Healthcare claims management market size was valued at USD 17.80 billion in 2023 and is projected to grow from USD 19.05 billion in 2024 to USD 32.19 billion by 2031, exhibiting a CAGR of 7.78% during the forecast period. 

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Key Companies in Healthcare Claims Management Market:

• athenahealth, Inc.
• MCKESSON CORPORATION
• CareCloud, Inc.
• Oracle
• eClinicalWorks
• Experian Information Solutions, Inc.
• Optum, Inc.
• Genpact
• Tebra Technologies, Inc
• Conduent, Inc.
• Veradigm LLC
• PLEXIS Healthcare Systems
• RAM Technologies, Inc.
• Quadax, Inc.
• Waystar 

Technological innovations, particularly the integration of artificial intelligence (AI) and automation, are revolutionizing the claims management landscape. These technologies facilitate faster and more accurate claims adjudication, minimize manual interventions, and enhance operational efficiency.

Developments:

In February 2025, MDI NetworX and WLT Software announced their partnership to revolutionize the process of end-to-end claims. The partnership aimed to streamline claims processing, reduce turnaround times, and enhance overall satisfaction by combining MDI NetworX's expertise in digital mailroom management, data capture, and workflow automation with WLT Software’s MediClaims payment platform.

Regional Insights:

North America continues to dominate the healthcare claims management market, attributed to its advanced healthcare infrastructure and high adoption of digital solutions. However, the Asia-Pacific region is emerging as the fastest-growing market, propelled by increasing healthcare expenditures, expanding insurance coverage, and government initiatives aimed at strengthening healthcare infrastructure.

Segment Analysis:

The market is segmented based on product, component, solution type, deployment mode, and end-use. Medical billing accounted for the majority of the market share at 58% in 2023, providing vital support to the reimbursement process . However, claims processing is anticipated to experience the highest growth, with increased demand for sophisticated technologies to combat claim denials, inefficiencies, and fraud.

TABLE OF CONTENT

1 INTRODUCTION OF THE GLOBAL HEALTHCARE CLAIMS MANAGEMENT MARKET 
1.1 Market Definition
1.2 Market Segmentation
1.3 Research Timelines
1.4 Limitations
1.5 Assumptions

2 EXECUTIVE SUMMARY

3 RESEARCH METHODOLOGY
3.1 Data Collection

To be Continued . . . .