Healthcare-EDI-Market-pdf

Healthcare EDI Market - Size, Share,
Outlook and Opportunity Analysis 2018
- 2026
Healthcare EDI Market by Component (Services and
Solutions), by Delivery Mode (Web & Cloud-based EDI, EDI
VAN, Point-to-Point EDI, and Mobile EDI), by Transaction
Type (Claims Management and Healthcare Supply Chain),
by End User (Healthcare Providers, Healthcare Payers,
Medical Device & Pharmaceutical Industries, and
Pharmacies), and by Region - Size, Share, Outlook and
Opportunity Analysis 2018 - 2026
The healthcare industry explored EDI to address the challenges of reducing healthcare cost and
replacing paper-based transaction with standard electronic transaction. Moreover, government
acts such as Health Insurance Portability Act of 1996 (HIPAA) created standards to achieve
administrative simplicity in healthcare industry.
The benefits of EDI over conventional method of data interchange is the major factor driving the
healthcare EDI market growth. EDI reduces data entry time, improves accuracy, reduce
operational cost, and also reduce the rework. Such key features of EDI software supports the
growth of healthcare EDI market.
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Healthcare EDI Market Dynamics
Increasing digitization and paperless office is enhancing the growth of healthcare EDI market.
Conventionally, data transfer was subjected to paper-based communication, increasing the
chance of human error and making the workflow cumbersome. Henceforth, EDI is an essential
component for creating administrative efficiencies by reducing time and significant cost saving.
Healthcare EDI market is propelled by increasing adoption of EDI facilities in order to accelerate
financial performance and profitability for healthcare payers and providers. For instance,
according to GE Healthcare, the Centricity EDI Service of GE Healthcare employs more than
2,100 healthcare providers to manage around 588 million transaction annually. EDI is adopted to
reduce the claim rejection and denials as well as reduce time requirement for submission and
remission of claims.
Healthcare EDI Market - Regional Analysis
Regional segmentation of healthcare EDI market by Coherent Market Insights include North
America, Latin America, Europe, Asia Pacific, Middle East, and Africa. North America healthcare
EDI market holds dominant position in the global healthcare EDI market, owing to the dominant
position is the advanced healthcare infrastructure of the region. Moreover, increasing adoption of
technologically advanced facilities to improve the healthcare facilities are expected to boost the
regional healthcare EDI market growth. However, Asia Pacific healthcare EDI market is expected
to witness fastest growth attributed to improving healthcare infrastructure in the region, thereby
providing the market opportunity for the market players to penetrate in Asia Pacific region.
Healthcare EDI Market – Competitive Analysis
Healthcare EDI market is dominated by the few major players such as Optum Inc., Dell
Technologies Inc., General Electric Company, Emdeon Inc., The SSI Group, LLC, ZirMed, Inc.,
Tallan, Inc., Quadax, and Allscripts Healthcare Solutions Inc.
The market player involved in healthcare EDI market are focused on improving the EDI facilities
by using various strategies. For instance, in 2015, Medical Transcription Billing, Corp., a
healthcare information technology company, acquired three divisions of QHR Corporation,
Canada-based healthcare technology company. The QHR Corporation is involved in healthcare
clearinghouse, Electronic Data Interchange (EDI), and revenue cycle management divisions.
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Healthcare EDI Market - Taxonomy
On the basis of component, the healthcare EDI market is segmented into:
•Services
•Solutions
On the basis of delivery mode, the healthcare EDI market is segmented into:
•Web & Cloud-based EDI
•EDI VAN
•Point-to-Point EDI
•Mobile EDI
On the basis of transaction type, the healthcare EDI market is segmented into:
•Claims Management
•Claims Submission
•Claim Status
•Eligibility Verification
•Payment Remittance
•Referral Certification & Authorization
•Claim Payments
•Others
•Healthcare Supply Chain
On the basis of end user, the healthcare EDI market is segmented into:
•Healthcare Providers
•Healthcare Payers
•Medical Device & Pharmaceutical Industries
•Pharmacies
On the basis of region, the healthcare EDI market is segmented into:
•North America
•Europe
•Latin America
•Asia Pacific
•Middle East
•Africa
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The healthcare industry explored EDI to address the challenges of reducing healthcare cost and replacing paper-based transaction with standard electronic transaction. Moreover, government acts such as Health Insurance Portability Act of 1996 (HIPAA) created standards to achieve administrative simplicity in healthcare industry.