Global Healthcare Electronic Data Interchange (EDI) Market Analysis & Trends - Industry Forecast to 2028

Global Healthcare Electronic Data Interchange (EDI) Market Analysis & Trends - Industry Forecast to 2028

The Global Healthcare Electronic Data Interchange (EDI) Market is poised to grow at a CAGR of around XX% over the next decade to reach approximately $XX million by 2028. Some of the prominent trends that the market is witnessing include demand for digitization and automation of documents and transactions, surge in technological innovations in electronic data interchange (EDI), and growing demand for scalability and reliability of EDI solutions.

Based on transaction type, the market is bifurcated into claims management, and healthcare supply chain. Claims management is further segmented into claim attachments, claim payment, claim status & response, claim submission, eligibility inquiry, eligibility verification, encounters, enrolment/disenrollment transactions, payment & remittance advance, premium payments, and referral certification and authorization.

By mode of delivery, the market is fragmented into EDI (electronic data interchange) outsourcing, EDI (electronic data interchange) value added network (VAN)/EDI (electronic data interchange) network services providers, EDI (electronic data interchange) via AS2 (applicability statement), EDI (electronic data interchange) via FTP (file transfer protocol)/VPN (virtual private networks), SFTP (SSH file transfer protocol), FTPS (file transfer protocol), mobile EDI (electronic data interchange), on premise, point-to-point (direct) EDI (electronic data interchange), web & cloud based EDI (electronic data interchange).

With respect to component, the market is segmented into hardware, services, software, and solutions. Services are sub segmented into in-house, and providers.

With respect to product type, the market is segregated into stand-alone systems, and integrated systems.

On the basis of end user, the market is bifurcated into healthcare providers (hospitals), healthcare payers, medical device & accessories suppliers/pharmaceutical industries, pharmacies, healthcare institutions, private healthcare providers. Healthcare payers are further segmented into government/public payers (medicare and medicaid), and private payers. Private payers are sub segmented into private practitioner transaction, and hospital transaction.

This industry report analyzes the market estimates and forecasts of all the given segments on global as well as regional levels presented in the research scope. The study provides historical market data for 2015, 2016 revenue estimations are presented for 2017 and forecasts from 2018 till 2028. The study focuses on market trends, leading players, supply chain trends, technological innovations, key developments, and future strategies. With comprehensive market assessment across the major geographies such as North America, Europe, Asia Pacific, Middle East, Latin America and Rest of the world the report is a valuable asset for the existing players, new entrants and the future investors.

The study presents detailed market analysis with inputs derived from industry professionals across the value chain. A special focus has been made on 23 countries such as U.S., Canada, Mexico, U.K., Germany, Spain, France, Italy, China, Brazil, Saudi Arabia, South Africa, etc. The market data is gathered from extensive primary interviews and secondary research. The market size is calculated based on the revenue generated through sales from all the given segments and sub segments in the research scope. The market sizing analysis includes both top-down and bottom-up approaches for data validation and accuracy measures.

This report provides data tables, includes charts and graphs for visual analysis.

Regional Analysis:
North America
- US
- Canada
- Mexico

Europe
- France
- Germany
- Italy
- Spain
- UK
- Rest of Europe

Asia Pacific
- China
- Japan
- India
- Australia
- New Zealand
- Rest of Asia Pacific

Middle East
- Saudi Arabia
- UAE
- Rest of Middle East

Latin America
- Argentina
- Brazil
- Rest of Latin America

Rest of the World
- South Africa
- Others

Report Highlights:
- The report provides a detailed analysis on current and future market trends to identify the investment opportunities
- Market forecasts till 2028, using estimated market values as the base numbers
- Key market trends across the business segments, Regions and Countries
- Key developments and strategies observed in the market
- Market Dynamics such as Drivers, Restraints, Opportunities and other trends
- In-depth company profiles of key players and upcoming prominent players
- Growth prospects among the emerging nations through 2028
- Market opportunities and recommendations for new investments.


1 Market Outline
1.1 Research Methodology
1.1.1 Research Approach & Sources
1.2 Market Trends
1.3 Regulatory Factors
1.4 Product Analysis
1.5 End User Analysis
1.6 Strategic Benchmarking
1.7 Opportunity Analysis
2 Executive Summary
3 Market Overview
3.1 Current Trends
3.1.1 Demand for Digitization and Automation of Documents and Transactions
3.1.2 Surge in Technological Innovations in Electronic Data Interchange (EDI)
3.1.3 Growing Demand for Scalability and Reliability of Electronic Data Interchange (EDI) Solutions
3.1.4 Growth Opportunities/Investment Opportunities
3.2 Drivers
3.3 Constraints
3.4 Industry Attractiveness
3.4.1 Bargaining power of suppliers
3.4.2 Bargaining power of buyers
3.4.3 Threat of substitutes
3.4.4 Threat of new entrants
3.4.5 Competitive rivalry
4 Healthcare Electronic Data Interchange (EDI) Market, By Transaction Type
4.1 Claims Management
DATA TABLE Claims Management Market Forecast to 2028 (US$ MN)
4.1.1 Claim Attachments
DATA TABLE Claim Attachments Market Forecast to 2028 (US$ MN)
4.1.2 Claim Payment
DATA TABLE Claim Payment Market Forecast to 2028 (US$ MN)
4.1.3 Claim Status & Response
DATA TABLE Claim Status & Response Market Forecast to 2028 (US$ MN)
4.1.4 Claim Submission
DATA TABLE Claim Submission Market Forecast to 2028 (US$ MN)
4.1.5 Eligibility Inquiry
DATA TABLE Eligibility Inquiry Market Forecast to 2028 (US$ MN)
4.1.6 Eligibility Verification
DATA TABLE Eligibility Verification Market Forecast to 2028 (US$ MN)
4.1.7 Encounters
DATA TABLE Encounters Market Forecast to 2028 (US$ MN)
4.1.8 Enrollment/Dis-Enrollment Transactions
DATA TABLE Enrollment/Dis-Enrollment Transactions Market Forecast to 2028 (US$ MN)
4.1.9 Payment & Remittance Advance
DATA TABLE Payment Remittance Advance Market Forecast to 2028 (US$ MN)
4.1.10 Premium Payments
DATA TABLE Premium Payments Market Forecast to 2028 (US$ MN)
4.1.11 Referral Certification and Authorization
DATA TABLE Referral Certification and Authorization Market Forecast to 2028 (US$ MN)
4.2 Healthcare Supply Chain
DATA TABLE Healthcare Supply Chain Market Forecast to 2028 (US$ MN)
5 Healthcare Electronic Data Interchange (EDI) Market, By Mode of Delivery
5.1 EDI (Electronic Data Interchange) Outsourcing
DATA TABLE EDI (Electronic Data Interchange) Outsourcing Market Forecast to 2028 (US$ MN)
5.2 EDI (Electronic Data Interchange) Value Added Network (VAN)/EDI (Electronic Data Interchange) Network Services Providers
DATA TABLE EDI (Electronic Data Interchange) Value Added Network (VAN)/EDI (Electronic Data Interchange) Network Services Providers Market Forecast to 2028 (US$ MN)
5.3 EDI (Electronic Data Interchange) via AS2 (Applicability Statement)
DATA TABLE EDI (Electronic Data Interchange) via AS2 (Applicability Statement) Market Forecast to 2028 (US$ MN)
5.4 EDI (Electronic Data Interchange) via FTP (File Transfer Protocol)/VPN (Virtual Private Networks), SFTP (SSH File Transfer Protocol), FTPS (File Transfer Protocol)
DATA TABLE EDI (Electronic Data Interchange) via FTP (File Transfer Protocol)/VPN (Virtual Private Networks), SFTP (SSH File Transfer Protocol), FTPS (File Transfer Protocol) Market Forecast to 2028 (US$ MN)
5.5 Mobile EDI (Electronic Data Interchange)
DATA TABLE Mobile EDI (Electronic Data Interchange) Market Forecast to 2028 (US$ MN)
5.6 On Premise
DATA TABLE On Premise Market Forecast to 2028 (US$ MN)
5.7 Point-to-Point (Direct) EDI (Electronic Data Interchange)
DATA TABLE Point-to-Point (Direct) EDI (Electronic Data Interchange) Market Forecast to 2028 (US$ MN)
5.8 Web & Cloud Based EDI (Electronic Data Interchange)
DATA TABLE Web & Cloud Based EDI (Electronic Data Interchange) Market Forecast to 2028 (US$ MN)
6 Healthcare Electronic Data Interchange (EDI) Market, By Component
6.1 Hardware
DATA TABLE Hardware Market Forecast to 2028 (US$ MN)
6.2 Services
DATA TABLE Services Market Forecast to 2028 (US$ MN)
6.2.1 In-House
DATA TABLE In-House Market Forecast to 2028 (US$ MN)
6.2.2 Providers
DATA TABLE Providers Market Forecast to 2028 (US$ MN)
6.3 Software
DATA TABLE Software Market Forecast to 2028 (US$ MN)
6.4 Solutions
DATA TABLE Solutions Market Forecast to 2028 (US$ MN)
7 Healthcare Electronic Data Interchange (EDI) Market, By Product Type
7.1 Stand-Alone Systems
DATA TABLE Stand-Alone Systems Market Forecast to 2028 (US$ MN)
7.2 Integrated Systems
DATA TABLE Integrated Systems Market Forecast to 2028 (US$ MN)
8 Healthcare Electronic Data Interchange (EDI) Market, By End User
8.1 Healthcare Providers (Hospitals)
DATA TABLE Healthcare Providers (Hospitals) Market Forecast to 2028 (US$ MN)
8.2 Healthcare Payers
DATA TABLE Healthcare Payers Market Forecast to 2028 (US$ MN)
8.2.1 Government/Public Payers (Medicare and Medicaid)
DATA TABLE Government/Public Payers (Medicare and Medicaid) Market Forecast to 2028 (US$ MN)
8.2.2 Private Payers
DATA TABLE Private Payers Market Forecast to 2028 (US$ MN)
8.2.2.1 Private Practitioner Transactions
8.2.2.2 Hospital Transactions
8.3 Medical Device & Accessories Suppliers/Pharmaceutical Industries
DATA TABLE Medical Device & Accessories Suppliers/Pharmaceutical Industries Market Forecast to 2028 (US$ MN)
8.4 Pharmacies
DATA TABLE Pharmacies Market Forecast to 2028 (US$ MN)
8.5 Healthcare Institutions
DATA TABLE Healthcare Institutions Market Forecast to 2028 (US$ MN)
8.6 Private Healthcare Providers
DATA TABLE Private Healthcare Providers Market Forecast to 2028 (US$ MN)
9 Healthcare Electronic Data Interchange (EDI) Market, By By Geography
9.1 North America
DATA TABLE North America Market Forecast by Countries to 2028 (US$ MN)
9.1.1 US
9.1.2 Canada
9.1.3 Mexico
9.2 Europe
DATA TABLE Europe Market Forecast by Countries to 2028 (US$ MN)
9.2.1 Germany
9.2.2 U.K
9.2.3 Italy
9.2.4 France
9.2.5 Spain
9.2.6 Rest of Europe
9.3 Asia Pacific
DATA TABLE Asia Pacific Market Forecast by Countries to 2028 (US$ MN)
9.3.1 China
9.3.2 Japan
9.3.3 India
9.3.4 Australia
9.3.5 New Zealand
9.3.6 Rest of Asia Pacific
9.4 Middle East
DATA TABLE Middle East Market Forecast by Countries to 2028 (US$ MN)
9.4.1 Saudi Arabia
9.4.2 UAE
9.4.3 Rest of Middle East
9.5 Latin America
DATA TABLE Latin America Market Forecast by Countries to 2028 (US$ MN)
9.5.1 Argentina
9.5.2 Brazil
9.5.3 Rest of Latin America
9.6 Rest of the World (RoW)
DATA TABLE Rest of the World (RoW) Market Forecast by Countries to 2028 (US$ MN)
9.6.1 South Africa
9.6.2 Others
10 Key Player Activities
10.1 Acquisitions & Mergers
10.2 Agreements, Partnerships, Collaborations and Joint Ventures
10.3 Product Launch & Expansions
10.4 Other Activities
11 Leading Companies
11.1 Allscripts Healthcare Solutions, Inc
11.2 Amosoft LLC
11.3 Cerner Corporation
11.4 Cognizant Technology Solutions Corporation
11.5 Dell Technologies Inc
11.6 Dicentral Corporation
11.7 Experian PLC
11.8 GE Healthcare
11.9 Mckesson Corporation
11.10 NextGen Healthcare Information Systems, LLC
11.11 Optum, Inc
11.12 Quality Systems Inc
11.13 SSI Group LLC
11.14 Synnex Corporation
11.15 Waystar Health Company
11.16 Zirmed Inc
List of Tables
Table 1 Global Healthcare Electronic Data Interchange (EDI) Market By Region, Market Forecast (2016-2028) (US $MN)
Table 2 Global Healthcare Electronic Data Interchange (EDI) Market By Transaction Type, Market Forecast (2016-2028) (US $MN)
Table 3 Global Healthcare Electronic Data Interchange (EDI) Market By Claims Management, Market Forecast (2016-2028) (US $MN)
Table 4 Global Healthcare Electronic Data Interchange (EDI) Market By Claim Attachments, Market Forecast (2016-2028) (US $MN)
Table 5 Global Healthcare Electronic Data Interchange (EDI) Market By Claim Payment, Market Forecast (2016-2028) (US $MN)
Table 6 Global Healthcare Electronic Data Interchange (EDI) Market By Claim Status & Response, Market Forecast (2016-2028) (US $MN)
Table 7 Global Healthcare Electronic Data Interchange (EDI) Market By Claim Submission, Market Forecast (2016-2028) (US $MN)
Table 8 Global Healthcare Electronic Data Interchange (EDI) Market By Eligibility Inquiry, Market Forecast (2016-2028) (US $MN)
Table 9 Global Healthcare Electronic Data Interchange (EDI) Market By Eligibility Verification, Market Forecast (2016-2028) (US $MN)
Table 10 Global Healthcare Electronic Data Interchange (EDI) Market By Encounters, Market Forecast (2016-2028) (US $MN)
Table 11 Global Healthcare Electronic Data Interchange (EDI) Market By Enrollment/Dis-Enrollment Transactions, Market Forecast (2016-2028) (US $MN)
Table 12 Global Healthcare Electronic Data Interchange (EDI) Market By Payment & Remittance Advance, Market Forecast (2016-2028) (US $MN)
Table 13 Global Healthcare Electronic Data Interchange (EDI) Market By Premium Payments, Market Forecast (2016-2028) (US $MN)
Table 14 Global Healthcare Electronic Data Interchange (EDI) Market By Referral Certification and Authorization, Market Forecast (2016-2028) (US $MN)
Table 15 Global Healthcare Electronic Data Interchange (EDI) Market By Healthcare Supply Chain, Market Forecast (2016-2028) (US $MN)
Table 16 Global Healthcare Electronic Data Interchange (EDI) Market By Mode of Delivery, Market Forecast (2016-2028) (US $MN)
Table 17 Global Healthcare Electronic Data Interchange (EDI) Market By EDI (Electronic Data Interchange) Outsourcing, Market Forecast (2016-2028) (US $MN)
Table 18 Global Healthcare Electronic Data Interchange (EDI) Market By EDI (Electronic Data Interchange) Value Added Network (VAN)/EDI (Electronic Data Interchange) Network Services Providers, Market Forecast (2016-2028) (US $MN)
Table 19 Global Healthcare Electronic Data Interchange (EDI) Market By EDI (Electronic Data Interchange) via AS2 (Applicability Statement), Market Forecast (2016-2028) (US $MN)
Table 20 Global Healthcare Electronic Data Interchange (EDI) Market By EDI (Electronic Data Interchange) via FTP (File Transfer Protocol)/VPN (Virtual Private Networks), SFTP (SSH File Transfer Protocol), FTPS (File Transfer Protocol), Market Forecast (2016-2028) (US $MN)
Table 21 Global Healthcare Electronic Data Interchange (EDI) Market By Mobile EDI (Electronic Data Interchange), Market Forecast (2016-2028) (US $MN)
Table 22 Global Healthcare Electronic Data Interchange (EDI) Market By On Premise, Market Forecast (2016-2028) (US $MN)
Table 23 Global Healthcare Electronic Data Interchange (EDI) Market By Point-to-Point (Direct) EDI (Electronic Data Interchange), Market Forecast (2016-2028) (US $MN)
Table 24 Global Healthcare Electronic Data Interchange (EDI) Market By Web & Cloud Based EDI (Electronic Data Interchange), Market Forecast (2016-2028) (US $MN)
Table 25 Global Healthcare Electronic Data Interchange (EDI) Market By Component, Market Forecast (2016-2028) (US $MN)
Table 26 Global Healthcare Electronic Data Interchange (EDI) Market By Hardware, Market Forecast (2016-2028) (US $MN)
Table 27 Global Healthcare Electronic Data Interchange (EDI) Market By Services, Market Forecast (2016-2028) (US $MN)
Table 28 Global Healthcare Electronic Data Interchange (EDI) Market By In-House, Market Forecast (2016-2028) (US $MN)
Table 29 Global Healthcare Electronic Data Interchange (EDI) Market By Providers, Market Forecast (2016-2028) (US $MN)
Table 30 Global Healthcare Electronic Data Interchange (EDI) Market By Software, Market Forecast (2016-2028) (US $MN)
Table 31 Global Healthcare Electronic Data Interchange (EDI) Market By Solutions, Market Forecast (2016-2028) (US $MN)
Table 32 Global Healthcare Electronic Data Interchange (EDI) Market By Product Type, Market Forecast (2016-2028) (US $MN)
Table 33 Global Healthcare Electronic Data Interchange (EDI) Market By Stand-Alone Systems, Market Forecast (2016-2028) (US $MN)
Table 34 Global Healthcare Electronic Data Interchange (EDI) Market By Integrated Systems, Market Forecast (2016-2028) (US $MN)
Table 35 Global Healthcare Electronic Data Interchange (EDI) Market By End User, Market Forecast (2016-2028) (US $MN)
Table 36 Global Healthcare Electronic Data Interchange (EDI) Market By Healthcare Providers (Hospitals), Market Forecast (2016-2028) (US $MN)
Table 37 Global Healthcare Electronic Data Interchange (EDI) Market By Healthcare Payers, Market Forecast (2016-2028) (US $MN)
Table 38 Global Healthcare Electronic Data Interchange (EDI) Market By Government/Public Payers (Medicare and Medicaid), Market Forecast (2016-2028) (US $MN)
Table 39 Global Healthcare Electronic Data Interchange (EDI) Market By Private Payers, Market Forecast (2016-2028) (US $MN)
Table 40 Global Healthcare Electronic Data Interchange (EDI) Market By Medical Device & Accessories Suppliers/Pharmaceutical Industries, Market Forecast (2016-2028) (US $MN)
Table 41 Global Healthcare Electronic Data Interchange (EDI) Market By Pharmacies, Market Forecast (2016-2028) (US $MN)
Table 42 Global Healthcare Electronic Data Interchange (EDI) Market By Healthcare Institutions, Market Forecast (2016-2028) (US $MN)
Table 43 Global Healthcare Electronic Data Interchange (EDI) Market By Private Healthcare Providers, Market Forecast (2016-2028) (US $MN)
NOTE: Tables for North America, Europe, Asia Pacific, Middle East, Latin America and Rest of the World are represented in the same manner above.

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