의료 청구 분야 AI 시장(2025-2029년)

The global AI in medical billing market is forecasted to grow by USD 10937.9 mn during 2024-2029, accelerating at a CAGR of 33.3% during the forecast period. The report on the global AI in medical billing market provides a holistic analysis, market size and forecast, trends, growth drivers, and challenges, as well as vendor analysis covering around 25 vendors.

The report offers an up-to-date analysis regarding the current market scenario, the latest trends and drivers, and the overall market environment. The market is driven by escalating complexity of medical coding and regulatory frameworks, economic pressures mandating operational efficiency and enhanced revenue cycle management, synergistic advancement in AI technologies and proliferation of healthcare data.

The study was conducted using an objective combination of primary and secondary information including inputs from key participants in the industry. The report contains a comprehensive market size data, segment with regional analysis and vendor landscape in addition to an analysis of the key companies. Reports have historic and forecast data.

Technavio's global AI in medical billing market is segmented as below:

By Deployment

• Cloud-based
• On-premises

By Application

• Claims processing and adjudication
• Automated coding and documentation
• Revenue analytics and forecasting
• Fraud detection and risk scoring
• Patient payment optimization

By End-User

• Hospitals and clinics
• Healthcare payers
• ASCs
• Billing outsourcing firms

Geography

• North America
  • US
  • Canada
  • Mexico
• Europe
  • Germany
  • UK
  • France
  • Italy
  • Spain
  • The Netherlands
• APAC
  • China
  • Japan
  • India
  • South Korea
  • Australia
  • Indonesia
• South America
  • Brazil
  • Argentina
  • Colombia
• Middle East and Africa
  • UAE
  • South Africa
  • Turkey
• Rest of World (ROW)

This study identifies the critical imperative for operational efficiency amid escalating administrative costs as one of the prime reasons driving the global AI in medical billing market growth during the next few years. Also, navigating increasing complexity of medical coding and regulatory compliance and transformative impact of generative AI and llm will lead to sizable demand in the market.

The report on the global AI in medical billing market covers the following areas:

• Global AI in medical billing market sizing
• Global AI in medical billing market forecast
• Global AI in medical billing market industry analysis

The robust vendor analysis is designed to help clients improve their market position, and in line with this, this report provides a detailed analysis of several leading global AI in medical billing market vendors that include Access Healthcare, Athenahealth Inc., CareCloud Inc., CodaMetrix, eClinicalWorks LLC, Ensemble Health Partners, Epic Systems Corp., Fathom Health, Fujitsu Ltd., GE Healthcare Technologies, Hangzhou Weiyi Health Technology Co. Ltd., Infosys Ltd., McKesson Corp., NextGen Healthcare Inc., Nym Health, Optum Inc., R1 RCM Inc., SWORD Health Technologies Inc., Waystar Inc., Wipro Ltd.. Also, the global AI in medical billing market analysis report includes information on upcoming trends and challenges that will influence market growth. This is to help companies strategize and leverage all forthcoming growth opportunities.

The publisher presents a detailed picture of the market by the way of study, synthesis, and summation of data from multiple sources by an analysis of key parameters such as profit, pricing, competition, and promotions. It presents various market facets by identifying the key industry influencers. The data presented is comprehensive, reliable, and a result of extensive primary and secondary research. The market research reports provide a complete competitive landscape and an in-depth vendor selection methodology and analysis using qualitative and quantitative research to forecast accurate market growth.

Table of Contents

1 Executive Summary

• 1.1 Market overview
  • Executive Summary - Chart on Market Overview
  • Executive Summary - Data Table on Market Overview
  • Executive Summary - Chart on Global Market Characteristics
  • Executive Summary - Chart on Market by Geography
  • Executive Summary - Chart on Market Segmentation by Deployment
  • Executive Summary - Chart on Market Segmentation by Application
  • Executive Summary - Chart on Market Segmentation by End-user
  • Executive Summary - Chart on Incremental Growth
  • Executive Summary - Data Table on Incremental Growth
  • Executive Summary - Chart on Company Market Positioning

2 Technavio Analysis

• 2.1 Analysis of price sensitivity, lifecycle, customer purchase basket, adoption rates, and purchase criteria
  • Analysis of price sensitivity, lifecycle, customer purchase basket, adoption rates, and purchase criteria
• 2.2 Criticality of inputs and Factors of differentiation
• 2.3 Factors of disruption
• 2.4 Impact of drivers and challenges

3 Market Landscape

• 3.1 Market ecosystem
• 3.2 Market characteristics
• 3.3 Value chain analysis

4 Market Sizing

• 4.1 Market definition
• 4.2 Market segment analysis
  • Market segments
• 4.3 Market size 2024
• 4.4 Market outlook: Forecast for 2024-2029

5 Historic Market Size

• 5.1 Global AI In Medical Billing Market 2019 - 2023
  • Historic Market Size - Data Table on Global AI In Medical Billing Market 2019 - 2023 ($ million)
• 5.2 Deployment segment analysis 2019 - 2023
  • Historic Market Size - Deployment Segment 2019 - 2023 ($ million)
• 5.3 Application segment analysis 2019 - 2023
  • Historic Market Size - Application Segment 2019 - 2023 ($ million)
• 5.4 End-user segment analysis 2019 - 2023
  • Historic Market Size - End-user Segment 2019 - 2023 ($ million)
• 5.5 Geography segment analysis 2019 - 2023
  • Historic Market Size - Geography Segment 2019 - 2023 ($ million)
• 5.6 Country segment analysis 2019 - 2023
  • Historic Market Size - Country Segment 2019 - 2023 ($ million)

6 Five Forces Analysis

• 6.1 Five forces summary
  • Five forces analysis - Comparison between 2024 and 2029
• 6.2 Bargaining power of buyers
  • Bargaining power of buyers - Impact of key factors 2024 and 2029
• 6.3 Bargaining power of suppliers
  • Bargaining power of suppliers - Impact of key factors in 2024 and 2029
• 6.4 Threat of new entrants
  • Threat of new entrants - Impact of key factors in 2024 and 2029
• 6.5 Threat of substitutes
  • Threat of substitutes - Impact of key factors in 2024 and 2029
• 6.6 Threat of rivalry
  • Threat of rivalry - Impact of key factors in 2024 and 2029
• 6.7 Market condition

7 Market Segmentation by Deployment

• 7.1 Market segments
• 7.2 Comparison by Deployment
• 7.3 Cloud-based - Market size and forecast 2024-2029
• 7.4 On-premises - Market size and forecast 2024-2029
• 7.5 Market opportunity by Deployment
  • Market opportunity by Deployment ($ million)

8 Market Segmentation by Application

• 8.1 Market segments
• 8.2 Comparison by Application
• 8.3 Claims processing and adjudication - Market size and forecast 2024-2029
• 8.4 Automated coding and documentation - Market size and forecast 2024-2029
• 8.5 Revenue analytics and forecasting - Market size and forecast 2024-2029
• 8.6 Fraud detection and risk scoring - Market size and forecast 2024-2029
• 8.7 Patient payment optimization - Market size and forecast 2024-2029
• 8.8 Market opportunity by Application
  • Market opportunity by Application ($ million)

9 Market Segmentation by End-user

• 9.1 Market segments
• 9.2 Comparison by End-user
• 9.3 Hospitals and clinics - Market size and forecast 2024-2029
• 9.4 Healthcare payers - Market size and forecast 2024-2029
• 9.5 ASCs - Market size and forecast 2024-2029
• 9.6 Billing outsourcing firms - Market size and forecast 2024-2029
• 9.7 Market opportunity by End-user
  • Market opportunity by End-user ($ million)

10 Customer Landscape

• 10.1 Customer landscape overview
  • Analysis of price sensitivity, lifecycle, customer purchase basket, adoption rates, and purchase criteria

11 Geographic Landscape

• 11.1 Geographic segmentation
• 11.2 Geographic comparison
• 11.3 North America - Market size and forecast 2024-2029
  • 11.3.1 US - Market size and forecast 2024-2029
  • 11.3.2 Canada - Market size and forecast 2024-2029
  • 11.3.3 Mexico - Market size and forecast 2024-2029
• 11.4 Europe - Market size and forecast 2024-2029
  • 11.4.1 Germany - Market size and forecast 2024-2029
  • 11.4.2 UK - Market size and forecast 2024-2029
  • 11.4.3 France - Market size and forecast 2024-2029
  • 11.4.4 Italy - Market size and forecast 2024-2029
  • 11.4.5 Spain - Market size and forecast 2024-2029
  • 11.4.6 The Netherlands - Market size and forecast 2024-2029
• 11.5 APAC - Market size and forecast 2024-2029
  • 11.5.1 China - Market size and forecast 2024-2029
  • 11.5.2 Japan - Market size and forecast 2024-2029
  • 11.5.3 India - Market size and forecast 2024-2029
  • 11.5.4 South Korea - Market size and forecast 2024-2029
  • 11.5.5 Australia - Market size and forecast 2024-2029
  • 11.5.6 Indonesia - Market size and forecast 2024-2029
• 11.6 South America - Market size and forecast 2024-2029
  • 11.6.1 Brazil - Market size and forecast 2024-2029
  • 11.6.2 Argentina - Market size and forecast 2024-2029
  • 11.6.3 Colombia - Market size and forecast 2024-2029
• 11.7 Middle East and Africa - Market size and forecast 2024-2029
  • 11.7.1 Saudi Arabia - Market size and forecast 2024-2029
  • 11.7.2 UAE - Market size and forecast 2024-2029
  • 11.7.3 South Africa - Market size and forecast 2024-2029
  • 11.7.4 Israel - Market size and forecast 2024-2029
  • 11.7.5 Turkey - Market size and forecast 2024-2029
• 11.8 Market opportunity by geography
  • Market opportunity by geography ($ million)
  • Data Tables on Market opportunity by geography ($ million)

12 Drivers, Challenges, and Opportunity

• 12.1 Market drivers
  • Escalating complexity of medical coding and regulatory frameworks
  • Economic pressures mandating operational efficiency and enhanced revenue cycle management
  • Synergistic advancement in AI technologies and proliferation of healthcare data
• 12.2 Market challenges
  • Navigating stringent data privacy and security imperatives
  • Overcoming prohibitive implementation costs and complex systems integration
  • Addressing evolving regulatory scrutiny and absence of standardized AI frameworks
• 12.3 Impact of drivers and challenges
  • Impact of drivers and challenges in 2024 and 2029
• 12.4 Market opportunities
  • Critical imperative for operational efficiency amid escalating administrative costs
  • Navigating increasing complexity of medical coding and regulatory compliance
  • Transformative impact of generative AI and LLM

13 Competitive Landscape

• 13.1 Overview
• 13.2 Competitive Landscape
  • Overview on criticality of inputs and factors of differentiation
• 13.3 Landscape disruption
  • Overview on factors of disruption
• 13.4 Industry risks
  • Impact of key risks on business

14 Competitive Analysis

• 14.1 Companies profiled
  • Companies covered
• 14.2 Company ranking index
  • Company ranking index
• 14.3 Market positioning of companies
  • Matrix on companies position and classification
• 14.4 Access Healthcare
  • Access Healthcare - Overview
  • Access Healthcare - Product / Service
  • Access Healthcare - Key offerings
  • SWOT
• 14.5 Athenahealth Inc.
  • Athenahealth Inc. - Overview
  • Athenahealth Inc. - Product / Service
  • Athenahealth Inc. - Key offerings
  • SWOT
• 14.6 CareCloud Inc.
  • CareCloud Inc. - Overview
  • CareCloud Inc. - Business segments
  • CareCloud Inc. - Key news
  • CareCloud Inc. - Key offerings
  • CareCloud Inc. - Segment focus
  • SWOT
• 14.7 CodaMetrix
  • CodaMetrix - Overview
  • CodaMetrix - Product / Service
  • CodaMetrix - Key offerings
  • SWOT
• 14.8 Ensemble Health Partners
  • Ensemble Health Partners - Overview
  • Ensemble Health Partners - Product / Service
  • Ensemble Health Partners - Key offerings
  • SWOT
• 14.9 Epic Systems Corp.
  • Epic Systems Corp. - Overview
  • Epic Systems Corp. - Product / Service
  • Epic Systems Corp. - Key offerings
  • SWOT
• 14.10 Fathom Health
  • Fathom Health - Overview
  • Fathom Health - Product / Service
  • Fathom Health - Key offerings
  • SWOT
• 14.11 GE Healthcare Technologies
  • GE Healthcare Technologies - Overview
  • GE Healthcare Technologies - Business segments
  • GE Healthcare Technologies - Key news
  • GE Healthcare Technologies - Key offerings
  • GE Healthcare Technologies - Segment focus
  • SWOT
• 14.12 Hangzhou Weiyi Health Technology Co. Ltd.
  • Hangzhou Weiyi Health Technology Co. Ltd. - Overview
  • Hangzhou Weiyi Health Technology Co. Ltd. - Product / Service
  • Hangzhou Weiyi Health Technology Co. Ltd. - Key offerings
  • SWOT
• 14.13 Infosys Ltd.
  • Infosys Ltd. - Overview
  • Infosys Ltd. - Business segments
  • Infosys Ltd. - Key news
  • Infosys Ltd. - Key offerings
  • Infosys Ltd. - Segment focus
  • SWOT
• 14.14 NextGen Healthcare Inc.
  • NextGen Healthcare Inc. - Overview
  • NextGen Healthcare Inc. - Product / Service
  • NextGen Healthcare Inc. - Key news
  • NextGen Healthcare Inc. - Key offerings
  • SWOT
• 14.15 Nym Health
  • Nym Health - Overview
  • Nym Health - Product / Service
  • Nym Health - Key offerings
  • SWOT
• 14.16 Optum Inc.
  • Optum Inc. - Overview
  • Optum Inc. - Product / Service
  • Optum Inc. - Key offerings
  • SWOT
• 14.17 R1 RCM Inc.
  • R1 RCM Inc. - Overview
  • R1 RCM Inc. - Product / Service
  • R1 RCM Inc. - Key offerings
  • SWOT
• 14.18 Waystar Inc.
  • Waystar Inc. - Overview
  • Waystar Inc. - Product / Service
  • Waystar Inc. - Key offerings
  • SWOT

15 Appendix

• 15.1 Scope of the report
  • Market definition
  • Objectives
  • Notes and caveats
• 15.2 Inclusions and exclusions checklist
  • Inclusions checklist
  • Exclusions checklist
• 15.3 Currency conversion rates for US$
  • Currency conversion rates for US$
• 15.4 Research methodology
  • Research methodology
• 15.5 Data procurement
  • Information sources
• 15.6 Data validation
  • Data validation
• 15.7 Validation techniques employed for market sizing
  • Validation techniques employed for market sizing
• 15.8 Data synthesis
  • Data synthesis
• 15.9 360 degree market analysis
  • 360 degree market analysis
• 15.10 List of abbreviations
  • List of abbreviations