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Healthcare EDI Market worth $4.42 billion by 2031 | MarketsandMarkets™

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DELRAY BEACH, Fla., June 15, 2026 /PRNewswire/ — According to MarketsandMarkets™, the Healthcare EDI Market is projected to grow from about USD 2.77 billion in 2026 to USD 4.42 billion by 2031, at a CAGR of 9.8%.

Browse 350 market data Tables and 60 Figures spread through 400 Pages and in-depth TOC on “Healthcare EDI Market – Global Forecast to 2031”

Healthcare EDI Market Size & Forecast:

Market Size Available for Years: 2025–20312026 Market Size: USD 2.77 billion2031 Projected Market Size: USD 4.42 billionCAGR (2026–2031): 9.8%

Healthcare EDI Market Trends & Insights:

The solutions segment is expected to register the highest CAGR of 10.1% during the forecast period.The cloud-based segment is expected to register the highest CAGR of 10.0% during the forecast period.North America dominated the market in 2025 with a share of 59.0%.

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The growth is driven by the rising need to automate payer-provider transactions such as claims submission, eligibility and benefits verification, prior authorization, claim status checks, payment remittance, and enrollment-related data exchange. Healthcare organizations are moving away from paper forms, phone calls, fax-based approvals, and manual billing work because these processes increase errors, delay payments, and add cost to revenue cycle operations. Supportive regulations around standardized electronic transactions, data security, interoperability, and prior authorization automation are also pushing providers and payers to adopt EDI platforms. The growing use of cloud-based EDI, managed EDI services, clearinghouse networks, and API-enabled data exchange is further supporting market growth. On the other hand, high integration costs, legacy hospital and payer systems, cybersecurity concerns, and different payer-specific transaction rules continue to slow adoption among smaller providers and regional healthcare organizations.

The cloud-based deployment segment is expected to register the fastest growth in the healthcare EDI market during the forecast period.

Based on deployment model, the healthcare EDI market is segmented into cloud-based, on-premises, and hybrid models. Among these, the cloud-based segment is expected to show the fastest growth during the forecast period. This is mainly because healthcare providers, payers, clearinghouses, and pharmacies are looking for EDI systems that are easier to deploy, less costly to maintain, and faster to scale. Cloud-based EDI also supports faster updates when payer rules, compliance needs, or transaction standards change. This is important because healthcare organizations need to exchange data securely and accurately with many payers and trading partners. In addition, cloud platforms make it easier to monitor transactions, detect errors, manage exceptions, and support real-time or near-real-time data exchange. Small and mid-sized providers are also adopting cloud-based EDI because it reduces upfront infrastructure costs and allows them to access advanced EDI capabilities through subscription-based models. As healthcare systems continue to modernize revenue cycle workflows and move toward API-enabled and interoperable data exchange, the cloud-based segment is expected to remain the most active deployment model in the market.

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The VAN/clearinghouse-based EDI segment held the largest share of the healthcare EDI market in 2025.

Based on connectivity mode, the healthcare EDI market is segmented into VAN/clearinghouse-based EDI, point-to-point EDI, web portal-based EDI, API-enabled EDI, and others. In 2025, the VAN/clearinghouse-based EDI segment accounted for the largest share, as many hospitals, clinics, ambulatory surgical centers, and diagnostic centers prefer using clearinghouses instead of building direct connections with every payer. This approach makes payer connectivity easier, reduces administrative burden, and improves transaction visibility. VAN/clearinghouse-based EDI also supports claim scrubbing, transaction validation, payer-specific edits, remittance routing, and status tracking, which are important for smooth revenue cycle operations. Moreover, many providers still work with multiple insurance companies, each having different rules and formats, making clearinghouses useful for standardizing communication. While API-enabled EDI and cloud-based workflows are growing quickly, VAN/clearinghouse-based EDI remains the largest connectivity mode because it is already deeply embedded in healthcare billing, claims, and reimbursement processes.

North America held the largest share in the global healthcare EDI market in 2025.

North America held the largest share of the global healthcare EDI market in 2025. This is mainly due to the region’s mature healthcare IT infrastructure, high insurance coverage, large claims volume, and strong use of electronic transactions between providers and payers. The US is the key market in North America, as hospitals, clinics, payers, clearinghouses, pharmacies, and billing service providers widely use EDI for claims submission, eligibility and benefits verification, claim status checks, prior authorization, electronic remittance, and payment posting. Regulations around standardized healthcare transactions and data privacy have also encouraged wider use of EDI platforms across the region. Healthcare EDI adoption in North America is not limited to large hospitals. Ambulatory surgical centers, diagnostic laboratories, specialty clinics, dental practices, and pharmacies are also using EDI to reduce manual paperwork, lower billing errors, and speed up reimbursement. The growing shift toward cloud-based EDI, managed EDI services, and API-enabled workflows is further supporting market growth in the region.

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Top Companies in Healthcare EDI Market:

The Top Companies in Healthcare EDI Market include Optum, Inc. (US), Availity, LLC (US), Waystar Holding Corp. (US), Cognizant Technology Solutions Corporation (US), Experian Information Solutions, Inc. (US), Inovalon Holdings, Inc. (US), athenahealth Group, Inc. (US), Veradigm Inc. (US), The SSI Group, LLC (US), Quadax, Inc. (US), IBM (US), Oracle Corporation (US), NTT DATA Group Corporation (Japan), Comarch S.A. (Poland), Axway Software, a 74Software company (France), Boomi, LP (US), TrueCommerce, Inc. (US), PLEXIS Healthcare Systems, Inc. (US), Epicor Software Corporation (US), and Cleo Communications LLC (US).

Browse Adjacent Markets: Healthcare IT Market Research Reports & Consulting

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Computomic Announces Strategic Growth Investment from Washington Harbour Partners

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Partnership Will Accelerate and Support Rapid Expansion of AI Adoption and Data Modernization Capabilities Across Regulated Industries and Public Sector

WASHINGTON, June 15, 2026 /PRNewswire/ — Computomic, the leading global Databricks delivery partner, today announced a strategic growth investment from Washington Harbour Partners LP, a mission-first defense tech accelerator and force multiplier for U.S. and allied defense companies, during the Databricks Data + AI Summit. Computomic has established itself as a trusted partner for enterprise data modernization, large-scale legacy migrations, and AI transformation initiatives across some of the world’s most complex and highly regulated industries.

Computomic is one of Databricks’ fastest growing and most experienced delivery partners and has delivered 250+ Databricks projects across Financial Services, Healthcare & Life Sciences, Public Sector and Manufacturing. During its longstanding partnership with Databricks, Computomic has built a reputation for on time, on budget, no drama delivery and a consistent track record of completing some of Databricks most complex and strategic Enterprise engagements.

This partnership will help Computomic scale its Databricks practice, expand capacity for customers, and pursue larger, more strategic engagements while preserving the leadership, culture, delivery model, and Databricks-first focus that have defined the company’s success.

Organizations across every sector are racing to deploy AI, but many remain constrained by legacy architectures that were never designed to support modern analytics, machine learning, or agentic systems. Establishing AI-ready data platforms has become one of the most urgent priorities facing enterprise leaders today. Computomic addresses this challenge through deep expertise in legacy-to-Databricks modernization, helping organizations transform mission-critical data environments and create the foundation required for enterprise-scale AI adoption. Computomic’s experience spans large-scale modernization programs involving thousands of legacy objects, hundreds of ETL workflows, and highly complex enterprise data environments where governance, security, and reliability are critical.

“Enterprises in the world’s most demanding, regulated industries and the public sector are rebuilding around modern data and agentic AI, and Computomic has emerged as the indispensable partner guiding that transformation on Databricks,” said Mina Faltas, Founder and CEO at Washington Harbour Partners. “We are proud to partner with Computomic, the top-ranked Databricks delivery partner globally and a trusted name across financial services, healthcare, and other regulated industries. The team has built something exceptional, and we look forward to accelerating its next phase of growth.”

Through the partnership with Washington Harbour Partners, Computomic will deepen its presence within the rapidly growing Databricks ecosystem while supporting continued investment in talent, innovation, and industry-leading solutions built on the Databricks Data Intelligence platform. It will also enable the company to expand its capabilities in enterprise modernizations, AI adoption, and next-generation data architecture transformation.

“This partnership allows us to accelerate everything we’re already doing well without fundamentally changing who we are or how we serve our customers,” said Sanjeev Agarwalla, Co-Founder and Managing Partner of Computomic. “With Washington Harbour Partners behind us, we can scale our Databricks practice more quickly across regulated industries, invest in industry-leading solutions built on the Databricks platform, and help our customers modernize their data foundation to unlock AI at scale. The opportunity in front of us is enormous, and we’re excited to build on our momentum while remaining focused on delivering exceptional outcomes for our customers.”

Today’s announcement marks an important milestone in Computomic’s growth and strengthens its ability to meet increasing demand for specialized Databricks expertise. Together, Computomic and Washington Harbour Partners will expand access to new markets, broaden the company’s customer solution portfolio, and help more organizations realize greater value from their data and AI investments.

About Computomic
Computomic, based in Princeton, New Jersey, is a Databricks Gold Partner with operations in the US, EMEA, and India. At its core, Computomic is built on technical superiority, deep Databricks expertise, and a relentless focus on outcomes. We bring together exceptional engineers, architects, and problem solvers who thrive on tackling complex challenges, pushing boundaries, and delivering meaningful transformation for clients in regulated industries.

Computomic fosters a culture where talented people come to do the best work of their careers. Through innovation, collaboration, continuous learning, and high standards of execution, we empower our teams to move with agility, challenge conventions, and create measurable impact. With partnership, integrity, and technical excellence at the center, Computomic helps customers accelerate their Databricks Data and AI modernization journeys with confidence.

About Washington Harbour Partners
Washington Harbour Partners, based in Washington DC, is a private investment firm that brings a fresh approach to investors and founders, providing flexibility and deep operational expertise at all stages of the investment cycle – from growth equity to control buyouts to public markets. The firm has deep domain expertise in the areas of national security, defense technologies, cybersecurity, enterprise software, and technology-enabled services. In 2026, Washington Harbour Partners ranked sixth among all defense technology investors, and the highest ranked non-government affiliated firm to also fund private equity investments, in the Silicon Valley Defense Group’s NatSec100 report, investing in 16 of the companies named to the list.
For more information, please visit https://washingtonharbour.com/

Clearsight Advisors, Inc. served as the exclusive financial advisor to Computomic. Terms were not disclosed.

Media Contact
whp@invariantgr.com

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AI Leadership vs. Hype: XPRIZE CEO Anousheh Ansari on Building What Matters

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Planet Classroom and VoiceAmerica Launch AI for a Better World Podcast, Challenging Founders and Investors to Prioritize Global Impact Over Short-Term AI Hype

NEW YORK, June 15, 2026 /PRNewswire/ — As artificial intelligence reshapes global markets—from wildfire response to climate innovation—a defining question faces the next generation of entrepreneurs: Will AI be used to chase valuations, or to solve humanity’s most urgent challenges?

The Planet Classroom Network, in partnership with VoiceAmerica, today announces the podcast premiere of “Anousheh Ansari: Building What Matters in the Age of AI.” In this high-stakes dialogue, Planet Classroom Co-Founder and CEO C. M. (Cathy) Rubin sits down with Anousheh Ansari, CEO of the XPRIZE Foundation and the first female private space explorer, to examine what separates responsible AI leadership from hype-driven innovation.

The End Goal Is Impact, Not Just Profit

“AI is just the means to get to that ultimate goal,” Ansari explains. “The end goal is not just profit, it’s impact.”

From AI-powered wildfire detection to $100 million carbon removal breakthroughs, Ansari outlines a blueprint for responsible AI leadership. She emphasizes that technological innovation fails without contextual grounding—testing solutions in real-world environments, from the Amazon rainforest to Sub-Saharan Africa.

What Separates AI Leaders from Hype-Driven Startups?

Rubin presses Ansari on how founders can navigate the pressures of rapid AI acceleration while maintaining ethical clarity.

Key insights include:

The Contextual Gap: AI startups often fail when solutions are built in isolation from real-world conditionsThe Two-Sided Value Model: Successful ventures solve both environmental and economic challenges simultaneouslyThe Legacy Test: Long-term impact—not short-term growth—defines enduring companies

A Defining Test for the AI Economy

“Technology is a tool—but humanity gives it purpose,” says C. M. (Cathy) Rubin.
“For entrepreneurs and policymakers shaping the AI economy, success cannot be measured by speed alone. It must be measured by the legacy of global impact we leave behind.”

Key Questions for the Innovation Community

Is your AI solution designed for a lab—or for the real world?Are you building for a headline—or for a generation?How does your business model balance growth with long-term planetary responsibility?

🎧 Listen Now and Rethink What AI Leadership Means

“Anousheh Ansari: Building What Matters in the Age of AI”
Available June 15, 2026, on VoiceAmerica and the Planet Classroom Network

About Anousheh Ansari

Anousheh Ansari is CEO of the XPRIZE Foundation, engineer, entrepreneur, and spaceflight participant. In 2006, she became the first female private space explorer and the first astronaut of Iranian descent. She co-founded Telecom Technologies, Inc., and Prodea Systems, and leads global competitions addressing climate, energy, and health.

About C. M. (Cathy) Rubin

C. M. (Cathy) Rubin is Co-Founder and CEO of Planet Classroom and a featured writer for Forbes. A multimedia journalist who has authored more than 800 articles on AI and innovation, she consults globally on ethical AI and education transformation.

About Planet Classroom

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In Dayton, Counseling Expert Darcie Clark Explains Online Therapy Effectiveness for HelloNation

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DAYTON, Ohio, June 15, 2026 /PRNewswire/ — Is online therapy as effective as meeting with a counselor in person? A HelloNation article explores this question and explains how telehealth counseling provides flexible therapy, accessible care, and the same quality of connection as traditional sessions. The piece highlights research showing that online therapy offers effective counseling for common concerns such as stress, anxiety, and depression. You can read the full feature in a HelloNation article.

The article notes that beginning therapy often comes with practical challenges. Travel, scheduling, and access to providers can make participation difficult. Telehealth counseling addresses these barriers by making therapy available from home, the office, or any private space. With secure platforms and encrypted video systems, online therapy extends the benefits of counseling while protecting client privacy.

Darcie Clark, Counseling Expert of Dayton, emphasizes that research consistently supports the effectiveness of online therapy. Studies show that telehealth counseling produces outcomes comparable to in-person care for many common mental health needs. Clients often discover that speaking from their own environment makes them feel more comfortable and open. Far from weakening the connection, the screen can sometimes create a greater sense of ease.

The HelloNation article also highlights the flexibility of telehealth. Without the need for commuting, clients save time and energy. Appointments can fit around work, school, and family responsibilities, which helps people attend more consistently. Consistent participation supports steady progress, making flexible therapy a valuable option for many.

Privacy is another major benefit. Some individuals feel anxious about walking into a counseling office and being seen by others. Telehealth counseling allows them to meet privately, often from their own home. This privacy helps reduce stigma and encourages people to begin therapy when they otherwise might not.

Clark also points out how telehealth supports accessible care in communities with fewer resources. In rural areas where long drives are common, online therapy offers a realistic alternative. Students can connect from campus, professionals can schedule sessions during breaks, and parents can attend therapy without arranging child care. These practical advantages expand access without reducing quality. 

The HelloNation piece addresses concerns that technology might feel awkward or distracting. Most clients adjust quickly to the format. Therapists guide the process and ensure the connection is smooth. After the first minutes, the focus naturally shifts to conversation, just as it does in an office.

Confidentiality remains a priority in telehealth counseling. Platforms used by professionals are encrypted and designed to meet healthcare privacy standards. Clients are also encouraged to choose a quiet, private location for sessions, ensuring the same level of confidentiality as in-person care.

The adaptability of online therapy is another strength. Cognitive behavioral therapy, mindfulness-based practices, and even couples counseling can all be delivered through telehealth platforms. This flexibility allows therapists to tailor sessions to a wide range of needs. For many people, the ability to access different styles of effective counseling without travel makes therapy more practical.

Still, the article makes clear that online therapy may not be right for every situation. Some clients prefer face-to-face interaction, and certain therapeutic methods are better suited to in-person settings. A counselor can help assess whether telehealth counseling is an appropriate fit. For many, though, it provides the accessibility and consistency needed to begin and continue healing.

Darcie Clark’s perspective in HelloNation underlines that the heart of therapy is the relationship between client and counselor. Whether in an office or through a video screen, that relationship remains central. Online therapy simply changes the setting, making counseling available in ways that fit daily life.

For residents of Dayton and beyond, telehealth counseling represents effective counseling that is flexible, private, and accessible. It reduces barriers to mental health care and creates opportunities for more people to benefit from therapy. As HelloNation shows, the choice between online and in-person sessions is less about effectiveness and more about preference and practicality.

Is Online Therapy as Effective as In-Person Sessions? features insights from Darcie Clark, Counseling Expert of Dayton, Ohio, in HelloNation.

About HelloNation
HelloNation is a premier media platform that connects readers with trusted professionals and businesses across various industries. Through its innovative “edvertising” approach that blends educational content and storytelling, HelloNation delivers expert-driven articles that inform, inspire, and empower. Covering topics from home improvement and health to business strategy and lifestyle, HelloNation highlights leaders making a meaningful impact in their communities.

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