Global Healthcare Denial Management Market Overview: 2025-2030

Base Year: 2024

Historical Years:    2020-23

Forecast Years: 2025-2030

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.

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Global Healthcare Denial Management Market Dynamics: 2025-2030

Global Healthcare Denial Management Market Driver:

Rising Medical Claims Denial Amplifying the Requirement for Appropriate Management Solutions – The surge in refused medical claims has significantly amplified the need for effective denial management solutions, as healthcare providers face increasing financial losses and operational inefficiencies. For instance,

• Journal of AHIMA indicates that turndown rates have surged to 10-15%, with hospitals losing an average of USD5 million annually, representing 5% of their net patient revenue.

The primary factors responsible for growth include incomplete documentation, prior authorization failures, and evolving payer policies, leading to higher rejection rates and delayed reimbursements. Additionally, manual claim processing and outdated billing systems contribute to inefficiencies, increasing the cost of reworking rejected claims, which ranges from USD25 per claim for practices to USD181 per claim for hospitals. With nearly 20% of all claims refused and 60% of returned claims never resubmitted, providers face permanent revenue losses, making denial management solutions essential for streamlining claim submissions and improving approval rates.

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Global Healthcare Denial Management Market (2025-30): Segmentation Outlook

The market report has segmented the market into the following categories:

By Component     

-Software- Market Size & Forecast 2020-2030, USD Million

-Services- Market Size & Forecast 2020-2030, USD Million

By Type

- Soft Denial- Market Size & Forecast 2020-2030, USD Million

- Hard Denial- Market Size & Forecast 2020-2030, USD Million

By System Type

- Standalone- Market Size & Forecast 2020-2030, USD Million

- Integrated- Market Size & Forecast 2020-2030, USD Million

By Deployment

- Cloud & Web-Based- Market Size & Forecast 2020-2030, USD Million

- On-Premise-Based- Market Size & Forecast 2020-2030, USD Million

By End-User

-Hospitals- Market Size & Forecast 2020-2030, USD Million

-Ambulatory Surgical Centers- Market Size & Forecast 2020-2030, USD Million

-Diagnostic Labs- Market Size & Forecast 2020-2030, USD Million

-Physician Offices- Market Size & Forecast 2020-2030, USD Million

By Region

- North America

- South America

- Europe

- The Middle East & Africa

- Asia-Pacific.

Note - If there are any particular details you need that are not currently included in the report, we will be happy to provide them as part of our customization services.

Top Companies Operating in the Global Healthcare Denial Management Market:

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.

Industry Recent Development:

• 2025: Iodine Software launched an appeals management workspace supporting denials management, alongside GenAI platform enhancements.
• 2024: EnableComp acquired ANI Healthcare Solutions, LLC (ANI), a San Francisco-based denial management company. The acquisition will enable EnableComp to add ANI’s denial management expertise to its comprehensive solution suite and further expand the proficiency of the E360 RCM™ intelligent automation platform..

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