 VALUE-BASED CARE THROUGH EFFICIENT DATA EXCHANGE 62
6.4 INDUSTRY TRENDS 63
6.4.1 GROWING FOCUS ON INTEGRATION PLATFORM AS A SERVICE (IPAAS) 63
6.4.2 INCREASING USE OF EDI IN HEALTHCARE MANUFACTURING/DISTRIBUTION 63
6.4.3 BUDGETARY CONSTRAINTS AND COST-CUTTING MEASURES ARE DRIVING THE ADOPTION OF EDI SOLUTIONS IN EUROPEAN HOSPITALS 64

7 GLOBAL HEALTHCARE EDI MARKET, BY PRODUCT & SERVICE 65
7.1 INTRODUCTION 66
TABLE 6 HEALTHCARE EDI MARKET, BY PRODUCT & SERVICE,
2018–2025 (USD MILLION) 66
7.2 SERVICES 66
7.2.1 INCREASED DEMAND FOR SOFTWARE-AS-A-SERVICE (SAAS) OFFERINGS AND OUTSOURCED SERVICES IS A MAJOR DRIVING FACTOR 66
TABLE 7 HEALTHCARE EDI SERVICES OFFERED BY KEY MARKET PLAYERS 67
TABLE 8 HEALTHCARE EDI SERVICES MARKET, BY COUNTRY,
2018–2025 (USD MILLION) 67
7.3 SOLUTIONS 68
7.3.1 HEALTHCARE EDI SOLUTIONS ARE MOSTLY USED FOR THE EDI VAN AND POINT-TO-POINT EDI MODES OF DELIVERY 68
TABLE 9 HEALTHCARE EDI SOLUTIONS OFFERED BY KEY MARKET PLAYERS 68
TABLE 10 HEALTHCARE EDI SOLUTIONS MARKET, BY COUNTRY,
2018–2025 (USD MILLION) 69

8 GLOBAL HEALTHCARE EDI MARKET, BY DELIVERY MODE 70
8.1 INTRODUCTION 71
TABLE 11 HEALTHCARE EDI MARKET, BY DELIVERY MODE, 2018–2025 (USD MILLION) 71
8.2 WEB- & CLOUD-BASED EDI 71
8.2.1 PROVIDES AN AFFORDABLE SOLUTION FOR SMALL- AND MEDIUM-SIZED HEALTHCARE PROVIDERS 71
TABLE 12 WEB- & CLOUD-BASED EDI MARKET, BY COUNTRY,
2018–2025 (USD MILLION) 72
8.3 EDI VAN 72
8.3.1 THIS DELIVERY MODEL IS MOST COMMONLY USED BY CLEARINGHOUSES OR INTERMEDIARIES 72
TABLE 13 EDI VAN MARKET, BY COUNTRY, 2018–2025 (USD MILLION) 73
8.4 POINT-TO-POINT EDI 73
8.4.1 PRIMARILY USED BY LARGE ORGANIZATIONS TO PROCESS AND EXCHANGE LARGE NUMBERS OF DOCUMENTS 73
TABLE 14 POINT-TO-POINT EDI MARKET, BY COUNTRY, 2018–2025 (USD MILLION) 74
8.5 MOBILE EDI 74
8.5.1 MOBILE EDI IS EXPECTED TO BE THE FASTEST-GROWING SEGMENT OWING TO THE INCREASED USE OF MOBILES FOR DATA EXCHANGE 74
TABLE 15 MOBILE EDI MARKET, BY COUNTRY, 2018–2025 (USD MILLION) 75

9 GLOBAL HEALTHCARE EDI MARKET, BY TRANSACTION TYPE 76
9.1 INTRODUCTION 77
TABLE 16 HEALTHCARE EDI MARKET, BY TRANSACTION TYPE,
2018–2025 (USD MILLION) 77
9.2 CLAIMS MANAGEMENT 77
TABLE 17 CLAIMS MANAGEMENT EDI SOLUTIONS OFFERED BY KEY MARKET PLAYERS 77
TABLE 18 CLAIMS MANAGEMENT EDI MARKET, BY TYPE, 2018–2025 (USD MILLION) 78
TABLE 19 CLAIMS MANAGEMENT EDI MARKET, BY COUNTRY,
2018–2025 (USD MILLION) 78
9.2.1 CLAIMS SUBMISSION 79
9.2.1.1 Growing adoption of electronic claims submission is a major driving factor for market growth 79
TABLE 20 CLAIMS SUBMISSION EDI SOLUTIONS OFFERED BY KEY MARKET PLAYERS 79
TABLE 21 CLAIMS SUBMISSION EDI MARKET, BY COUNTRY,
2018–2025 (USD MILLION) 80
9.2.2 CLAIMS STATUS 80
9.2.2.1 Need to decrease the time spent on manual claims management is a major driving factor for market growth 80
TABLE 22 CLAIMS STATUS EDI SOLUTIONS OFFERED BY KEY MARKET PLAYERS 81
TABLE 23 CLAIMS STATUS EDI MARKET, BY COUNTRY, 2018–2025 (USD MILLION) 81
_
9.2.3 ELIGIBILITY VERIFICATION 81
9.2.3.1 Eligibility verification solutions help reduce problems associated with paper-based systems 81
TABLE 24 ELIGIBILITY VERIFICATION EDI SOLUTIONS OFFERED BY KEY MARKET PLAYERS 82
TABLE 25 ELIGIBILITY VERIFICATION EDI MARKET, BY COUNTRY,
2018–2025 (USD MILLION) 83
9.2.4 CLAIMS PAYMENT 83
9.2.4.1 Claims payment solutions help automate payment exchange between payers and providers?a key factor driving market growth 83
TABLE 26 CLAIMS PAYMENT EDI SOLUTIONS OFFERED BY KEY MARKET PLAYERS 84
TABLE 27 CLAIMS PAYMENT EDI MARKET, BY COUNTRY, 2018–2025 (USD MILLION) 84
9.2.5 REFERRAL CERTIFICATION & AUTHORIZATION 84
9.2.5.1 Need to increase health plan investments and reduce response times are major driving factors for market growth 84
TABLE 28 REFERRAL CERTIFICATION & AUTHORIZATION EDI SOLUTIONS OFFERED
BY KEY MARKET PLAYERS 85
TABLE 29 REFERRAL CERTIFICATION & AUTHORIZATION EDI MARKET,
BY COUNTRY, 2018–2025 (USD MILLION) 85
9.2.6 PAYMENT REMITTANCE 86
9.2.6.1 Growing demand for streamlining payment information for health insurance is a major driving factor 86
TABLE 30 PAYMENT REMITTANCE EDI SOLUTIONS OFFERED BY KEY MARKET PLAYERS 86
TABLE 31 PAYMENT REMITTANCE EDI MARKET, BY COUNTRY,
2018–2025 (USD MILLION) 87
9.2.7 OTHER EDI TRANSACTIONS 87
TABLE 32 OTHER EDI TRANSACTIONS MARKET, BY COUNTRY,
2018–2025 (USD MILLION) 88
9.3 HEALTHCARE SUPPLY CHAIN MANAGEMENT 88
9.3.1 MAJOR DRIVING FACTORS ARE INCREASED EFFICIENCY AND ACCURACY, BETTER SUPPLY CHAIN INTEGRATION, AND IMPROVED INVENTORY MANAGEMENT 88
TABLE 33 HEALTHCARE SUPPLY CHAIN MANAGEMENT EDI SOLUTIONS OFFERED
BY KEY MARKET PLAYERS 89
TABLE 34 HEALTHCARE SUPPLY CHAIN MANAGEMENT EDI MARKET, BY COUNTRY, 2018–2025 (USD MILLION) 89

10 GLOBAL HEALTHCARE EDI MARKET, BY END USER 90
10.1 INTRODUCTION 91
TABLE 35 HEALTHCARE EDI MARKET, BY END USER, 2018–2025 (USD MILLION) 91
10.2 HEALTHCARE PROVIDERS 91
10.2.1 EDI SOLUTIONS HELP IN THE EXCHANGE OF PATIENT INFORMATION AND INTELLIGENT CLINICAL DECISION SUPPORT AMONG PROVIDERS & PAYERS 91
TABLE 36 HEALTHCARE EDI MARKET FOR HEALTHCARE PROVIDERS, BY COUNTRY, 2018–2025 (USD MILLION) 92
_
10.3 HEALTHCARE PAYERS 92
10.3.1 INCREASE IN THE NUMBER OF PRIVATE INSURERS TO DRIVE THE MARKET FOR HEALTHCARE EDI SOLUTIONS 92
TABLE 37 HEALTHCARE EDI MARKET FOR HEALTHCARE PAYERS, BY COUNTRY,
2018–2025 (USD MILLION) 93
10.4 MEDICAL DEVICE & PHARMACEUTICAL COMPANIES 93
10.4.1 EDI SOLUTIONS HELP SYNCHRONIZE BUSINESS PROCESSES AND IMPROVE THE EFFICIENCY OF SUPPLY CHAIN MANAGEMENT 93
TABLE 38 HEALTHCARE EDI MARKET FOR MEDICAL DEVICE & PHARMACEUTICAL COMPANIES, BY COUNTRY, 2018–2025 (USD MILLION) 94
10.5 PHARMACIES 94
10.5.1 EDI SOLUTIONS HELP REDUCE THE OVERALL COSTS AND HUMAN TYPING ERRORS IN PHARMACIES 94
TABLE 39 HEALTHCARE EDI MARKET FOR PHARMACIES, BY COUNTRY,
2018–2025 (USD MILLION) 95

11 GLOBAL HEALTHCARE EDI MARKET, BY REGION 96
11.1 INTRODUCTION 97
TABLE 40 HEALTHCARE EDI MARKET, BY REGION, 2018–2025 (USD MILLION) 97
11.2 NORTH AMERICA 97
FIGURE 27 NORTH AMERICA: HEALTHCARE EDI MARKET SNAPSHOT 98
TABLE 41 NORTH AMERICA: HEALTHCARE EDI MARKET, BY COUNTRY,
2018–2025 (USD MILLION) 99
TABLE 42 NORTH AMERICA: HEALTHCARE EDI MARKET, BY PRODUCT & SERVICE, 2018–2025 (USD MILLION) 99
TABLE 43 NORTH AMERICA: HEALTHCARE EDI MARKET, BY DELIVERY MODE,
2018–2025 (USD MILLION) 99
TABLE 44 NORTH AMERICA: HEALTHCARE EDI MARKET, BY TRANSACTION TYPE,
2018–2025 (USD MILLION) 100
TABLE 45 NORTH AMERICA: HEALTHCARE CLAIMS MANAGEMENT MARKET, BY TYPE, 2018–2025 (USD MILLION) 100
TABLE 46 NORTH AMERICA: HEALTHCARE EDI MARKET, BY END USER,
2018–2025 (USD MILLION) 100
11.2.1 US 101
11.2.1.1 US has the highest healthcare expenditure among OECD nations 101
TABLE 47 US: KEY MACROINDICATORS 102
TABLE 48 US: HEALTHCARE EDI MARKET, BY PRODUCT & SERVICE,
2018–2025 (USD MILLION) 102
TABLE 49 US: HEALTHCARE EDI MARKET, BY DELIVERY MODE,
2018–2025 (USD MILLION) 102
TABLE 50 US: HEALTHCARE EDI MARKET, BY TRANSACTION TYPE,
2018–2025 (USD MILLION) 103
TABLE 51 US: HEALTHCARE CLAIMS MANAGEMENT MARKET, BY TYPE,
2018–2025 (USD MILLION) 103
TABLE 52 US: HEALTHCARE EDI MARKET, BY END USER, 2018–2025 (USD MILLION) 103
_
11.2.2 CANADA 104
11.2.2.1 Major challenges faced in the management of patient data promote the demand for healthcare EDI solutions 104
TABLE 53 CANADA: KEY MACROINDICATORS 104
TABLE 54 CANADA: HEALTHCARE EDI MARKET, BY PRODUCT & SERVICE,
2018–2025 (USD MILLION) 105
TABLE 55 CANADA: HEALTHCARE EDI MARKET, BY DELIVERY MODE,
2018–2025 (USD MILLION) 105
TABLE 56 CANADA: HEALTHCARE EDI MARKET, BY TRANSACTION TYPE,
2018–2025 (USD MILLION) 105
TABLE 57 CANADA: HEALTHCARE CLAIMS MANAGEMENT MARKET, BY TYPE,
2018–2025 (USD MILLION) 106
TABLE 58 CANADA: HEALTHCARE EDI MARKET, BY END USER,
2018–2025 (USD MILLION) 106
11.3 EUROPE 107
TABLE 59 EUROPE: HEALTHCARE EDI MARKET, BY COUNTRY,
2018–2025 (USD MILLION) 107
TABLE 60 EUROPE: HEALTHCARE EDI MARKET, BY PRODUCT & SERVICE,
2018–2025 (USD MILLION) 108
TABLE 61 EUROPE: HEALTHCARE EDI MARKET, BY DELIVERY MODE,
2018–2025 (USD MILLION) 108
TABLE 62 EUROPE: HEALTHCARE EDI MARKET, BY TRANSACTION TYPE,
2018–2025 (USD MILLION) 108
TABLE 63 EUROPE: HEALTHCARE CLAIMS MANAGEMENT MARKET, BY TYPE,
2018–2025 (USD MILLION) 109
TABLE 64 EUROPE: HEALTHCARE EDI MARKET, BY END USER,
2018–2025 (USD MILLION) 109
11.3.1 GERMANY 109
11.3.1.1 Need for thorough documentation and record retention requirements by state governments propel the demand for healthcare EDI 109
TABLE 65 GERMANY: KEY MACROINDICATORS 110
TABLE 66 GERMANY: HEALTHCARE EDI MARKET, BY PRODUCT & SERVICE,
2018–2025 (USD MILLION) 111
TABLE 67 GERMANY: HEALTHCARE EDI MARKET, BY DELIVERY MODE,
2018–2025 (USD MILLION) 111
TABLE 68 GERMANY: HEALTHCARE EDI MARKET, BY TRANSACTION TYPE,
2018–2025 (USD MILLION) 111
TABLE 69 GERMANY: HEALTHCARE CLAIMS MANAGEMENT MARKET, BY TYPE,
2018–2025 (USD MILLION) 112
TABLE 70 GERMANY: HEALTHCARE EDI MARKET, BY END USER,
2018–2025 (USD MILLION) 112
11.3.2 UK 112
11.3.2.1 Healthcare providers in the UK are focusing on transforming their organizations into paperless environments through EHRs 112
TABLE 71 UK: KEY MACROINDICATORS 114
TABLE 72 UK: HEALTHCARE EDI MARKET, BY PRODUCT & SERVICE,
2018–2025 (USD MILLION) 114
TABLE 73 UK: HEALTHCARE EDI MARKET, BY DELIVERY MODE,
2018–2025 (USD MILLION) 114
TABLE 74 UK: HEALTHCARE EDI MARKET, BY TRANSACTION TYPE,
2018–2025 (USD MILLION) 115
TABLE 75 UK: HEALTHCARE CLAIMS MANAGEMENT MARKET, BY TYPE,
2018–2025 (USD MILLION) 115
TABLE 76 UK: HEALTHCARE EDI MARKET, BY END USER, 2018–2025 (USD MILLION) 115
11.3.3 FRANCE 116
11.3.3.1 Growing initiatives to promote the adoption of healthcare IT solutions to drive market growth 116
TABLE 77 FRANCE: KEY MACROINDICATORS 117
TABLE 78 FRANCE: HEALTHCARE EDI MARKET, BY PRODUCT & SERVICE,
2018–2025 (USD MILLION) 117
TABLE 79 FRANCE: HEALTHCARE EDI MARKET, BY DELIVERY MODE,
2018–2025 (USD MILLION) 117
TABLE 80 FRANCE: HEALTHCARE EDI MARKET, BY TRANSACTION TYPE,
2018–2025 (USD MILLION) 118
TABLE 81 FRANCE: HEALTHCARE CLAIMS MANAGEMENT MARKET, BY TYPE,
2018–2025 (USD MILLION) 118
TABLE 82 FRANCE: HEALTHCARE EDI MARKET, BY END USER,
2018–2025 (USD MILLION) 118
11.3.4 REST OF EUROPE 119
TABLE 83 REST OF EUROPE: HEALTHCARE EDI MARKET, BY PRODUCT & SERVICE, 2018–2025 (USD MILLION) 119
TABLE 84 REST OF EUROPE: HEALTHCARE EDI MARKET, BY DELIVERY MODE,
2018–2025 (USD MILLION) 119
TABLE 85 REST OF EUROPE: HEALTHCARE EDI MARKET, BY TRANSACTION TYPE,
2018–2025 (USD MILLION) 120
TABLE 86 REST OF EUROPE: HEALTHCARE CLAIMS MANAGEMENT MARKET, BY TYPE, 2018–2025 (USD MILLION) 120
TABLE 87 REST OF EUROPE: HEALTHCARE EDI MARKET, BY END USER,
2018–2025 (USD MILLION) 120
11.4 ASIA PACIFIC 121
FIGURE 28 ASIA PACIFIC: HEALTHCARE EDI MARKET SNAPSHOT 122
TABLE 88 APAC: HEALTHCARE EDI MARKET, BY COUNTRY, 2018–2025 (USD MILLION) 122
TABLE 89 APAC: HEALTHCARE EDI MARKET, BY PRODUCT & SERVICE,
2018–2025 (USD MILLION) 123
TABLE 90 APAC: HEALTHCARE EDI MARKET, BY DELIVERY MODE,
2018–2025 (USD MILLION) 123
TABLE 91 APAC: HEALTHCARE EDI MARKET, BY TRANSACTION TYPE,
2018–2025 (USD MILLION) 123
TABLE 92 APAC: HEALTHCARE CLAIMS MANAGEMENT MARKET, BY TYPE,
2018–2025 (USD MILLION) 124
TABLE 93 APAC: HEALTHCARE EDI MARKET, BY END USER, 2018–2025 (USD MILLION) 124
11.4.1 JAPAN 124
11.4.1.1 Japan is the largest contributor in the Asia Pacific region 124
TABLE 94 JAPAN: KEY MACROINDICATORS 125
TABLE 95 JAPAN: HEALTHCARE EDI MARKET, BY PRODUCT & SERVICE,
2018–2025 (USD MILLION) 125
TABLE 96 JAPAN: HEALTHCARE EDI MARKET, BY DELIVERY MODE,
2018–2025 (USD MILLION) 126
TABLE 97 JAPAN: HEALTHCARE EDI MARKET, BY TRANSACTION TYPE,
2018–2025 (USD MILLION) 126
TABLE 98 JAPAN: HEALTHCARE CLAIMS MANAGEMENT MARKET, BY TYPE,
2018–2025 (USD MILLION) 126
TABLE 99 JAPAN: HEALTHCARE EDI MARKET, BY END USER,
2018–2025 (USD MILLION) 127
11.4.2 CHINA 127
11.4.2.1 Growing need for better management of healthcare services through an integrated healthcare environment to drive market growth 127
TABLE 100 CHINA: KEY MACROINDICATORS 128
TABLE 101 CHINA: HEALTHCARE EDI MARKET, BY PRODUCT & SERVICE,
2018–2025 (USD MILLION) 128
TABLE 102 CHINA: HEALTHCARE EDI MARKET, BY DELIVERY MODE,
2018–2025 (USD MILLION) 129
TABLE 103 CHINA: HEALTHCARE EDI MARKET, BY TRANSACTION TYPE,
2018–2025 (USD MILLION) 129
TABLE 104 CHINA: HEALTHCARE CLAIMS MANAGEMENT MARKET, BY TYPE,
2018–2025 (USD MILLION) 129
TABLE 105 CHINA: HEALTHCARE EDI MARKET, BY END USER,
2018–2025 (USD MILLION) 130
11.4.3 INDIA 130
11.4.3.1 Growing volume of patient data generated by healthcare systems is a major factor driving the adoption of healthcare EDI solutions 130
TABLE 106 INDIA: KEY MACROINDICATORS 131
TABLE 107 INDIA: HEALTHCARE EDI MARKET, BY PRODUCT & SERVICE,
2018–2025 (USD MILLION) 131
TABLE 108 INDIA: HEALTHCARE EDI MARKET, BY DELIVERY MODE,
2018–2025 (USD MILLION) 131
TABLE 109 INDIA: HEALTHCARE EDI MARKET, BY TRANSACTION TYPE,
2018–2025 (USD MILLION) 132
TABLE 110 INDIA: HEALTHCARE CLAIMS MANAGEMENT MARKET, BY TYPE,
2018–2025 (USD MILLION) 132
TABLE 111 INDIA: HEALTHCARE EDI MARKET, BY END USER, 2018–2025 (USD MILLION) 132
11.4.4 REST OF ASIA PACIFIC 133
TABLE 112 REST OF ASIA PACIFIC: HEALTHCARE EDI MARKET, BY PRODUCT & SERVICE, 2018–2025 (USD MILLION) 133
TABLE 113 REST OF ASIA PACIFIC: HEALTHCARE EDI MARKET, BY DELIVERY MODE, 2018–2025 (USD MILLION) 134
TABLE 114 REST OF ASIA PACIFIC: HEALTHCARE EDI MARKET, BY TRANSACTION TYPE, 2018–2025 (USD MILLION) 134
TABLE 115 REST OF ASIA PACIFIC: HEALTHCARE CLAIMS MANAGEMENT MARKET,
BY TYPE, 2018–2025 (USD MILLION) 134
TABLE 116 REST OF ASIA PACIFIC: HEALTHCARE EDI MARKET, BY END USER,
2018–2025 (USD MILLION) 135
11.5 LATIN AMERICA 135
11.5.1 RISING HEALTHCARE EXPENDITURE TO PROVIDE LUCRATIVE GROWTH OPPORTUNITIES FOR PLAYERS OPERATING IN THE MARKET 135
TABLE 117 LATIN AMERICA: HEALTHCARE EDI MARKET, BY PRODUCT & SERVICE,
2018–2025 (USD MILLION) 136
TABLE 118 LATIN AMERICA: HEALTHCARE EDI MARKET, BY DELIVERY MODE,
2018–2025 (USD MILLION) 136
TABLE 119 LATIN AMERICA: HEALTHCARE EDI MARKET, BY TRANSACTION TYPE,
2018–2025 (USD MILLION) 136
TABLE 120 LATIN AMERICA: HEALTHCARE CLAIMS MANAGEMENT MARKET, BY TYPE, 2018–2025 (USD MILLION) 137
TABLE 121 LATIN AMERICA: HEALTHCARE EDI MARKET, BY END USER,
2018–2025 (USD MILLION) 137
11.6 MIDDLE EAST & AFRICA 137
11.6.1 INCREASING INVESTMENTS IN MODERNIZING HEALTHCARE SYSTEMS ARE BOOSTING THE MARKET 137
TABLE 122 MIDDLE EAST & AFRICA: HEALTHCARE EDI MARKET, BY PRODUCT & SERVICE, 2018–2025 (USD MILLION) 138
TABLE 123 MIDDLE EAST & AFRICA: HEALTHCARE EDI MARKET, BY DELIVERY MODE, 2018–2025 (USD MILLION) 139
TABLE 124 MIDDLE EAST & AFRICA: HEALTHCARE EDI MARKET, BY TRANSACTION TYPE, 2018–2025 (USD MILLION) 139
TABLE 125 MIDDLE EAST & AFRICA: HEALTHCARE CLAIMS MANAGEMENT MARKET,
BY TYPE, 2018–2025 (USD MILLION) 139
TABLE 126 MIDDLE EAST & AFRICA: HEALTHCARE EDI MARKET, BY END USER,
2018–2025 (USD MILLION) 140

12 COMPETITIVE LANDSCAPE 141
12.1 INTRODUCTION 141
12.2 MARKET EVALUATION FRAMEWORK 141
FIGURE 29 MARKET EVALUATION FRAMEWORK: PARTNERSHIPS, AGREEMENTS, AND COLLABORATIONS WERE THE MOST WIDELY ADOPTED STRATEGIES 141
12.3 MARKET SHARE ANALYSIS 142
FIGURE 30 VALUE-BASED MARKET SHARES OF KEY PLAYERS, 2019 142
12.4 HEALTHCARE EDI MARKET: GEOGRAPHICAL ASSESSMENT 143
FIGURE 31 GEOGRAPHIC ASSESSMENT OF THE KEY PLAYERS IN THE
HEALTHCARE EDI MARKET (2019) 143
12.5 HEALTHCARE EDI MARKET: R&D EXPENDITURE 143
FIGURE 32 R&D EXPENDITURE OF THE KEY PLAYERS IN THE HEALTHCARE EDI MARKET (2019) 143
12.6 PRODUCT MATRIX: HEALTHCARE EDI MARKET 144
12.7 COMPETITIVE BENCHMARKING 146
12.7.1 PRODUCT PORTFOLIO ANALYSIS OF MAJOR PLAYERS IN THE HEALTHCARE EDI MARKET (25 PLAYERS) 146
12.7.2 BUSINESS STRATEGIES ADOPTED BY MAJOR PLAYERS IN THE HEALTHCARE EDI MARKET (25 PLAYERS) 147
_
12.8 COMPETITIVE SCENARIO 148
12.8.1 KEY DEVELOPMENTS IN THE HEALTHCARE EDI MARKET 148
TABLE 127 PARTNERSHIPS & COLLABORATIONS (2017–2020) 148
12.8.2 KEY PRODUCT LAUNCHES 148
TABLE 128 PRODUCT LAUNCHES (2017–2020) 148
12.8.3 KEY ACQUISITIONS 149
TABLE 129 ACQUISITIONS (2017–2020) 149

13 COMPANY EVALUATION MATRIX AND COMPANY PROFILES 150
13.1 COMPANY EVALUATION MATRIX DEFINITION & METHODOLOGY 150
13.2 COMPANY EVALUATION MATRIX 150
13.2.1 STARS 150
13.2.2 EMERGING LEADERS 150
13.2.3 PERVASIVE PLAYERS 150
13.2.4 PARTICIPANTS 150
FIGURE 33 HEALTHCARE EDI MARKET (GLOBAL) COMPETITIVE
LEADERSHIP MAPPING, 2019 151
13.3 COMPANY PROFILES 152
(Business Overview, Products & Services Offered, Recent Developments, and MnM View)*
13.3.1 MCKESSON CORPORATION 152
FIGURE 34 MCKESSON CORPORATION: COMPANY SNAPSHOT (2020) 152
13.3.2 OPTUM, INC. (A SUBSIDIARY OF UNITEDHEALTH GROUP INC.) 155
FIGURE 35 OPTUM, INC.: COMPANY SNAPSHOT (2019) 155
13.3.3 ATHENAHEALTH, INC. (A VERITAS CAPITAL COMPANY) 157
13.3.4 ALLSCRIPTS HEALTHCARE SOLUTIONS, INC. 158
FIGURE 36 ALLSCRIPTS HEALTHCARE SOLUTIONS INC.: COMPANY SNAPSHOT (2019) 158
13.3.5 NEXTGEN HEALTHCARE INFORMATION SYSTEMS, LLC 160
FIGURE 37 NEXTGEN HEALTHCARE INFORMATION SYSTEMS, LLC:
COMPANY SNAPSHOT (2020) 160
13.3.6 EXPERIAN PLC 162
FIGURE 38 EXPERIAN PLC: COMPANY SNAPSHOT (2020) 162
13.3.7 COGNIZANT TECHNOLOGY SOLUTIONS CORPORATION 165
FIGURE 39 COGNIZANT TECHNOLOGY SOLUTIONS CORPORATION:
COMPANY SNAPSHOT (2019) 165
13.3.8 CERNER CORPORATION 167
FIGURE 40 CERNER CORPORATION: COMPANY SNAPSHOT (2019) 168
13.3.9 SYNNEX CORPORATION 170
FIGURE 41 SYNNEX CORPORATION: COMPANY SNAPSHOT (2019) 170
13.3.10 DELL TECHNOLOGIES INC. 172
FIGURE 42 DELL TECHNOLOGIES INC.: COMPANY SNAPSHOT (2019) 172
13.3.11 SSI GROUP LLC 174
13.3.12 WAYSTAR HEALTH COMPANY 176
13.3.13 COMARCH SA 179
FIGURE 43 COMARCH SA: COMPANY SNAPSHOT (2019) 179
13.3.14 AXWAY SOLUTIONS 181
FIGURE 44 AXWAY SOLUTIONS: COMPANY SNAPSHOT (2019) 181
13.3.15 PLEXIS HEALTHCARE SYSTEMS, INC. 183
13.3.16 OTHER COMPANIES 184
13.3.16.1 Amosoft LLC 184
13.3.16.2 B2BGateway.Net 184
13.3.16.3 DiCentral Corporation 185
13.3.16.4 123 EDI 185
13.3.16.5 Quadax, Inc. 186
*Details on Business Overview, Products & Services Offered, Recent Developments, and MnM View might not be captured in case of unlisted companies.

14 APPENDIX 187
14.1 INSIGHTS FROM INDUSTRY EXPERTS 187
14.2 DISCUSSION GUIDE 188
14.4 AVAILABLE CUSTOMIZATIONS 194
14.5 RELATED REPORTS 194
14.6 AUTHOR DETAILS 195