MarkNtel Advisors Releases Comprehensive Study on the Healthcare Denial Management Market, Forecasting Strong Growth from 2025 to 2030
MarkNtel Advisors, a leading market research and consulting firm, has announced the release of its latest study titled “Healthcare Denial Management Market Analysis, 2025–2030.”
This report provides a detailed assessment of the Healthcare Denial Management Market, covering its evolving dynamics, emerging trends, key growth drivers, major challenges, and competitive landscape.
Designed to guide investors, stakeholders, and business leaders, the research aims to deliver valuable insights for strategic planning, risk assessment, and investment decision-making in the years ahead.
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Healthcare Denial Management Market Timeline Overview
-Historical Years: 2020-23
-Base Years: 2024
-Forecast year - 2025-2030
This helps businesses identify emerging opportunities, assess market risks, and develop data-driven strategies for long-term success.
Healthcare Denial Management Market Outlook
According to the report, The Global Healthcare Denial Management Market size was valued at around USD 14.98 billion in 2024 and is estimated to grow at a CAGR of around 12.19% during the forecast period, i.e., 2025-30. The market size is expected to reach USD 30.17 billion by 2030.
The report also examines consumer preferences, regulatory impacts, and investment trends that will shape the market’s trajectory over the next decade.
Healthcare Denial Management Market Drivers:
- The number of denied medical claims is rising, causing major financial losses and inefficiencies for healthcare providers.
- According to the Journal of AHIMA, denial rates have reached 10–15%, and hospitals are losing around USD 5 million per year, or about 5% of their patient revenue.
- Common reasons for denials include incomplete documentation, missing prior authorizations, and frequent changes in payer policies.
- Many providers still use manual or outdated billing systems, which increases errors and slows down reimbursements. Reworking a denied claim can cost USD 25–181 depending on the facility.
- Nearly 20% of all claims get denied, and 60% of corrected claims are never submitted again, leading to permanent revenue loss.
- As a result, healthcare facilities increasingly need strong denial management solutions to reduce errors, submit clean claims, and improve approval rates.
Healthcare Denial Management Market Trends:
- Manual denial management methods are no longer efficient as healthcare claims get more complex. Still, nearly 50% of providers manually review denials (Experian Health, 2024).
- This is pushing healthcare providers to adopt AI-based denial management solutions.
- According to the 2025 Healthcare CFO Outlook Survey, about 45% of US hospitals were already using AI in revenue cycle management (including denial management) in 2024, and another 49% plan to adopt it in 2025.
- AI systems can predict potential claim denials by analyzing past data, payer rules, and documentation issues before submission.
- These tools also automatically check claims for policy compliance, medical necessity, and coding accuracy, helping providers fix errors early and lower denial rates.
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Healthcare Denial Management Market Segmentation
The study categorizes the Healthcare Denial Management Market into various segments and sub-segments, each analyzed for its size, growth potential, and contribution to the overall industry.
By Component
- Software
- Services
By Type
- Soft Denial
- Hard Denial
By System Type
- Standalone
- Integrated
By Deployment
- Cloud & Web-Based
- On-Premise-Based
By End-User
- Hospitals
- Ambulatory Surgical Centers
- Diagnostic Labs
- Physician Offices
Geographical Analysis
- North America
- South America
- Europe
- The Middle East & Africa
- Asia-Pacific
The report presents detailed insights into the Healthcare Denial Management Market’s geographical expansion, highlighting key trends and opportunities across the following geographies:
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Leading Companies in Healthcare Denial Management Market Worldwide: Players, Analysis & Future Outlook
Exela Technologies BPA, LLC, Nordic, Invensis Technologies Pvt. Ltd., Flatworld Solutions Inc., Optum Inc., Soho Tech Services, EvidenceCare, MediBill MD, ProMantra, Inc., AnnexMed, Experian Information Solutions, Inc., Aspirion, panaHEALTH, BillingParadise, Skyline Healthcare, and others are the top companies in the Global Healthcare Denial Management Market.
Key Highlights of the Report
- Comprehensive Market Overview: In-depth analysis of market size, share, and forecasts from 2025 to 2030.
- Growth Drivers & Challenges: Clear insights into factors fueling or restraining market expansion.
- Investment & Regulatory Insights: Evaluation of key policies, funding trends, and collaborations influencing industry performance.
- Competitive Landscape: Detailed profiles of leading companies, including product portfolios, business strategies, financials, and recent developments such as mergers & acquisitions.
Analytical Tools: Application of SWOT Analysis, PESTEL Analysis, and Porter’s Five Forces Model to assess competition and external influences
Browse through our flexible pricing plans and choose the package that best fits your business needs whether you require a single-user license, corporate access, or customized insights. Once you select the plan that suits your requirements, you can purchase and instantly access the full report online – https://www.marknteladvisors.com/pricing/healthcare-denial-management-market.html
Frequently Asked Questions (FAQ)
- What is the projected growth rate of the Healthcare Denial Management Market?
2. What are the major factors driving this market’s growth?
3. Which regions are expected to lead the Healthcare Denial Management Market?
4. Who are the prominent players in the Healthcare Denial Management Market?
5. How is the competition structured in this market?
6. How can I access the full report?
About us:
MarkNtel Advisors is a globally recognized market research and consulting firm delivering intelligence across the healthcare industry, spanning pharmaceuticals, medical devices, healthcare IT, and biotechnology. Our analysts combine domain expertise with innovation tracking to help healthcare organizations improve efficiency and patient outcomes. Through Consulting Services, we assist clients in interpreting insights, designing go-to-market strategies, and adapting to regulatory changes, fostering sustainable growth in the evolving global healthcare ecosystem.
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