The Europe Claims Processing Software Market is expected to witness market growth of 8.3% CAGR during the forecast period (2022-2028).
For claim adjudication, insurance companies utilize a combination of computerized and manual verification. After that, the insurance company determines how much it is willing to pay for the claim, which is known as a payment decision. For example, the insurance company notifies the hospital after the adjudication procedure is complete, along with specifics of their conclusions and justification for settling (totally or partially) or rejecting the claim. This is referred as a benefits explanation or remittance advice. The healthcare provider may submit more details or request to represent the claim based on the EOB.
Amount paid, the amount authorized, approved amount, patient responsibility amount (in situations of copay and coinsurance), covered amount, discount amount, and so on are usually included in the explanation of benefits. This is the final phase, in which the insurance company pays the healthcare provider the money owing for the therapy provided to the covered patient. This can be done for each claim individually or in aggregate for all claims obtained from the same healthcare provider over a period of time.
According to the United Kingdom government, the insurance industry contributes significantly to the UK economy, employing over 300,000 people nationwide, attracting worldwide capital, meeting consumer demands, and creating UK exports. It is critical in analyzing and managing risk, whether it is to increase local communities' resilience, support regional growth, or underpin trade. As a result, various government authorities and market players are determined to make the United Kingdom one of the most competitive insurance markets in the world. The Government's goal is to maintain a solid collaboration with the insurance industry, increase its contribution to economic growth, and collaborate to reinforce the UK's position as a leader in a truly global industry.
In addition, the UK insurance sector is the largest in Europe and a key global center. The sector is an important part of the UK's broader financial services cluster, with a diverse and well-developed skill set. There are various strategies and initiatives going on in this region in order to boost insurance industry growth and boost the sector's contribution to the UK economy.
The Germany market dominated the Europe Claims Processing Software Market by Country in 2021, and is expected to continue to be a dominant market till 2028; thereby, achieving a market value of $3,740.7 Million by 2028. The UK market is poised to grow at a CAGR of 7.4% during (2022-2028). Additionally, The France market is expected to display a CAGR of 9.1% during (2022-2028).
Based on Component, the market is segmented into Software (Without Services) and Services. Based on Enterprise Size, the market is segmented into Large Enterprises and Small & Medium-sized Enterprises. Based on End User, the market is segmented into Insurance Companies, Insurance Intermediaries, Agents & Brokers, and Others. Based on countries, the market is segmented into Germany, UK, France, Russia, Spain, Italy, and Rest of Europe.
The market research report covers the analysis of key stake holders of the market. Key companies profiled in the report include Duck Creek Technologies, Inc., FINEOS Corporation Holdings plc, Hyland Software, Inc., Hawksoft, Inc., HIPAAsuite, Newgen Software Technologies Limited, Pegasystems, Inc., Quick Silver Systems, Inc., Ventiv Technology, and A1 Enterprise, Inc.
By Component
For claim adjudication, insurance companies utilize a combination of computerized and manual verification. After that, the insurance company determines how much it is willing to pay for the claim, which is known as a payment decision. For example, the insurance company notifies the hospital after the adjudication procedure is complete, along with specifics of their conclusions and justification for settling (totally or partially) or rejecting the claim. This is referred as a benefits explanation or remittance advice. The healthcare provider may submit more details or request to represent the claim based on the EOB.
Amount paid, the amount authorized, approved amount, patient responsibility amount (in situations of copay and coinsurance), covered amount, discount amount, and so on are usually included in the explanation of benefits. This is the final phase, in which the insurance company pays the healthcare provider the money owing for the therapy provided to the covered patient. This can be done for each claim individually or in aggregate for all claims obtained from the same healthcare provider over a period of time.
According to the United Kingdom government, the insurance industry contributes significantly to the UK economy, employing over 300,000 people nationwide, attracting worldwide capital, meeting consumer demands, and creating UK exports. It is critical in analyzing and managing risk, whether it is to increase local communities' resilience, support regional growth, or underpin trade. As a result, various government authorities and market players are determined to make the United Kingdom one of the most competitive insurance markets in the world. The Government's goal is to maintain a solid collaboration with the insurance industry, increase its contribution to economic growth, and collaborate to reinforce the UK's position as a leader in a truly global industry.
In addition, the UK insurance sector is the largest in Europe and a key global center. The sector is an important part of the UK's broader financial services cluster, with a diverse and well-developed skill set. There are various strategies and initiatives going on in this region in order to boost insurance industry growth and boost the sector's contribution to the UK economy.
The Germany market dominated the Europe Claims Processing Software Market by Country in 2021, and is expected to continue to be a dominant market till 2028; thereby, achieving a market value of $3,740.7 Million by 2028. The UK market is poised to grow at a CAGR of 7.4% during (2022-2028). Additionally, The France market is expected to display a CAGR of 9.1% during (2022-2028).
Based on Component, the market is segmented into Software (Without Services) and Services. Based on Enterprise Size, the market is segmented into Large Enterprises and Small & Medium-sized Enterprises. Based on End User, the market is segmented into Insurance Companies, Insurance Intermediaries, Agents & Brokers, and Others. Based on countries, the market is segmented into Germany, UK, France, Russia, Spain, Italy, and Rest of Europe.
The market research report covers the analysis of key stake holders of the market. Key companies profiled in the report include Duck Creek Technologies, Inc., FINEOS Corporation Holdings plc, Hyland Software, Inc., Hawksoft, Inc., HIPAAsuite, Newgen Software Technologies Limited, Pegasystems, Inc., Quick Silver Systems, Inc., Ventiv Technology, and A1 Enterprise, Inc.
Scope of the Study
Market Segments Covered in the Report:
By Component
- Software (Without Services)
- Services
- Large Enterprises
- Small & Medium-sized Enterprises
- Insurance Companies
- Insurance Intermediaries
- Agents & Brokers
- Others
- Germany
- UK
- France
- Russia
- Spain
- Italy
- Rest of Europe
Key Market Players
List of Companies Profiled in the Report:
- Duck Creek Technologies, Inc.
- FINEOS Corporation Holdings plc
- Hyland Software, Inc.
- Hawksoft, Inc.
- HIPAAsuite
- Newgen Software Technologies Limited
- Pegasystems, Inc.
- Quick Silver Systems, Inc.
- Ventiv Technology
- A1 Enterprise, Inc.
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Table of Contents
Chapter 1. Market Scope & Methodology
Chapter 2. Market Overview
Chapter 3. Competition Analysis - Global
Chapter 4. Europe Claims Processing Software Market by Component
Chapter 5. Europe Claims Processing Software Market by Enterprise Size
Chapter 6. Europe Claims Processing Software Market by End User
Chapter 7. Europe Claims Processing Software Market by Country
Chapter 8. Company Profiles
Companies Mentioned
- Duck Creek Technologies, Inc.
- FINEOS Corporation Holdings plc
- Hyland Software, Inc.
- Hawksoft, Inc.
- HIPAAsuite
- Newgen Software Technologies Limited
- Pegasystems, Inc.
- Quick Silver Systems, Inc.
- Ventiv Technology
- A1 Enterprise, Inc.
Methodology
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