June 9, 2024

U.S. Payment Integrity Market Size To Rake USD 8,664.49 Mn By 2032

The global U.S. payment integrity market size was valued at USD 772.26 million in 2022 and is projected to reach USD 8,664.49 million by 2032, growing at a CAGR of 27.4% from 2023 to 2032, According to Precedence Research.

U.S. Payment Integrity Market Size 2023 To 2032

The global U.S. payment integrity market boons an in-depth synopsis of the competitive landscape of the market globally, thus helping establishments understand the primary threats and prospects that players/vendors in the market are dealt with. It also incorporates thorough business profiles of some of the prime vendors in the market.

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U.S. Payment Integrity Market Report Scope 

Report Coverage Details
Market Size in 2023 USD 980 Million
Market Size by 2032 USD 8,664.49 Million
Growth Rate from 2023 to 2032 CAGR of 27.4%
Base Year 2022
Forecast Period 2023 to 2032
Segments Covered By Component, By Function, By Application, By Mode of Delivery, and By End Use

Also read: Biologics Contract Development Market Size To Rake USD 18.71 Bn By 2032

Benefits of this market 

  • This study analyses the market size and share for U.S. payment integrity along with the present trends in the industry and forecasts for the future, showing investment opportunities for the future.
  • In order to compare the financial capabilities of the U.S. payment integrity market in the present, a quantitative analysis is done of the market from 2023 to 2032.
  • It is clear from this brilliant presentation of Porter’s Five Forces that buyers and suppliers have a lot of potential to gain from one another.
  • It is important to understand the most profitable trends in the U.S. payment integrity market in order to gain an advantage in the market.
  • A comprehensive analysis of the driving factors, limitations, and opportunities is provided in the report, along with an in-depth analysis of the effect they have on the market.
  • The report also includes the market share for U.S. payment integrity for several significant vendors as well as the latest developments in the market.

Leading players of the global U.S. payment integrity market are analysed taking into account their market share, recent developments, new product launches, partnerships, mergers or acquisitions, and markets served. Precedence Research provide an exhaustive analysis of their product portfolios to explore the products and applications they concentrate on when operating in the global U.S. payment integrity market. Furthermore, the report offers two separate market forecasts – one for the production side and another for the consumption side of the global U.S. payment integrity market. It also provides useful recommendations for new as well as established players of the global U.S. payment integrity market.

The major players in the market

  • Cotiviti
  • Optum / Change Healthcare
  • Zelis
  • Availity
  • MultiPlan
  • Ceris
  • Cognizant
  • EXL
  • Performant
  • Syrtis
  • Varis
  • ClarisHealth
  • ClaimLogiq
  • Rialtic
  • HealthEdge

U.S. Payment Integrity Market Segmentations:

By Component

  • Software
  • Services

By Function

  • Query & Reporting
  • OLAP & Visualization
  • Performance Management

By Application

  • Pre-Payment
    • Claims Editing (1st pass)
    • Claims Editing (2nd, 3rd, etc.)
    • Coding Validation
  • Post-Payment
    • Complex/Clinical Provider Audit
    • Coordination of Benefits (COB)
    • Subrogation
    • Data Mining
  • FWA
    • Provider Fraud, Waste & Abuse
    • Special Investigations
  • Others
    • Reporting and Analytics
    • Others

By Mode of Delivery

  • On-Premises
  • Cloud-Based
  • Hybrid

By End Use

  • Payers
  • Healthcare Providers


Chapter 1. Introduction

1.1. Research Objective

1.2. Scope of the Study

1.3. Definition

Chapter 2. Research Methodology (Premium Insights)

2.1. Research Approach

2.2. Data Sources

2.3. Assumptions & Limitations

Chapter 3. Executive Summary

3.1. Market Snapshot

Chapter 4. Market Variables and Scope 

4.1. Introduction

4.2. Market Classification and Scope

4.3. Industry Value Chain Analysis

4.3.1. Raw Material Procurement Analysis

4.3.2. Sales and Distribution Channel Analysis

4.3.3. Downstream Buyer Analysis

Chapter 5. COVID 19 Impact on U.S. Payment Integrity Market 

5.1. COVID-19 Landscape: U.S. Payment Integrity Industry Impact

5.2. COVID 19 – Impact Assessment for the Industry

5.3. COVID 19 Impact: Global Major Government Policy

5.4. Market Trends and Opportunities in the COVID-19 Landscape

Chapter 6. Market Dynamics Analysis and Trends

6.1. Market Dynamics

6.1.1. Market Drivers

6.1.2. Market Restraints

6.1.3. Market Opportunities

6.2. Porter’s Five Forces Analysis

6.2.1. Bargaining power of suppliers

6.2.2. Bargaining power of buyers

6.2.3. Threat of substitute

6.2.4. Threat of new entrants

6.2.5. Degree of competition

Chapter 7. Competitive Landscape

7.1.1. Company Market Share/Positioning Analysis

7.1.2. Key Strategies Adopted by Players

7.1.3. Vendor Landscape List of Suppliers List of Buyers

Chapter 8. U.S. Payment Integrity Market, By Component

8.1. U.S. Payment Integrity Market, by Component, 2023-2032

8.1.1. Software Market Revenue and Forecast (2020-2032)

8.1.2. Services Market Revenue and Forecast (2020-2032)

Chapter 9. U.S. Payment Integrity Market, By Function

9.1. U.S. Payment Integrity Market, by Function, 2023-2032

9.1.1. Query & Reporting Market Revenue and Forecast (2020-2032)

9.1.2. OLAP & Visualization Market Revenue and Forecast (2020-2032)

9.1.3. Performance Management Market Revenue and Forecast (2020-2032)

Chapter 10. U.S. Payment Integrity Market, By Application 

10.1. U.S. Payment Integrity Market, by Application, 2023-2032

10.1.1. Pre-Payment Market Revenue and Forecast (2020-2032)

10.1.2. Post-Payment Market Revenue and Forecast (2020-2032)

10.1.3. FWA Market Revenue and Forecast (2020-2032)

10.1.4. Others Market Revenue and Forecast (2020-2032)

Chapter 11. U.S. Payment Integrity Market, By Mode of Delivery

11.1. U.S. Payment Integrity Market, by Mode of Delivery, 2023-2032

11.1.1. On-Premises Market Revenue and Forecast (2020-2032)

11.1.2. Cloud-Based Market Revenue and Forecast (2020-2032)

11.1.3. Hybrid Market Revenue and Forecast (2020-2032)

Chapter 12. U.S. Payment Integrity Market, By End Use

12.1. U.S. Payment Integrity Market, by End Use, 2023-2032

12.1.1. Payers Market Revenue and Forecast (2020-2032)

12.1.2. Healthcare Providers Market Revenue and Forecast (2020-2032)

Chapter 13. U.S. Payment Integrity Market, Countries Estimate and Trends Forecast

13.1. U.S.

13.1.1. Market Revenue and Forecast, by Component (2020-2032)

13.1.2. Market Revenue and Forecast, by Function (2020-2032)

13.1.3. Market Revenue and Forecast, by Application (2020-2032)

13.1.4. Market Revenue and Forecast, by Mode of Delivery (2020-2032)

13.1.5. Market Revenue and Forecast, by End Use (2020-2032)

Chapter 14. Company Profiles

14.1. Cotiviti

14.1.1. Company Overview

14.1.2. Product Offerings

14.1.3. Financial Performance

14.1.4. Recent Initiatives

14.2. Optum / Change Healthcare

14.2.1. Company Overview

14.2.2. Product Offerings

14.2.3. Financial Performance

14.2.4. Recent Initiatives

14.3. Zelis

14.3.1. Company Overview

14.3.2. Product Offerings

14.3.3. Financial Performance

14.3.4. Recent Initiatives

14.4. Availity

14.4.1. Company Overview

14.4.2. Product Offerings

14.4.3. Financial Performance

14.4.4. Recent Initiatives

14.5. MultiPlan

14.5.1. Company Overview

14.5.2. Product Offerings

14.5.3. Financial Performance

14.5.4. Recent Initiatives

14.6. Ceris

14.6.1. Company Overview

14.6.2. Product Offerings

14.6.3. Financial Performance

14.6.4. Recent Initiatives

14.7. Cognizant

14.7.1. Company Overview

14.7.2. Product Offerings

14.7.3. Financial Performance

14.7.4. Recent Initiatives

14.8. EXL

14.8.1. Company Overview

14.8.2. Product Offerings

14.8.3. Financial Performance

14.8.4. Recent Initiatives

14.9. Performant

14.9.1. Company Overview

14.9.2. Product Offerings

14.9.3. Financial Performance

14.9.4. Recent Initiatives

14.10. Syrtis

14.10.1. Company Overview

14.10.2. Product Offerings

14.10.3. Financial Performance

14.10.4. Recent Initiatives

Chapter 15. Research Methodology

15.1. Primary Research

15.2. Secondary Research

15.3. Assumptions

Chapter 16. Appendix

16.1. About Us

16.2. Glossary of Terms

Key inquiries addressed in the report:

  • Investigate the COVID 19 outbreak’s effects.
  • Our researchers give precise responses, pinpoint significant chances and fresh investments, and suggest excellent market strategy avenues.

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