Summary

U.S. Credentialing Software And Services In Healthcare Market Summary

The U.S. credentialing software and services in healthcare market size was estimated at USD 267.72 million in 2024 and is expected to grow at a CAGR of 6.95% from 2025 to 2033. The growth is attributed to the growing demand for efficient, automated verification of healthcare provider qualifications to ensure regulatory compliance and patient safety. Increasing complexity of payer-provider networks, coupled with stringent accreditation requirements from bodies like NCQA and The Joint Commission, is accelerating adoption.

Moreover, the growing number of strategic initiatives undertaken by the market players significantly drive the adoption. For instance, in March 2024, Noridian Healthcare Solutions, LLC partnered with Acorn Credentialing to elevate health plans’ provider enrollment and credentialing operations. Together, the companies accelerated onboarding processes and reduced abrasion caused by slow and inefficient processes.

According to an article published by MedTrainer, a software company highlighted that physicians spend USD 2,000 to 3,000 annually to submit credentialing applications to the payers. In addition, salary of an average medical staff credentialing specialist in the U.S. was USD 43,558 in 2023. Automated credentialing offers significant advantages over manual credentialing processes in the healthcare industry. It allows healthcare organizations to prioritize patient care over administrative duties, increasing efficiency, and reducing resource utilization. This streamlined process helps save money & time and optimizes return on investment for healthcare organizations. Thus, credentialing process automation saves around USD 29,000 annually for physicians and around 3 hours required for filling credentialing information.

Moreover, integration capabilities are crucial for healthcare IT infrastructure, allowing different systems to communicate and share data seamlessly. Credentialing software that integrates with other healthcare systems, such as electronic health records and practice management systems, enhances interoperability & data exchange. Thus, prominent players in the market are focusing on advancements in integration capabilities. For example, Symplr is making advancements in its Connected Enterprise vision by integrating its SaaS solutions with a unified user interface, an API Gateway (featuring EHR integration), and a shared range of platform services. This allows synchronized workflows across solutions.

U.S. Credentialing Software And Services In Healthcare Market Report Segmentation

This report forecasts revenue growth at country levels and provides an analysis of the latest industry trends in each of the sub-segments from 2021 to 2033. For this study, Grand View Research has segmented the U.S. credentialing software and services in healthcare market report based on component, functionality, deployment type, and end use:

• Component Outlook (Revenue, USD Million, 2021 - 2033)
• Software
• Services
• Functionality Outlook (Revenue, USD Million, 2021 - 2033)
• Credentialing and Enrollment
• Provider Information Management
• Deployment Type Outlook (Revenue, USD Million, 2021 - 2033)
• Cloud Based
• On-Premise
• End Use Outlook (Revenue, USD Million, 2021 - 2033)
• Hospitals and Clinics
• Healthcare Payers
• Other End use

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Table of Contents

Table of Contents

Chapter 1. Methodology and Scope
1.1. Market Segmentation & Scope
1.2. Segment Definitions
1.2.1. Component
1.2.2. Functionality
1.2.3. Deployment Type
1.2.4. End Use
1.3. Estimates and Forecast Timeline
1.4. Research Methodology
1.5. Information Procurement
1.5.1. Purchased Database
1.5.2. GVR’s Internal Database
1.5.3. Secondary Sources
1.5.4. Primary Research
1.6. Information Analysis
1.6.1. Data Analysis Models
1.7. Market Formulation & Data Visualization
1.8. Model Details
1.8.1. Commodity Flow Analysis
1.9. List of Secondary Sources
1.10. Objectives
Chapter 2. Executive Summary
2.1. Market Snapshot
2.2. Segment Snapshot
2.3. Competitive Landscape Snapshot
Chapter 3. Market Variables, Trends, & Scope
3.1. Market Lineage Outlook
3.2. Market Dynamics
3.2.1. Market Driver Analysis
3.2.1.1. Increasing Regulatory and Compliance Requirements
3.2.1.2. Growing Complexity in Provider Networks
3.2.1.3. Rise in Healthcare Fraud and Patient Safety Concerns
3.2.1.4. Shift Toward Digital Transformation in Healthcare
3.2.2. Market Restraint Analysis
3.2.2.1. High Implementation and Subscription Costs
3.2.2.2. Interoperability and Integration Challenges
3.2.3. Market Opportunity Analysis
3.2.4. Market Challenges Analysis
3.3. Emerging Technology
3.4. Pricing Models
3.5. Business Environment Analysis
3.5.1. Porter’s Five Forces Analysis
3.5.1.1. Supplier power
3.5.1.2. Buyer power
3.5.1.3. Substitution threat
3.5.1.4. Threat of new entrant
3.5.1.5. Competitive rivalry
3.5.2. PESTLE Analysis
Chapter 4. U.S. Credentialing Software and Services In Healthcare Market: Component Estimates & Trend Analysis
4.1. Component Segment Dashboard
4.2. Component Market Share Movement Analysis, 2024 & 2033
4.3. Software
4.3.1. Software market 2021 - 2033 (USD Million)
4.4. Services
4.4.1. Services market, 2021 - 2033 (USD Million)
Chapter 5. U.S. Credentialing Software and Services In Healthcare Market: Functionality Estimates & Trend Analysis
5.1. Functionality Segment Dashboard
5.2. Functionality Market Share Movement Analysis, 2024 & 2033
5.3. Credentialing and Enrollment
5.3.1. Credentialing and Enrollment Market Revenue Estimates and Forecasts, 2021 - 2033 (USD Million)
5.4. Provider Information Management
5.4.1. Provider Information Management Market Revenue Estimates and Forecasts, 2021 - 2033 (USD Million)
Chapter 6. U.S. Credentialing Software and Services In Healthcare Market: Deployment Type Estimates & Trend Analysis
6.1. Deployment Type Segment Dashboard
6.2. Deployment Type Market Share Movement Analysis, 2024 & 2033
6.3. Cloud-Based
6.3.1. Cloud-based market, 2021 - 2033 (USD Million)
6.4. On premise systems
6.4.1. On premise systems market, 2021 - 2033 (USD Million)
Chapter 7. U.S. Credentialing Software and Services In Healthcare Market: End Use Estimates & Trend Analysis
7.1. End Use Segment Dashboard
7.2. End Use Market Share Movement Analysis, 2024 & 2033
7.3. Hospitals and Clinics
7.3.1. Hospitals and clinics market, 2021 - 2033 (USD Million)
7.4. Healthcare Payers
7.4.1. Healthcare Payers market, 2021 - 2033 (USD Million)
7.5. Other End use
7.5.1. Other End use market, 2021 - 2033 (USD Million)
Chapter 8. Competitive Landscape
8.1. Participant Overview
8.2. Company Market Position Analysis
8.3. Company Categorization
8.4. Strategy Mapping
8.5. Company Profiles/Listing
8.5.1. Symplr
8.5.1.2. Overview
8.5.1.3. Financial performance
8.5.1.4. Product benchmarking
8.5.1.5. Strategic initiatives
8.5.2. Simplify Healthcare Technology
8.5.2.1. Overview
8.5.2.2. Financial performance
8.5.2.3. Product benchmarking
8.5.2.4. Strategic initiatives
8.5.3. Global Healthcare Exchange, LLC
8.5.3.1. Overview
8.5.3.2. Financial performance
8.5.3.3. Product benchmarking
8.5.3.4. Strategic initiatives
8.5.4. HealthStream, Inc.
8.5.4.1. Overview
8.5.4.2. Financial performance
8.5.4.3. Product benchmarking
8.5.4.4. Strategic initiatives
8.5.5. Bizmatics, Inc.(Constellation Software Inc.)
8.5.5.1. Overview
8.5.5.2. Financial performance
8.5.5.3. Product benchmarking
8.5.5.4. Strategic initiatives
8.5.6. Naviant
8.5.6.1. Overview
8.5.6.2. Financial performance
8.5.6.3. Product benchmarking
8.5.6.4. Strategic initiatives
8.5.7. OSP Labs
8.5.7.1. Overview
8.5.7.2. Financial performance
8.5.7.3. Product benchmarking
8.5.7.4. Strategic initiatives
8.5.8. Applied Statistics & Management, Inc.
8.5.8.1. Overview
8.5.8.2. Financial performance
8.5.8.3. Product benchmarking
8.5.8.4. Strategic initiatives
8.5.9. Applied Statistics & Management, Inc.
8.5.9.1. Overview
8.5.9.2. Financial performance
8.5.9.3. Product benchmarking
8.5.9.4. Strategic initiatives
8.5.10. HCA Management Services, L.P.
8.5.10.1. Overview
8.5.10.2. Financial performance
8.5.10.3. Product benchmarking
8.5.10.4. Strategic initiatives
8.5.11. Neolytix
8.5.11.1. Overview
8.5.11.2. Financial performance
8.5.11.3. Product benchmarking
8.5.11.4. Strategic initiatives
8.5.12. CureMD Healthcare
8.5.12.1. Overview
8.5.12.2. Financial performance
8.5.12.3. Product benchmarking
8.5.12.4. Strategic initiatives
8.5.13. Modio Health
8.5.13.1. Overview
8.5.13.2. Financial performance
8.5.13.3. Product benchmarking
8.5.13.4. Strategic initiatives
8.5.14. MedTraine
8.5.14.1. Overview
8.5.14.2. Financial performance
8.5.14.3. Product benchmarking
8.5.14.4. Strategic initiatives
8.5.15. Verisys
8.5.15.1. Overview
8.5.15.2. Financial performance
8.5.15.3. Product benchmarking
8.5.15.4. Strategic initiatives
8.5.16. Global Healthcare Exchange, LLC.
8.5.16.1. Overview
8.5.16.2. Financial performance
8.5.16.3. Product benchmarking
8.5.16.4. Strategic initiatives