The global healthcare claims management market size reached US$ 13.03 Billion in 2021. Looking forward, IMARC Group expects the market to reach US$ 22.4 Billion by 2027, exhibiting a growth rate (CAGR) of 9.20% during 2022-2027.

Healthcare claims management solutions include optimizing, filing, updating, and processing medical claims related to a patient’s diagnosis, medications, and treatment. Health insurance claims management solutions ensure everything related to the health insurance process. It includes clinical billing software, revenue cycle management software, and healthcare practice management software, which is available to payers, healthcare providers, and insurance companies. For patients, various types of claim management software are available that promote loyalty by allowing a quick and accurate process to resolve claims as quickly as possible. As a result, it streamlines the medical claims process, easing the relationship between providers and insurance companies, and improving patient payment processes.

Healthcare Claims Management Market Trends:
The market is majorly driven by continual technological improvements in healthcare processes. This can be attributed to the growing geriatric population, along with the increasing number of individuals suffering from chronic diseases. In addition to this, the rising complexity of claims administration and the medical billing process is providing an impetus to the market. Moreover, the rising awareness regarding the management of claim denials is resulting in a higher product uptake on the global level. The paradigm shift towards web-based and cloud-based operation modes in healthcare software is also impacting the market positively. The market is further propelled by the rising awareness regarding care provision and a greater emphasis on household expenditures. Apart from this, several government initiatives to improve insurance coverage and the adoption of cloud-based technology-related services are creating lucrative opportunities for healthcare claims management solutions. Furthermore, numerous partnerships, mergers and acquisitions (M&As) and new product launches by the key market players are creating a positive market outlook. Some of the other factors contributing to the market include rapid urbanization, increasing medical expenditure, and extensive research and development (R&D) activities.

Key Market Segmentation:
IMARC Group provides an analysis of the key trends in each sub-segment of the global healthcare claims management market report, along with forecasts at the global, regional and country level from 2022-2027. Our report has categorized the market based on product, component, solution type, delivery mode and end user.

Breakup by Product:

Medical Billing
Professional
Institutional
Claims Processing

Breakup by Component:

Services
Software

Breakup by Solution Type:

Integrated Solutions
Standalone Solutions

Breakup by Delivery Mode:

On-premises
Cloud-based
Web-based

Breakup by End User:

Healthcare Payers
Healthcare Providers
Others

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

Competitive Landscape:
The competitive landscape of the industry has also been examined along with the profiles of the key players being 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 and The SSI Group LLC.

Key questions answered in this report:
How has the global healthcare claims management market performed so far and how will it perform in the coming years?
What has been the impact of COVID-19 on the global healthcare claims management market?
What are the key regional markets?
What is the breakup of the market based on the product?
What is the breakup of the market based on the component?
What is the breakup of the market based on the solution type?
What is the breakup of the market based on the delivery mode?
What is the breakup of the market based on the end user?
What are the various stages in the value chain of the industry?
What are the key driving factors and challenges in the industry?
What is the structure of the global healthcare claims management market and who are the key players?
What is the degree of competition in the industry?