Electronic data interchange is a concept of electronic business communication. Healthcare electronic data interchange allows the interchange of computer-processable electronic healthcare data in a user-friendly format among healthcare institutions, healthcare professionals, and patients. Standardization, cost savings, improved productivity, and faster processing are some of the benefits offered by healthcare EDI. For instance, healthcare providers can send claim status requests and procure information using a predefined transaction set for organized, compliant information exchange. Healthcare electronic data interchange transactions are not email exchanges, unlike normal EDI. There are various applications of healthcare EDI systems some of them are dental and medical patient database management, clinical trials and regulatory data management, and insurance and reimbursement data management.
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Healthcare electronic data interchange (edi) market
1. Electronic data interchange is a concept of electronic business communication. Healthcare electronic
data interchange allows the interchange of computer-processable electronic healthcare data in a
user-friendly format among healthcare institutions, healthcare professionals, and patients.
Standardization, cost savings, improved productivity, and faster processing are some of the benefits
offered by healthcare EDI. For instance, healthcare providers can send claim status requests and
procure information using a predefined transaction set for organized, compliant information
exchange. Healthcare electronic data interchange transactions are not email exchanges, unlike
normal EDI. There are various applications of healthcare EDI systems some of them are dental and
medical patient database management, clinical trials and regulatory data management, and
insurance and reimbursement data management. Healthcare EDI contains exchange of electronic
healthcare data between applications and computer systems. There are different modes for
transaction in healthcare electronic data interchange (EDI) market such as point-to-point EDI, web-
based EDI, van EDI, mobile EDI, and EDI via AS2, employed by several end-users such as pharmacies,
medical device & pharmaceutical industries, healthcare providers, and healthcare players.
Healthcare EDI systems need to be modified with a data-centric system in order to provide a high
level of data security and quality and to keep pace with the changing healthcare trends.
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A key factor driving the healthcare electronic data interchange (EDI) market is the rising need to
curtail healthcare cost and regularize electronic transaction. Moreover, rising government support
for healthcare IT plays a vital role in driving the healthcare EDI market. The development of new
regulations for transaction process is also positively affecting the expansion of the healthcare
electronic data interchange (EDI) market. Additionally, the usage of electronic data interchange (EDI)
provides affordable solutions for small as well as for medium-sized healthcare providers with
improved scalability and flexibility. However, data security of patients is an issue that is likely to
hamper the healthcare electronic data interchange (EDI) market. Moreover, initial high
implementation cost for EDI software is a factor restraining the healthcare electronic data
interchange (EDI) market.
The healthcare electronic data interchange (EDI) market can be segmented based on component,
transaction type, delivery mode, end-user, and geographic regions. Based on component, the
healthcare electronic data interchange (EDI) market can be classified into services and solutions. In
terms of transaction type, the market can be segregated into claims management and healthcare
supply chain. The claim management segment can be further sub-segmented into claim status,
claims submission, eligibility verification, claim payment, payment remittance, referral certification
& authorization, and other EDI transaction. Based on delivery mode, the healthcare electronic data
interchange (EDI) market can be segmented into van EDI, web & cloud-based EDI, mobile EDI, and
point-to-point EDI. In terms of end-user, the market can be divided into pharmacies, medical device
& pharmaceutical industries, healthcare providers, and healthcare players. Based on geographic
regions, the global healthcare electronic data interchange (EDI) market can be segmented into North
America, Europe, Asia Pacific, South America, and Middle East & Africa. The market in Asia-Pacific is
expected to expand at a significant growth rate due to the consistent rise in patient volume and the
need for proper management of massive patient data.
Key players operating in the global healthcare electronic data interchange (EDI) market include
Capario Inc. Mckesson Corporation, GE Healthcare, SSI Group Inc., Passport Health Communication
Inc., Siemens Healthcare, Experian PLC, Optum Inc., Cerner Corporation, and Allscripts Healthcare
Solutions, Inc. These players are vigorously involved in various organic and inorganic growth
2. strategies in order to gain competitive advantage in the market. Some of the vital strategies
followed by these companies include collaborations, agreements, partnerships, and launch of new
products.
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North America (U.S. and Canada)
Latin America (Mexico, Brazil, Peru, Chile, and others)
Western Europe (Germany, U.K., France, Spain, Italy, Nordic countries, Belgium,
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Eastern Europe (Poland and Russia)
Asia Pacific (China, India, Japan, ASEAN, Australia, and New Zealand)
Middle East and Africa (GCC, Southern Africa, and North Africa)
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