The global healthcare EDI market is expected to grow at a substantial rate in the next five years. Various factors are responsible for this growth, which includes reduction of the overall administration costs for claims transactions, reduction of the time and complexity of managing the entire claims management process, and initiatives by various governments for supporting healthcare IT. However, problems associated with the security of data, high cost of software installations, and lesser insurance coverage of citizens of the BRIC nations restrains the market to a certain extent.

This report analyzes the global market for healthcare EDI based on components (EDI software, and EDI services), transactions (claim status, eligibility verification, payment remittance, referral certification authorization, enrolment/disenrollment transactions, and premium payments), end-users (healthcare payers, healthcare providers, and medical equipment and accessories suppliers/ pharmacies), mode of delivery (web-based EDI, point-to-point EDI, mobile EDI, EDI VAN, and EDI via AS2), and geography (North America, Europe, Asia, and Rest of the World).

The global healthcare EDI market is expected to grow at a CAGR of 13.7% in the forecast period to reach $1,681.1 million by 2018 from $916.5 million in 2013. Factors such as rising healthcare and administration costs, strong government support and initiatives, and growing need for easy conduction of claims management, have increased the demand for healthcare EDI. However, high cost of software, restricted investment in healthcare IT, less insurance coverage of people across the BRIC nations, and compliance with the regulatory standards are factors that restrain the growth of the market.