Claim Management system refers to software that processes complex data generated by claims. It involves the payer and healthcare providers. The process revolves around the fulfillment of the obligation by an insurer to receive, investigate, and act on a claim filed by an insured person. It involves multiple administrative and customer service layers that include review, investigation, adjustment, and remittance or denial of the claim.
Asia accounted for a share of 12.5% of the payer claim management market globally, in 2013. The market was valued at $404 million in 2013 that is expected to grow at a CAGR of 6.2% from 2014 to 2019.
Increasing requirements for effective management of data produced from the claims, and the interest of investors to invest in the region drive the market in the region.
This market is segmented and forecasted on the basis of two different types, namely integrated payer claim management and standalone payer claim management. Standalone payer claim management accounts for the largest share of the Asia payer claim management market and is expected to grow at a CAGR of 7.3% from 2014 to 2019. On the basis of components and deployments, the market is segmented into hardware, software, and services, while the deployments are on-premise, cloud-based, and web-based. The market is further segmented and forecasted on the basis of major countries, such as the U.K., Germany, France, Italy, and Spain. The market is also segmented and analyzed further on the basis of end-users.
The report provides an extensive competitive landscaping of companies that operate in this market. The key players of the market covered in the report are Aspect Software, Avaya Inc., Cerner Corporation, Infor, and Oracle Corporation. This report also includes the market share, value chain analysis, and market metrics such as drivers, restraints, and upcoming opportunities in the market.
1 INTRODUCTION
1.1 Objective of the Study
1.2 Market Segmentation & Coverage
1.3 Stakeholders
2 RESEARCH METHODOLOGY
2.1 Integrated Ecosystem of Payer Claim Management Market
2.2 Arriving at the Payer Claim Management Market Size
2.2.1 Top-Down Approach
2.2.2 Bottom-Up Approach
2.2.3 Demand Side Approach
2.2.4 Macro Indicator-Based Approach
2.3 Assumptions
3 EXECUTIVE SUMMARY
4 MARKET OVERVIEW
4.1 Introduction
4.2 Asia Payer Claim Management Market: Comparison With Parent Market
4.3 Market Drivers And Inhibitors
4.4 Key Market Dynamics
4.5 Demand Side Analysis
4.6 Vendor Side Analysis
5 PAYER CLAIM MANAGEMENT MARKET, BY DEPLOYMENT
5.1 Research Methodology
5.2 Introduction
5.3 Asia Payer Claim Management Market, Type Comparison With Healthcare Workflow Systems Market
5.4 Asia Web-based Market, By Geography
5.5 Asia On-premise Market, By Geography
5.6 Asia Cloud-based Market, By Geography
5.7 Sneak View: Asia Healthcare Workflow Systems Market, By Deployment
6 PAYER CLAIM MANAGEMENT MARKET, BY COMPONENT
6.1 Research Methodology
6.2 Introduction
6.3 Asia Payer Claim Management Market, Type Comparison With Healthcare Workflow Systems Market
6.4 Asia Services (Healthcare IT) Market, By Geography
6.5 Asia Software (Healthcare IT) Market, By Geography
6.6 Asia Hardware (Healthcare IT) Market, By Geography
6.7 Sneak View: Asia Healthcare Workflow Systems Market, By Component
7 PAYER CLAIM MANAGEMENT MARKET, BY ENDUSER
7.1 Introduction
7.2 Demand Side Analysis
7.3 Vendor Side Analysis
7.4 Payer Claim Management In Hospitals, By Geography
7.5 Payer Claim Management In Office based Physicians, By Geography
7.6 Payer Claim Management In Nurses, By Geography
7.7 Payer Claim Management In Emergency Healthcare Service providers, By Geography
7.8 Payer Claim Management In Other Healthcare Providers, By Geography
7.9 Sneak View: Asia Healthcare Workflow Systems Market, By Enduser
8 PAYER CLAIM MANAGEMENT MARKET, BY PRODUCT
8.1 Research Methodology
8.2 Introduction
8.3 Asia Payer Claim Management Market, Type Comparison With Healthcare Workflow Systems Market
8.4 Asia Standalone Payer Claim Management Market, By Geography
8.5 Asia Integrated Payer Claim Management Market, By Geography
8.6 Sneak View: Asia Healthcare Workflow Systems Market, By Product
9 PAYER CLAIM MANAGEMENT MARKET, BY GEOGRAPHY
9.1 Introduction
9.2 Vendor Side Analysis
9.3 Asia - Japan Payer Claim Management Market
9.3.1 Asia - Japan Payer Claim Management Market, By Application
9.3.2 Asia - Japan Payer Claim Management Market, By Type
9.4 India Payer Claim Management Market
9.4.1 India Payer Claim Management Market, By Application
9.4.2 India Payer Claim Management Market, By Type
9.5 China Payer Claim Management Market
9.5.1 China Payer Claim Management Market, By Application
9.5.2 China Payer Claim Management Market, By Type
9.6 Asia - Other Geographies Payer Claim Management Market
9.6.1 Asia - Other Geographies Payer Claim Management Market, By Application
9.6.2 Asia - Other Geographies Payer Claim Management Market, By Type
9.7 Sneak View: Asia Healthcare Workflow Systems Market, By Geography
10 COMPETITIVE LANDSCAPE
10.1 Payer Claim Management Market Concentration Analysis
10.2 Company Presence In Payer Claim Management Market, By Type
10.3 Merger & Acquisition
10.4 Other Expansion
10.5 New Synergies
11 PAYER CLAIM MANAGEMENT MARKET, BY COMPANY
11.1 Oracle Corporation
11.1.1 Overview
11.1.2 Key Financials
11.1.3 Product and Service Offerings
11.1.4 Related Developments
11.1.5 MMM Analysis
11.2 Cerner Corporation
11.2.1 Overview
11.2.2 Key Financials
11.2.3 Product and Service Offerings
11.2.4 Related Developments
11.2.5 MMM Analysis
11.3 Aspect Imaging.
11.3.1 Overview
11.3.2 Key Financials
11.3.3 Product and Service Offerings
11.3.4 Related Developments
11.3.5 MMM Analysis
11.4 Avaya Inc.
11.4.1 Overview
11.4.2 Key Financials
11.4.3 Product and Service Offerings
11.4.4 Related Developments
11.4.5 MMM Analysis
11.5 Infor
11.5.1 Overview
11.5.2 Key Financials
11.5.3 Product and Service Offerings
11.5.4 Related Developments
11.5.5 MMM Analysis
12 APPENDIX
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PRODUCT TITLE | PUBLISHED | |
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European Healthcare Workflow Systems Peers of Hydrocolloids are Payer Claim Management, Customer Relationship Management (HCIT), Pharmacy Audit And Analysis and Fraud Detection comprising 35.8%, 25.2%, 20.9% and 18.1% respectively of the Global Workflow Solutions market. It is segmented on basis... |
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North American Healthcare Workflow Systems The North American healthcare workflow systems report defines and segments the concerned market in North America with analysis and forecast of revenue. The market was valued at $5318.0 million in 2013 and is projected to witness a CAGR of 5.9% between 2014 and 2019. |
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Asian Healthcare Workflow System Peers of Hydrocolloids are Payer Claim Management, Customer Relationship Management (HCIT), Pharmacy Audit And Analysis and Fraud Detection comprising 35.8%, 25.2%, 20.9% and 18.1% respectively of the Global Workflow Solutions market. It is segmented on basis... |
Apr 2015 |