The U.S. payment integrity market size accounted for USD 1.58 billion in 2025 and is forecasted to hit around USD 14.12 billion by 2034, representing a CAGR of 27.50% from 2025 to 2034. The market sizing and forecasts are revenue-based (USD Million/Billion), with 2024 as the base year.
1.1. Research Objective
1.2. Scope of the Study
1.3. Definition
2.1. Research Approach
2.2. Data Sources
2.3. Assumptions & Limitations
3.1. Market Snapshot
4.1. Introduction
4.2. Market Classification and Scope
4.3. Industry Value Chain Analysis
4.3.1. Raw Material Procurement Analysis
4.3.2. Sales and Distribution Channel Analysis
4.3.3. Downstream Buyer Analysis
5.1. COVID-19 Landscape: U.S. Payment Integrity Industry Impact
5.2. COVID 19 - Impact Assessment for the Industry
5.3. COVID 19 Impact: Global Major Government Policy
5.4. Market Trends and Opportunities in the COVID-19 Landscape
6.1. Market Dynamics
6.1.1. Market Drivers
6.1.2. Market Restraints
6.1.3. Market Opportunities
6.2. Porter’s Five Forces Analysis
6.2.1. Bargaining power of suppliers
6.2.2. Bargaining power of buyers
6.2.3. Threat of substitute
6.2.4. Threat of new entrants
6.2.5. Degree of competition
7.1.1. Company Market Share/Positioning Analysis
7.1.2. Key Strategies Adopted by Players
7.1.3. Vendor Landscape
7.1.3.1. List of Suppliers
7.1.3.2. List of Buyers
8.1. U.S. Payment Integrity Market, by Component
8.1.1. Software
8.1.1.1. Market Revenue and Forecast
8.1.2. Services
8.1.2.1. Market Revenue and Forecast
9.1. U.S. Payment Integrity Market, by Function
9.1.1. Query & Reporting
9.1.1.1. Market Revenue and Forecast
9.1.2. OLAP & Visualization
9.1.2.1. Market Revenue and Forecast
9.1.3. Performance Management
9.1.3.1. Market Revenue and Forecast
10.1. U.S. Payment Integrity Market, by Application
10.1.1. Pre-Payment
10.1.1.1. Market Revenue and Forecast
10.1.2. Post-Payment
10.1.2.1. Market Revenue and Forecast
10.1.3. FWA
10.1.3.1. Market Revenue and Forecast
10.1.4. Others
10.1.4.1. Market Revenue and Forecast
11.1. U.S. Payment Integrity Market, by Mode of Delivery
11.1.1. On-Premises
11.1.1.1. Market Revenue and Forecast
11.1.2. Cloud-Based
11.1.2.1. Market Revenue and Forecast
11.1.3. Hybrid
11.1.3.1. Market Revenue and Forecast
12.1. U.S. Payment Integrity Market, by End Use
12.1.1. Payers
12.1.1.1. Market Revenue and Forecast
12.1.2. Healthcare Providers
12.1.2.1. Market Revenue and Forecast
13.1. U.S.
13.1.1. Market Revenue and Forecast, by Component
13.1.2. Market Revenue and Forecast, by Function
13.1.3. Market Revenue and Forecast, by Application
13.1.4. Market Revenue and Forecast, by Mode of Delivery
13.1.5. Market Revenue and Forecast, by End Use
14.1. Cotiviti
14.1.1. Company Overview
14.1.2. Product Offerings
14.1.3. Financial Performance
14.1.4. Recent Initiatives
14.2. Optum / Change Healthcare
14.2.1. Company Overview
14.2.2. Product Offerings
14.2.3. Financial Performance
14.2.4. Recent Initiatives
14.3. Zelis
14.3.1. Company Overview
14.3.2. Product Offerings
14.3.3. Financial Performance
14.3.4. Recent Initiatives
14.4. Availity
14.4.1. Company Overview
14.4.2. Product Offerings
14.4.3. Financial Performance
14.4.4. Recent Initiatives
14.5. MultiPlan
14.5.1. Company Overview
14.5.2. Product Offerings
14.5.3. Financial Performance
14.5.4. Recent Initiatives
14.6. Ceris
14.6.1. Company Overview
14.6.2. Product Offerings
14.6.3. Financial Performance
14.6.4. Recent Initiatives
14.7. Cognizant
14.7.1. Company Overview
14.7.2. Product Offerings
14.7.3. Financial Performance
14.7.4. Recent Initiatives
14.8. EXL
14.8.1. Company Overview
14.8.2. Product Offerings
14.8.3. Financial Performance
14.8.4. Recent Initiatives
14.9. Performant
14.9.1. Company Overview
14.9.2. Product Offerings
14.9.3. Financial Performance
14.9.4. Recent Initiatives
14.10. Syrtis
14.10.1. Company Overview
14.10.2. Product Offerings
14.10.3. Financial Performance
14.10.4. Recent Initiatives
15.1. Primary Research
15.2. Secondary Research
15.3. Assumptions
16.1. About Us
16.2. Glossary of Terms
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