Healthcare EDI Market Size, Share, Outlook and Opportunity Analysis 2018 - 2026
Seattle, WA -- (SBWIRE) -- 11/07/2019 -- Electronic data interchange (EDI) in healthcare provides secure electronic data interchange between healthcare institutions, care providers, and patients. It allows for more secure and effective data processing. In healthcare industry data management, medical records, and patient history play significant role in medical claims and reimbursement. EDI is the software medium for transaction of data among various healthcare providers and payers via computer systems. Organizer can process and track claims through the entire billing cycle via EDI service.
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EDI has been used in the healthcare industry, in order 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.
Numerous benefits offered by EDI over conventional method is expected to increase its adoption in the near future. Moreover, 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.
Global Healthcare EDI Market Dynamics
Increasing digitization and paperless office is expected to drive growth of the global healthcare EDI market during the forecast period. Traditionally, data transfer was subjected to paper-based communication, increasing the chance of human error and making the workflow cumbersome. Thus, EDI is a crucial element in creating administrative efficiencies by reducing time and significant cost saving.
Moreover, increasing adoption of EDI facilities, in order to accelerate financial performance and profitability for healthcare payers and providers is expected to drive the market growth in near future. 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.
Furthermore, the use of EDI serves important role in insurance claims and documentation by streamlining the reimbursement process for healthcare payers.
However, high cost associated with EDI software and its application are expected to restrain growth of the global healthcare EDI market over the forecast period.
Global Healthcare EDI Market - Regional Analysis
Regional segmentation of global healthcare EDI market by Coherent Market Insights include North America, Latin America, Europe, Asia Pacific, Middle East, and Africa. Among regions North America holds dominant position in the global healthcare EDI market, owing to the robust healthcare infrastructure of the region. Moreover, increasing adoption of technologically advanced facilities to improve the healthcare facilities are expected to boost the healthcare EDI market growth in the region. However, Asia Pacific healthcare EDI market is expected to witness fastest growth during the forecast period. This growth is attributed to improving healthcare infrastructure in the region, thereby providing the market opportunity for the market players to penetrate in Asia Pacific region.
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Global 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.
Key companies in the market are involved in various growth strategies such as partnerships and mergers and acquisitions, in order to gain competitive edge in the market. 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.
Moreover, in 2016, Tallan Inc., partnered with Dell Boomi Platform for its T-Connect extensible framework in order to enhance high data throughput and cop up with ever changing EDI requirement. In same year, Optum Inc., partnered with Availity, healthcare information Technology Company to improve the accuracy of health insurance claims and reduce the errors.
Global Healthcare EDI Market – Taxonomy
On the basis of component, the global healthcare EDI market is segmented into:
On the basis of delivery mode, the global 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 global healthcare EDI market is segmented into:
- Claims Management
? Claims Submission
? Claim Status
? Eligibility Verification
? Payment Remittance
? Referral Certification & Authorization
? Claim Payments
- Healthcare Supply Chain
On the basis of end user, the global healthcare EDI market is segmented into:
- Healthcare Providers
- Healthcare Payers
- Medical Device & Pharmaceutical Industries
On the basis of region, the global healthcare EDI market is segmented into:
- North America
- Latin America
- Asia Pacific
- Middle East
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