Healthcare Fraud Detection Market Report by Component (Software, Services), Type (Descriptive Analytics, Predictive Analytics, Prescriptive Analytics), Delivery Mode (On-premises, On-demand), Application (Insurance Claims Review, Payment Integrity), End User (Private Insurance Payers, Government Agencies, and Others), and Region 2025-2033

Healthcare Fraud Detection Market Report by Component (Software, Services), Type (Descriptive Analytics, Predictive Analytics, Prescriptive Analytics), Delivery Mode (On-premises, On-demand), Application (Insurance Claims Review, Payment Integrity), End User (Private Insurance Payers, Government Agencies, and Others), and Region 2025-2033

Report Format: PDF+Excel | Report ID: SR112025A5536

1   Preface
2   Scope and Methodology

    2.1    Objectives of the Study
    2.2    Stakeholders
    2.3    Data Sources
        2.3.1    Primary Sources
        2.3.2    Secondary Sources
    2.4    Market Estimation
        2.4.1    Bottom-Up Approach
        2.4.2    Top-Down Approach
    2.5    Forecasting Methodology
3   Executive Summary
4   Introduction

    4.1    Overview
    4.2    Key Industry Trends
5   Global Healthcare Fraud Detection Market
    5.1    Market Overview
    5.2    Market Performance
    5.3    Impact of COVID-19
    5.4    Market Forecast
6   Market Breakup by Component
    6.1    Software
        6.1.1 Market Trends
        6.1.2 Market Forecast
    6.2    Services 
        6.2.1 Market Trends
        6.2.2 Market Forecast
7   Market Breakup by Type
    7.1    Descriptive Analytics
        7.1.1 Market Trends
        7.1.2 Market Forecast
    7.2    Predictive Analytics
        7.2.1 Market Trends
        7.2.2 Market Forecast
    7.3    Prescriptive Analytics 
        7.3.1 Market Trends
        7.3.2 Market Forecast
8   Market Breakup by Delivery Mode
    8.1    On-premises
        8.1.1 Market Trends
        8.1.2 Market Forecast
    8.2    On-demand
        8.2.1 Market Trends
        8.2.2 Market Forecast
9   Market Breakup by Application
    9.1    Insurance Claims Review
        9.1.1 Market Trends
        9.1.2 Market Forecast
    9.2    Payment Integrity
        9.2.1 Market Trends
        9.2.2 Market Forecast
10  Market Breakup by End User
    10.1    Private Insurance Payers
        10.1.1 Market Trends
        10.1.2 Market Forecast
    10.2    Government Agencies
        10.2.1 Market Trends
        10.2.2 Market Forecast
    10.3    Others
        10.3.1 Market Trends
        10.3.2 Market Forecast
11  Market Breakup by Region
    11.1    North America
        11.1.1 United States
           11.1.1.1 Market Trends
           11.1.1.2 Market Forecast
        11.1.2 Canada
           11.1.2.1 Market Trends
           11.1.2.2 Market Forecast
    11.2    Asia-Pacific
        11.2.1 China
           11.2.1.1 Market Trends
           11.2.1.2 Market Forecast
        11.2.2 Japan
           11.2.2.1 Market Trends
           11.2.2.2 Market Forecast
        11.2.3 India
           11.2.3.1 Market Trends
           11.2.3.2 Market Forecast
        11.2.4 South Korea
           11.2.4.1 Market Trends
           11.2.4.2 Market Forecast
        11.2.5 Australia
           11.2.5.1 Market Trends
           11.2.5.2 Market Forecast
        11.2.6 Indonesia
           11.2.6.1 Market Trends
           11.2.6.2 Market Forecast
        11.2.7 Others
           11.2.7.1 Market Trends
           11.2.7.2 Market Forecast
    11.3    Europe
        11.3.1 Germany
           11.3.1.1 Market Trends
           11.3.1.2 Market Forecast
        11.3.2 France
           11.3.2.1 Market Trends
           11.3.2.2 Market Forecast
        11.3.3 United Kingdom
           11.3.3.1 Market Trends
           11.3.3.2 Market Forecast
        11.3.4 Italy
           11.3.4.1 Market Trends
           11.3.4.2 Market Forecast
        11.3.5 Spain
           11.3.5.1 Market Trends
           11.3.5.2 Market Forecast
        11.3.6 Russia
           11.3.6.1 Market Trends
           11.3.6.2 Market Forecast
        11.3.7 Others
           11.3.7.1 Market Trends
           11.3.7.2 Market Forecast
    11.4    Latin America
        11.4.1 Brazil
           11.4.1.1 Market Trends
           11.4.1.2 Market Forecast
        11.4.2 Mexico
           11.4.2.1 Market Trends
           11.4.2.2 Market Forecast
        11.4.3 Others
           11.4.3.1 Market Trends
           11.4.3.2 Market Forecast
    11.5    Middle East and Africa
        11.5.1 Market Trends
        11.5.2 Market Breakup by Country
        11.5.3 Market Forecast
12  SWOT Analysis
    12.1    Overview
    12.2    Strengths
    12.3    Weaknesses
    12.4    Opportunities
    12.5    Threats
13  Value Chain Analysis
14  Porters Five Forces Analysis

    14.1    Overview
    14.2    Bargaining Power of Buyers
    14.3    Bargaining Power of Suppliers
    14.4    Degree of Competition
    14.5    Threat of New Entrants
    14.6    Threat of Substitutes
15  Price Analysis
16  Competitive Landscape

    16.1    Market Structure
    16.2    Key Players
    16.3    Profiles of Key Players
        16.3.1    CGI Inc.
           16.3.1.1 Company Overview
           16.3.1.2 Product Portfolio
           16.3.1.3 Financials
           16.3.1.4 SWOT Analysis
        16.3.2    Conduent Inc.
           16.3.2.1 Company Overview
           16.3.2.2 Product Portfolio
           16.3.2.3 Financials
           16.3.2.4 SWOT Analysis
        16.3.3    ExlService Holdings Inc.
           16.3.3.1 Company Overview
           16.3.3.2 Product Portfolio
           16.3.3.3 Financials
        16.3.4    Fair Isaac Corporation
           16.3.4.1 Company Overview
           16.3.4.2 Product Portfolio
           16.3.4.3 Financials
           16.3.4.4 SWOT Analysis
        16.3.5    HCL Technologies Limited
           16.3.5.1 Company Overview
           16.3.5.2 Product Portfolio
           16.3.5.3 Financials
           16.3.5.4 SWOT Analysis
        16.3.6    International Business Machines Corporation
           16.3.6.1 Company Overview
           16.3.6.2 Product Portfolio
           16.3.6.3 Financials
        16.3.7    Northrop Grumman Corporation
           16.3.7.1 Company Overview
           16.3.7.2 Product Portfolio
           16.3.7.3 Financials
           16.3.7.4 SWOT Analysis
        16.3.8    RELX Group plc
           16.3.8.1 Company Overview
           16.3.8.2 Product Portfolio
           16.3.8.3 Financials
           16.3.8.4 SWOT Analysis
        16.3.9    SAS Institute Inc.
           16.3.9.1 Company Overview
           16.3.9.2 Product Portfolio
           16.3.9.3 SWOT Analysis
        16.3.10    UnitedHealth Group
           16.3.10.1 Company Overview
           16.3.10.2 Product Portfolio
           16.3.10.3 Financials
           16.3.10.4 SWOT Analysis
        16.3.11    Wipro Ltd.
           16.3.11.1 Company Overview
           16.3.11.2 Product Portfolio
           16.3.11.3 Financials

List of Figures

Figure 1: Global: Healthcare Fraud Detection Market: Major Drivers and Challenges
Figure 2: Global: Healthcare Fraud Detection Market: Sales Value (in Billion USD), 2019-2024
Figure 3: Global: Healthcare Fraud Detection Market Forecast: Sales Value (in Billion ​​​​​​​​​​​​​​USD), 2025-2033
Figure 4: Global: Healthcare Fraud Detection Market: Breakup by Component (in %), 2024
Figure 5: Global: Healthcare Fraud Detection Market: Breakup by Type (in %), 2024
Figure 6: Global: Healthcare Fraud Detection Market: Breakup by Delivery Mode (in %), 2024
Figure 7: Global: Healthcare Fraud Detection Market: Breakup by Application (in %), 2024
Figure 8: Global: Healthcare Fraud Detection Market: Breakup by End User (in %), 2024
Figure 9: Global: Healthcare Fraud Detection Market: Breakup by Region (in %), 2024
Figure 10: Global: Healthcare Fraud Detection (Software) Market: Sales Value (in Million ​​​​​​​​​​​​​​​​​​​​​USD), 2019 & 2024
Figure 11: Global: Healthcare Fraud Detection (Software) Market Forecast: Sales Value (in Million ​​​​​​​​​​​​​​​​​​​​​USD), 2025-2033
Figure 12: Global: Healthcare Fraud Detection (Services) Market: Sales Value (in Million ​​​​​​​​​​​​​​​​​​​​​USD), 2019 & 2024
Figure 13: Global: Healthcare Fraud Detection (Services) Market Forecast: Sales Value (in Million ​​​​​​​​​​​​​​​​​​​​​USD), 2025-2033
Figure 14: Global: Healthcare Fraud Detection (Descriptive Analytics) Market: Sales Value (in Million ​​​​​​​​​​​​​​​​​​​​​USD), 2019 & 2024
Figure 15: Global: Healthcare Fraud Detection (Descriptive Analytics) Market Forecast: Sales Value (in Million ​​​​​​​​​​​​​​​​​​​​​USD), 2025-2033
Figure 16: Global: Healthcare Fraud Detection (Predictive Analytics) Market: Sales Value (in Million ​​​​​​​​​​​​​​​​​​​​​USD), 2019 & 2024
Figure 17: Global: Healthcare Fraud Detection (Predictive Analytics) Market Forecast: Sales Value (in Million ​​​​​​​​​​​​​​​​​​​​​USD), 2025-2033
Figure 18: Global: Healthcare Fraud Detection (Prescriptive Analytics) Market: Sales Value (in Million ​​​​​​​​​​​​​​​​​​​​​USD), 2019 & 2024
Figure 19: Global: Healthcare Fraud Detection (Prescriptive Analytics) Market Forecast: Sales Value (in Million ​​​​​​​​​​​​​​​​​​​​​USD), 2025-2033
Figure 20: Global: Healthcare Fraud Detection (On-premises) Market: Sales Value (in Million ​​​​​​​​​​​​​​​​​​​​​USD), 2019 & 2024
Figure 21: Global: Healthcare Fraud Detection (On-premises) Market Forecast: Sales Value (in Million ​​​​​​​​​​​​​​​​​​​​​USD), 2025-2033
Figure 22: Global: Healthcare Fraud Detection (On-demand) Market: Sales Value (in Million ​​​​​​​​​​​​​​​​​​​​​USD), 2019 & 2024
Figure 23: Global: Healthcare Fraud Detection (On-demand) Market Forecast: Sales Value (in Million ​​​​​​​​​​​​​​​​​​​​​USD), 2025-2033
Figure 24: Global: Healthcare Fraud Detection (Insurance Claims Review) Market: Sales Value (in Million ​​​​​​​​​​​​​​​​​​​​​USD), 2019 & 2024
Figure 25: Global: Healthcare Fraud Detection (Insurance Claims Review) Market Forecast: Sales Value (in Million ​​​​​​​​​​​​​​​​​​​​​USD), 2025-2033
Figure 26: Global: Healthcare Fraud Detection (Payment Integrity) Market: Sales Value (in Million ​​​​​​​​​​​​​​​​​​​​​USD), 2019 & 2024
Figure 27: Global: Healthcare Fraud Detection (Payment Integrity) Market Forecast: Sales Value (in Million ​​​​​​​​​​​​​​​​​​​​​USD), 2025-2033
Figure 28: Global: Healthcare Fraud Detection (Private Insurance Payers) Market: Sales Value (in Million ​​​​​​​​​​​​​​​​​​​​​USD), 2019 & 2024
Figure 29: Global: Healthcare Fraud Detection (Private Insurance Payers) Market Forecast: Sales Value (in Million ​​​​​​​​​​​​​​​​​​​​​USD), 2025-2033
Figure 30: Global: Healthcare Fraud Detection (Government Agencies) Market: Sales Value (in Million ​​​​​​​​​​​​​​​​​​​​​USD), 2019 & 2024
Figure 31: Global: Healthcare Fraud Detection (Government Agencies) Market Forecast: Sales Value (in Million ​​​​​​​​​​​​​​​​​​​​​USD), 2025-2033
Figure 32: Global: Healthcare Fraud Detection (Other End Users) Market: Sales Value (in Million ​​​​​​​​​​​​​​​​​​​​​USD), 2019 & 2024
Figure 33: Global: Healthcare Fraud Detection (Other End Users) Market Forecast: Sales Value (in Million ​​​​​​​​​​​​​​​​​​​​​USD), 2025-2033
Figure 34: North America: Healthcare Fraud Detection Market: Sales Value (in Million ​​​​​​​​​​​​​​​​​​​​​USD), 2019 & 2024
Figure 35: North America: Healthcare Fraud Detection Market Forecast: Sales Value (in Million ​​​​​​​​​​​​​​​​​​​​​USD), 2025-2033
Figure 36: United States: Healthcare Fraud Detection Market: Sales Value (in Million ​​​​​​​​​​​​​​​​​​​​​USD), 2019 & 2024
Figure 37: United States: Healthcare Fraud Detection Market Forecast: Sales Value (in Million ​​​​​​​​​​​​​​​​​​​​​USD), 2025-2033
Figure 38: Canada: Healthcare Fraud Detection Market: Sales Value (in Million ​​​​​​​​​​​​​​​​​​​​​USD), 2019 & 2024
Figure 39: Canada: Healthcare Fraud Detection Market Forecast: Sales Value (in Million ​​​​​​​​​​​​​​​​​​​​​USD), 2025-2033
Figure 40: Asia-Pacific: Healthcare Fraud Detection Market: Sales Value (in Million ​​​​​​​​​​​​​​​​​​​​​USD), 2019 & 2024
Figure 41: Asia-Pacific: Healthcare Fraud Detection Market Forecast: Sales Value (in Million ​​​​​​​​​​​​​​​​​​​​​USD), 2025-2033
Figure 42: China: Healthcare Fraud Detection Market: Sales Value (in Million ​​​​​​​​​​​​​​​​​​​​​USD), 2019 & 2024
Figure 43: China: Healthcare Fraud Detection Market Forecast: Sales Value (in Million ​​​​​​​​​​​​​​​​​​​​​USD), 2025-2033
Figure 44: Japan: Healthcare Fraud Detection Market: Sales Value (in Million ​​​​​​​​​​​​​​​​​​​​​USD), 2019 & 2024
Figure 45: Japan: Healthcare Fraud Detection Market Forecast: Sales Value (in Million ​​​​​​​​​​​​​​​​​​​​​USD), 2025-2033
Figure 46: India: Healthcare Fraud Detection Market: Sales Value (in Million ​​​​​​​​​​​​​​​​​​​​​USD), 2019 & 2024
Figure 47: India: Healthcare Fraud Detection Market Forecast: Sales Value (in Million ​​​​​​​​​​​​​​​​​​​​​USD), 2025-2033
Figure 48: South Korea: Healthcare Fraud Detection Market: Sales Value (in Million ​​​​​​​​​​​​​​​​​​​​​USD), 2019 & 2024
Figure 49: South Korea: Healthcare Fraud Detection Market Forecast: Sales Value (in Million ​​​​​​​​​​​​​​​​​​​​​USD), 2025-2033
Figure 50: Australia: Healthcare Fraud Detection Market: Sales Value (in Million ​​​​​​​​​​​​​​​​​​​​​USD), 2019 & 2024
Figure 51: Australia: Healthcare Fraud Detection Market Forecast: Sales Value (in Million ​​​​​​​​​​​​​​​​​​​​​USD), 2025-2033
Figure 52: Indonesia: Healthcare Fraud Detection Market: Sales Value (in Million ​​​​​​​​​​​​​​​​​​​​​USD), 2019 & 2024
Figure 53: Indonesia: Healthcare Fraud Detection Market Forecast: Sales Value (in Million ​​​​​​​​​​​​​​​​​​​​​USD), 2025-2033
Figure 54: Others: Healthcare Fraud Detection Market: Sales Value (in Million ​​​​​​​​​​​​​​​​​​​​​USD), 2019 & 2024
Figure 55: Others: Healthcare Fraud Detection Market Forecast: Sales Value (in Million ​​​​​​​​​​​​​​​​​​​​​USD), 2025-2033
Figure 56: Europe: Healthcare Fraud Detection Market: Sales Value (in Million ​​​​​​​​​​​​​​​​​​​​​USD), 2019 & 2024
Figure 57: Europe: Healthcare Fraud Detection Market Forecast: Sales Value (in Million ​​​​​​​​​​​​​​​​​​​​​USD), 2025-2033
Figure 58: Germany: Healthcare Fraud Detection Market: Sales Value (in Million ​​​​​​​​​​​​​​​​​​​​​USD), 2019 & 2024
Figure 59: Germany: Healthcare Fraud Detection Market Forecast: Sales Value (in Million ​​​​​​​​​​​​​​​​​​​​​USD), 2025-2033
Figure 60: France: Healthcare Fraud Detection Market: Sales Value (in Million ​​​​​​​​​​​​​​​​​​​​​USD), 2019 & 2024
Figure 61: France: Healthcare Fraud Detection Market Forecast: Sales Value (in Million ​​​​​​​​​​​​​​​​​​​​​USD), 2025-2033
Figure 62: United Kingdom: Healthcare Fraud Detection Market: Sales Value (in Million ​​​​​​​​​​​​​​​​​​​​​USD), 2019 & 2024
Figure 63: United Kingdom: Healthcare Fraud Detection Market Forecast: Sales Value (in Million ​​​​​​​​​​​​​​​​​​​​​USD), 2025-2033
Figure 64: Italy: Healthcare Fraud Detection Market: Sales Value (in Million ​​​​​​​​​​​​​​​​​​​​​USD), 2019 & 2024
Figure 65: Italy: Healthcare Fraud Detection Market Forecast: Sales Value (in Million ​​​​​​​​​​​​​​​​​​​​​USD), 2025-2033
Figure 66: Spain: Healthcare Fraud Detection Market: Sales Value (in Million ​​​​​​​​​​​​​​​​​​​​​USD), 2019 & 2024
Figure 67: Spain: Healthcare Fraud Detection Market Forecast: Sales Value (in Million ​​​​​​​​​​​​​​​​​​​​​USD), 2025-2033
Figure 68: Russia: Healthcare Fraud Detection Market: Sales Value (in Million ​​​​​​​​​​​​​​​​​​​​​USD), 2019 & 2024
Figure 69: Russia: Healthcare Fraud Detection Market Forecast: Sales Value (in Million ​​​​​​​​​​​​​​​​​​​​​USD), 2025-2033
Figure 70: Others: Healthcare Fraud Detection Market: Sales Value (in Million ​​​​​​​​​​​​​​​​​​​​​USD), 2019 & 2024
Figure 71: Others: Healthcare Fraud Detection Market Forecast: Sales Value (in Million ​​​​​​​​​​​​​​​​​​​​​USD), 2025-2033
Figure 72: Latin America: Healthcare Fraud Detection Market: Sales Value (in Million ​​​​​​​​​​​​​​​​​​​​​USD), 2019 & 2024
Figure 73: Latin America: Healthcare Fraud Detection Market Forecast: Sales Value (in Million ​​​​​​​​​​​​​​​​​​​​​USD), 2025-2033
Figure 74: Brazil: Healthcare Fraud Detection Market: Sales Value (in Million ​​​​​​​​​​​​​​​​​​​​​USD), 2019 & 2024
Figure 75: Brazil: Healthcare Fraud Detection Market Forecast: Sales Value (in Million ​​​​​​​​​​​​​​​​​​​​​USD), 2025-2033
Figure 76: Mexico: Healthcare Fraud Detection Market: Sales Value (in Million ​​​​​​​​​​​​​​​​​​​​​USD), 2019 & 2024
Figure 77: Mexico: Healthcare Fraud Detection Market Forecast: Sales Value (in Million ​​​​​​​​​​​​​​​​​​​​​USD), 2025-2033
Figure 78: Others: Healthcare Fraud Detection Market: Sales Value (in Million ​​​​​​​​​​​​​​​​​​​​​USD), 2019 & 2024
Figure 79: Others: Healthcare Fraud Detection Market Forecast: Sales Value (in Million ​​​​​​​​​​​​​​​​​​​​​USD), 2025-2033
Figure 80: Middle East and Africa: Healthcare Fraud Detection Market: Sales Value (in Million ​​​​​​​​​​​​​​​​​​​​​USD), 2019 & 2024
Figure 81: Middle East and Africa: Healthcare Fraud Detection Market: Breakup by Country (in %), 2024
Figure 82: Middle East and Africa: Healthcare Fraud Detection Market Forecast: Sales Value (in Million ​​​​​​​​​​​​​​​​​​​​​USD), 2025-2033
Figure 83: Global: Healthcare Fraud Detection Industry: SWOT Analysis
Figure 84: Global: Healthcare Fraud Detection Industry: Value Chain Analysis
Figure 85: Global: Healthcare Fraud Detection Industry: Porter's Five Forces Analysis

List of Tables

Table 1: Global: Healthcare Fraud Detection Market: Key Industry Highlights, 2024 and 2033
Table 2: Global: Healthcare Fraud Detection Market Forecast: Breakup by Component (in Million ​​​​​​​​​​​​​​​​​​​​​USD), 2025-2033
Table 3: Global: Healthcare Fraud Detection Market Forecast: Breakup by Type (in Million ​​​​​​​​​​​​​​​​​​​​​USD), 2025-2033
Table 4: Global: Healthcare Fraud Detection Market Forecast: Breakup by Delivery Mode (in Million ​​​​​​​​​​​​​​​​​​​​​USD), 2025-2033
Table 5: Global: Healthcare Fraud Detection Market Forecast: Breakup by Application (in Million ​​​​​​​​​​​​​​​​​​​​​USD), 2025-2033
Table 6: Global: Healthcare Fraud Detection Market Forecast: Breakup by End User (in Million ​​​​​​​​​​​​​​​​​​​​​USD), 2025-2033
Table 7: Global: Healthcare Fraud Detection Market Forecast: Breakup by Region (in Million ​​​​​​​​​​​​​​​​​​​​​USD), 2025-2033
Table 8: Global: Healthcare Fraud Detection Market: Competitive Structure
Table 9: Global: Healthcare Fraud Detection Market: Key Players

Healthcare Fraud Detection Market Report by Component (Software, Services), Type (Descriptive Analytics, Predictive Analytics, Prescriptive Analytics), Delivery Mode (On-premises, On-demand), Application (Insurance Claims Review, Payment Integrity), End User (Private Insurance Payers, Government Agencies, and Others), and Region 2025-2033
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