Download Sample
Schedule a Meeting
Table of Content
NA : +1 804 441 9344
sales@towardshealthcare.com
September 2025
The global medical billing outsourcing market size is calculated at US$ 15.45 in 2024, grew to US$ 17.35 billion in 2025, and is projected to reach around US$ 49.26 billion by 2034. The market is expanding at a CAGR of 12.3% between 2025 and 2034.
| Metric | Details |
| Market Size in 2024 | USD 15.45 Billion |
| Projected Market Size in 2034 | USD 49.26 Billion |
| CAGR (2025 - 2034) | 12.3% |
| Leading Region | North America |
| Market Segmentation | By Component, By Service, By End-use, By Region |
| Top Key Players |
R1RCM Inc., eClinicalWorks, Oracle, Veradigm, LLC, AdvancedMD, Inc., McKesson Corporation, Kareo, Inc., Promantra Inc., Quest Diagnostics Incorporated |
Many approaches to improve operational efficiency, revenue streams, and reduce overheads are being explored by the healthcare providers to manage the medical billing and coding procedures. This is due to the struggles faced by the healthcare sector, which impacts efficiency and cost due to increasing complications of medical billing. Hence, with the help of outsourcing medical billing, streamlined operations, enhanced patient care, and reduced expenses can be achieved effectively as a resolution to the problems. Thus, because of its advanced technology, affordable solutions, and skilled professionals, it is becoming a popular approach that is being widely accepted.
To improve the accuracy and financial outcomes, AI is being used in billing operations by the healthcare systems. It enhances patient care by automating the claims processing workflow, which in turn reduces the burden on the healthcare system. It also reduces claim rejections and coding errors by analyzing the medical records and proposing suitable billing codes using AI-powered coding accuracy systems. By analyzing the historical data, the reimbursement strategies are also optimized. Furthermore, fraudulent activities and suspicious patterns are also detected, which protects from any financial losses. Similarly, the queries related to the billing are also managed by the AI-powered virtual assistants or chatbots. Thus, the AI systems help to manage the claims 10 times faster compared to the manual methods.
Accurate Billing
The claim rejections or the payment rejections are often observed due to errors in billing submissions. It not only affects the patients but also the healthcare providers, as it may consist of inaccurate data. Thus, to minimize these errors, the demand for the use of medical billing outsourcing is increasing. This helps to collect accurate data, which decreases the chances of claim rejections and also provides faster reimbursement. This, in turn, increases the working efficiency, patient outcomes, as well as reduces the burden on the healthcare systems. Thus, all these factors contribute to the medical billing outsourcing market growth.
Data Confidentiality at Risk
During the transfer process of the data in the medical billing outsourcing, unauthorized access can cause limitations in data confidentiality. Furthermore, due to the cyber-attack as well as hacking, this data can be misused, which raises concerns with the patients as well as healthcare providers. This increases the demand for strict rules and regulations for maintaining the confidentiality of the data.
Addition of New Features
A variety of new features are being utilized in the medical billing outsourcing procedures. Patient billing portal, chatbots, automated compliance checks, etc., are some of the new features being used. This helps to minimize errors, claim rejections, and inaccurate data, as well as helps in rapid refunds. This enhances the transparency, which in turn increases the patients' satisfaction. Furthermore, additional features are also being developed to maintain data privacy. All these developments are promoting the medical billing outsourcing market growth.
For instance,
By component type, the outsourced segment dominated the market in 2024 and is estimated to be the fastest growing during the forecast period. It consisted of skilled professionals who helped in effective management and minimized errors. Furthermore, it provided faster refunds. All these factors contributed to the medical billing outsourcing market growth.
By service type, the front-end services segment dominated the market in 2024. The front-end services provided transparency, which enhanced patient satisfaction as well as patient outcomes. It also helped in reducing the claim rejections during the billing procedures.
By service type, the middle-end services segment is anticipated to grow significantly during the forecast period. The middle-end services offer accurate coding, which in turn reduces the claim denials. Furthermore, the skilled personnel and technological advancements help in improving the efficiency of the billing process, which increases its use.
By end user, the hospital segment dominated the global medical billing outsourcing market in 2024. Hospitals consisted of a large number of bills, which increased the use of medical billing outsourcing. Furthermore, skilled professionals and technological advancements enhanced its use by providing accurate and transparent billing procedures. This promoted the market growth.
By end user, the physician office segment is predicted to be the fastest growing during the forecast period. The physician's office is using medical billing outsourcing due to the increasing complexities in billing and coding procedures. Furthermore, to decrease the claim denials and for faster reimbursement, its use is continuously increasing.
North America dominated the medical billing outsourcing market in 2024. North America consists of advanced healthcare systems with skilled professionals and technological advancements. Thus, it increased the use of medical billing outsourcing services. This enhanced the accuracy and transparency, which contributed to the market growth.
The advanced healthcare systems in the U.S. are adopting the use of medical billing outsourcing to reduce the complexities associated with the billing operations. This helps to minimize the error as well as enhances the acceptance rate by the patients.
The graph indicates the total number of hospitals present in the U.S. It indicates that as the number of hospitals increases, the complexities associated with the medical billing also increase, which in turn raises the demand for the use of medical billing outsourcing services. Thus, this in turn will ultimately promote the market growth.
The technological advancements in the healthcare sector are improving patient outcomes. This also helps in accelerating the billing procedures as well as in the reimbursement of the policies. Due to these factors, the use of outsourced medical billing procedures is increasing.
Asia Pacific is estimated to host a significantly growing medical billing outsourcing market during the forecast period. The healthcare systems in Asia Pacific are developing along with the adoption of various technological advancements. This, in turn, is enhancing the billing systems as well as helping in streamlining the procedures, resulting in amplified growth of the market.
China consists of skilled personnel and an advancing healthcare system. This increases the use of AI in various procedures supporting the billing, coding, as well as maintaining the health records. Thus, all these factors improve the patient outcomes.
The developing healthcare systems are adopting various outsourcing services. At the same time, the highly skilled professionals in medical billing, coding are also contributing to the same. Thus, it boosts the medical billing outsourcing procedures with enhanced efficiencies.
Europe is expected to show lucrative growth in the medical billing outsourcing market during the forecast period. The demand for outsourcing medical billing is rising in Europe due to increasing diseases, clinical trials, etc. Thus, to deal with the rising cost associated with them, the use of outsourcing is increasing, which contributes to promoting the market growth.
The presence of well-developed healthcare systems in Germany is increasing the demand for the effective use of medical billing outsourcing. This, in turn, helps to reduce the problems associated with payments as well as reimbursement. Thus, the patient outcome is eventually enhanced.
Due to the increasing diseases, as well as clinical trials, the demand for medical billing outsourcing has increased. Furthermore, the affordability as well as the minimization of errors provided by it also contributes to the same.
Latin America is expected to grow significantly in the medical billing outsourcing market during the forecast period. The growing clinical trials in Latin America is increasing the demand for medical billing outsourcing. They are being used to minimize the cost associated with the clinical operations. At the same time, growing digitalization is leading to new developments with the use of AI or cloud-based systems. This, in turn, is increasing their efficiency, as well as minimizing the errors. Moreover, as they comply with the regulatory standards, they enhance data protection. Thus, this is promoting the market growth.
Due to various regulatory hurdles in the healthcare sector of Brazil, the demand for medical billing outsourcing is increasing. With its use, the complexities are being solved easily. Moreover, to improve their accuracy and operational efficiency, advanced technologies are being utilized. At the same time, the growing demand for data-driven insights is also increasing their use.
Argentina consists of a hybrid healthcare sector. This, in turn, increases their complexities. At the same time, there is a rise in research and development due to the growing number of skilled personnel. Thus, these factors increase the demand for medical billing outsourcing. Additionally, the growing digitalization and regulatory support are also contributing to these growing demands.
In March 2025, the financial information for fiscal 2023, 2024, and an outlook for fiscal 2025 were announced by Veradigm. As per the report of 2024, $583 million and $588 million are the estimated revenues on the GAAP basis. $49 million and $46 million are the expected ranges for GAAP net loss. Similarly, the expected range for adjusted EBITDA is $85 million to $90 million. Moreover $87 million was the net cash reported on December 31, 2024. Furthermore, on a GAAP basis, the revenue is anticipated to be flat, where positive growth is expected in net cash.
In January 2025, the Q4 2024 Earnings Call was released by Quest Diagnostics Inc. The revenue was reported to be $2.62 billion, which indicated 14.5% year-over-year growth. 15.1% year-over-year growth was noted to be the diagnostic information services revenue. An increase in the total volume was observed by 13.9%. $361 million was the operating income. Similarly, adjusted operating income was recorded to be $409 million. The reported EPS and adjusted EPS were noted to be $1.95 and $2.23, respectively.
Moreover, $10.7 billion to $10.85 billion is the estimated range for 2025 revenue guidance. The 2025 reported EPS guidance is expected to be between $8.34 and $8.59. Additionally, $9.55 to $9.80 will be the range for the 2025 adjusted EPS guidance. Around $1.45 billion is the anticipated 2025 cash from operations guidance.
By Component
By Service
By End-use
By Region
September 2025
September 2025
September 2025
September 2025