Healthcare EDI market to reach USD 7.11B by 2029 

The global healthcare EDI market is projected to reach USD 7.11 billion by 2029 from USD 4.47 billion in 2024, with a CAGR of 9.7%. Key drivers include increased claims submissions, growing use of API integrations, and regulatory mandates. Adoption of RESTful APIs, File Transfer Protocols (FTPs), and advancements in automated error detection contribute to growth. The shift to value-based care models, cloud storage, and AI-driven analytics further drive demand for EDI solutions in enhancing revenue cycle management and patient care outcomes.

The rising shift towards the use of automated data validation with artificial intelligence (AI), cloud-based EDI solutions, the expansion of API-based plug-ins, and the increased adoption of blockchain technology to enhance security are expected to bolster the growth of the healthcare EDI market. Moreover, to promote health data interoperability, the 2020 Cures Act Final Rule from ONC enforced important 21st Century Cures Act provisions, such as the ban on information blocking, which is expected to provide growth opportunities for vendors offering healthcare EDI market. The cloud-based EDI solutions are gaining popularity due to their cost-effectiveness, flexibility, scalability, and improved security over traditional on-premises EDI solutions. In addition, real-time data exchange, reduced IT hassle, integration, and quick deployment are some other factors contributing to cloud-based EDI solutions’ highest growth.

By transaction type, the claims management software segment is expected to grow at the highest CAGR during the forecast period. The growth of this segment can be attributed to an increased volume of healthcare claims, the intricacy of healthcare billing and regulatory requirements, and the need for a decrease in errors and claim denials.

The software segment is expected to hold a significant share of the healthcare EDI market by component. Healthcare providers and payers can automate their workflows by decreasing administrative costs, reducing errors, and enhancing data security with the effective utilization of healthcare EDI software. The seamless integration of software, real-time data exchange, and automation in healthcare transactions are some of the major factors driving market growth. MarketsandMarkets