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Global Medical Payment Fraud Detection Market Research Report 2025
Published Date: June 2025
|
Report Code: QYRE-Auto-15P13011
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Global Medical Payment Fraud Detection Market Research Report 2023
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Global Medical Payment Fraud Detection Market Research Report 2025

Code: QYRE-Auto-15P13011
Report
June 2025
Pages:94
QYResearch
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DESCRIPTION
TABLE OF CONTENT
TABLES & FIGURES
FEATURED COMPANIES
Lexisnexis Risk Solutions
International Business Machines Corporation
OptumInsight
OSP Labs
DXC Technology Company
UnitedHealth Group
SAS Institute
Fair Isaac Corporation
EXL service Holdings, Inc.
CGI Group

Medical Payment Fraud Detection Market Size

The global market for Medical Payment Fraud Detection was valued at US$ 1546 million in the year 2024 and is projected to reach a revised size of US$ 3488 million by 2031, growing at a CAGR of 12.5% during the forecast period.

Medical Payment Fraud Detection Market

Medical Payment Fraud Detection Market

Medical fraud is increasingly apperceived as one of the social concerns. Healthcare fraud varies, but generally, it involves filing dishonest health claims for profit.
According to our research, the global market for medical devices is estimated at US$ 603 billion in the year 2023, and will be growing at a CAGR of 5% during next six years. The global healthcare spending contributes to occupy 10% of the global GDP and is continuously rising in recent years due to the increasing health needs of the aging population, the growing prevalence of chronic and infectious diseases and the expansion of emerging markets. The medical devices market plays a significant role in the healthcare industry. The market is driven by several factors, including the increasing demand for advanced healthcare services globally, advancements in medical technology, growing geriatric population, rising healthcare expenditure, and increasing awareness about early disease diagnosis and treatment.
This report aims to provide a comprehensive presentation of the global market for Medical Payment Fraud Detection, with both quantitative and qualitative analysis, to help readers develop business/growth strategies, assess the market competitive situation, analyze their position in the current marketplace, and make informed business decisions regarding Medical Payment Fraud Detection.
The Medical Payment Fraud Detection market size, estimations, and forecasts are provided in terms of and revenue ($ millions), considering 2024 as the base year, with history and forecast data for the period from 2020 to 2031. This report segments the global Medical Payment Fraud Detection market comprehensively. Regional market sizes, concerning products by Type, by Application, and by players, are also provided.
For a more in-depth understanding of the market, the report provides profiles of the competitive landscape, key competitors, and their respective market ranks. The report also discusses technological trends and new product developments.
The report will help the Medical Payment Fraud Detection companies, new entrants, and industry chain related companies in this market with information on the revenues for the overall market and the sub-segments across the different segments, by company, by Type, by Application, and by regions.
Market Segmentation

Scope of Medical Payment Fraud Detection Market Report

Report Metric Details
Report Name Medical Payment Fraud Detection Market
Accounted market size in year US$ 1546 million
Forecasted market size in 2031 US$ 3488 million
CAGR 12.5%
Base Year year
Forecasted years 2025 - 2031
Segment by Type
  • On-premise
  • Cloud-based
Segment by Application
By Region
  • North America (United States, Canada)
  • Europe (Germany, France, UK, Italy, Russia) Rest of Europe
  • Nordic Countries
  • Asia-Pacific (China, Japan, South Korea)
  • Southeast Asia (India, Australia)
  • Rest of Asia
  • Latin America (Mexico, Brazil)
  • Rest of Latin America
  • Middle East & Africa (Turkey, Saudi Arabia, UAE, Rest of MEA)
By Company LexisNexis Risk Solutions, International Business Machines Corporation, Optuminsight, OSP Labs, DXC Technology Company, Unitedhealth Group, SAS Institute, Fair Isaac Corporation, EXL Service Holdings, Inc., CGI GROUP
Forecast units USD million in value
Report coverage Revenue and volume forecast, company share, competitive landscape, growth factors and trends

Chapter Outline

  • Chapter 1: Introduces the report scope of the report, executive summary of different market segments (by Type, by Application, etc), including the market size of each market segment, future development potential, and so on. It offers a high-level view of the current state of the market and its likely evolution in the short to mid-term, and long term.
  • Chapter 2: Introduces executive summary of global market size, regional market size, this section also introduces the market dynamics, latest developments of the market, the driving factors and restrictive factors of the market, the challenges and risks faced by companies in the industry, and the analysis of relevant policies in the industry.
  • Chapter 3: Detailed analysis of Medical Payment Fraud Detection company competitive landscape, revenue market share, latest development plan, merger, and acquisition information, etc.
  • Chapter 4: Provides the analysis of various market segments by Type, covering the market size and development potential of each market segment, to help readers find the blue ocean market in different market segments.
  • Chapter 5: Provides the analysis of various market segments by Application, covering the market size and development potential of each market segment, to help readers find the blue ocean market in different downstream markets.
  • Chapter 6, 7, 8, 9, 10: North America, Europe, Asia Pacific, Latin America, Middle East and Africa segment by country. It provides a quantitative analysis of the market size and development potential of each region and its main countries and introduces the market development, future development prospects, market space, and capacity of each country in the world.
  • Chapter 11: Provides profiles of key players, introducing the basic situation of the main companies in the market in detail, including product sales, revenue, price, gross margin, product introduction, recent development, etc.
  • Chapter 12: The main points and conclusions of the report.

FAQ for this report

How fast is Medical Payment Fraud Detection Market growing?

Ans: The Medical Payment Fraud Detection Market witnessing a CAGR of 12.5% during the forecast period 2025-2031.

What is the Medical Payment Fraud Detection Market size in 2031?

Ans: The Medical Payment Fraud Detection Market size in 2031 will be US$ 3488 million.

Who are the main players in the Medical Payment Fraud Detection Market report?

Ans: The main players in the Medical Payment Fraud Detection Market are LexisNexis Risk Solutions, International Business Machines Corporation, Optuminsight, OSP Labs, DXC Technology Company, Unitedhealth Group, SAS Institute, Fair Isaac Corporation, EXL Service Holdings, Inc., CGI GROUP

What are the Application segmentation covered in the Medical Payment Fraud Detection Market report?

Ans: The Applications covered in the Medical Payment Fraud Detection Market report are Private Insurance Payers, Public/Government Agencies, Third-Party Service Providers

What are the Type segmentation covered in the Medical Payment Fraud Detection Market report?

Ans: The Types covered in the Medical Payment Fraud Detection Market report are On-premise, Cloud-based

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1 Report Overview
1.1 Study Scope
1.2 Market Analysis by Type
1.2.1 Global Medical Payment Fraud Detection Market Size Growth Rate by Type: 2020 VS 2024 VS 2031
1.2.2 On-premise
1.2.3 Cloud-based
1.2.4 On-premise
1.2.5 Cloud-based
1.3 Market by Application
1.3.1 Global Medical Payment Fraud Detection Market Growth by Application: 2020 VS 2024 VS 2031
1.3.2 Private Insurance Payers
1.3.3 Public/Government Agencies
1.3.4 Third-Party Service Providers
1.3.5 Private Insurance Payers
1.3.6 Public/Government Agencies
1.3.7 Third-Party Service Providers
1.4 Assumptions and Limitations
1.5 Study Objectives
1.6 Years Considered
2 Global Growth Trends
2.1 Global Medical Payment Fraud Detection Market Perspective (2020-2031)
2.2 Global Medical Payment Fraud Detection Growth Trends by Region
2.2.1 Global Medical Payment Fraud Detection Market Size by Region: 2020 VS 2024 VS 2031
2.2.2 Medical Payment Fraud Detection Historic Market Size by Region (2020-2025)
2.2.3 Medical Payment Fraud Detection Forecasted Market Size by Region (2026-2031)
2.3 Medical Payment Fraud Detection Market Dynamics
2.3.1 Medical Payment Fraud Detection Industry Trends
2.3.2 Medical Payment Fraud Detection Market Drivers
2.3.3 Medical Payment Fraud Detection Market Challenges
2.3.4 Medical Payment Fraud Detection Market Restraints
3 Competition Landscape by Key Players
3.1 Global Top Medical Payment Fraud Detection Players by Revenue
3.1.1 Global Top Medical Payment Fraud Detection Players by Revenue (2020-2025)
3.1.2 Global Medical Payment Fraud Detection Revenue Market Share by Players (2020-2025)
3.2 Global Medical Payment Fraud Detection Market Share by Company Type (Tier 1, Tier 2, and Tier 3)
3.3 Global Key Players Ranking by Medical Payment Fraud Detection Revenue
3.4 Global Medical Payment Fraud Detection Market Concentration Ratio
3.4.1 Global Medical Payment Fraud Detection Market Concentration Ratio (CR5 and HHI)
3.4.2 Global Top 10 and Top 5 Companies by Medical Payment Fraud Detection Revenue in 2024
3.5 Global Key Players of Medical Payment Fraud Detection Head office and Area Served
3.6 Global Key Players of Medical Payment Fraud Detection, Product and Application
3.7 Global Key Players of Medical Payment Fraud Detection, Date of Enter into This Industry
3.8 Mergers & Acquisitions, Expansion Plans
4 Medical Payment Fraud Detection Breakdown Data by Type
4.1 Global Medical Payment Fraud Detection Historic Market Size by Type (2020-2025)
4.2 Global Medical Payment Fraud Detection Forecasted Market Size by Type (2026-2031)
5 Medical Payment Fraud Detection Breakdown Data by Application
5.1 Global Medical Payment Fraud Detection Historic Market Size by Application (2020-2025)
5.2 Global Medical Payment Fraud Detection Forecasted Market Size by Application (2026-2031)
6 North America
6.1 North America Medical Payment Fraud Detection Market Size (2020-2031)
6.2 North America Medical Payment Fraud Detection Market Growth Rate by Country: 2020 VS 2024 VS 2031
6.3 North America Medical Payment Fraud Detection Market Size by Country (2020-2025)
6.4 North America Medical Payment Fraud Detection Market Size by Country (2026-2031)
6.5 United States
6.6 Canada
7 Europe
7.1 Europe Medical Payment Fraud Detection Market Size (2020-2031)
7.2 Europe Medical Payment Fraud Detection Market Growth Rate by Country: 2020 VS 2024 VS 2031
7.3 Europe Medical Payment Fraud Detection Market Size by Country (2020-2025)
7.4 Europe Medical Payment Fraud Detection Market Size by Country (2026-2031)
7.5 Germany
7.6 France
7.7 U.K.
7.8 Italy
7.9 Russia
7.10 Nordic Countries
8 Asia-Pacific
8.1 Asia-Pacific Medical Payment Fraud Detection Market Size (2020-2031)
8.2 Asia-Pacific Medical Payment Fraud Detection Market Growth Rate by Region: 2020 VS 2024 VS 2031
8.3 Asia-Pacific Medical Payment Fraud Detection Market Size by Region (2020-2025)
8.4 Asia-Pacific Medical Payment Fraud Detection Market Size by Region (2026-2031)
8.5 China
8.6 Japan
8.7 South Korea
8.8 Southeast Asia
8.9 India
8.10 Australia
9 Latin America
9.1 Latin America Medical Payment Fraud Detection Market Size (2020-2031)
9.2 Latin America Medical Payment Fraud Detection Market Growth Rate by Country: 2020 VS 2024 VS 2031
9.3 Latin America Medical Payment Fraud Detection Market Size by Country (2020-2025)
9.4 Latin America Medical Payment Fraud Detection Market Size by Country (2026-2031)
9.5 Mexico
9.6 Brazil
10 Middle East & Africa
10.1 Middle East & Africa Medical Payment Fraud Detection Market Size (2020-2031)
10.2 Middle East & Africa Medical Payment Fraud Detection Market Growth Rate by Country: 2020 VS 2024 VS 2031
10.3 Middle East & Africa Medical Payment Fraud Detection Market Size by Country (2020-2025)
10.4 Middle East & Africa Medical Payment Fraud Detection Market Size by Country (2026-2031)
10.5 Turkey
10.6 Saudi Arabia
10.7 UAE
11 Key Players Profiles
11.1 LexisNexis Risk Solutions
11.1.1 LexisNexis Risk Solutions Company Details
11.1.2 LexisNexis Risk Solutions Business Overview
11.1.3 LexisNexis Risk Solutions Medical Payment Fraud Detection Introduction
11.1.4 LexisNexis Risk Solutions Revenue in Medical Payment Fraud Detection Business (2020-2025)
11.1.5 LexisNexis Risk Solutions Recent Development
11.2 International Business Machines Corporation
11.2.1 International Business Machines Corporation Company Details
11.2.2 International Business Machines Corporation Business Overview
11.2.3 International Business Machines Corporation Medical Payment Fraud Detection Introduction
11.2.4 International Business Machines Corporation Revenue in Medical Payment Fraud Detection Business (2020-2025)
11.2.5 International Business Machines Corporation Recent Development
11.3 Optuminsight
11.3.1 Optuminsight Company Details
11.3.2 Optuminsight Business Overview
11.3.3 Optuminsight Medical Payment Fraud Detection Introduction
11.3.4 Optuminsight Revenue in Medical Payment Fraud Detection Business (2020-2025)
11.3.5 Optuminsight Recent Development
11.4 OSP Labs
11.4.1 OSP Labs Company Details
11.4.2 OSP Labs Business Overview
11.4.3 OSP Labs Medical Payment Fraud Detection Introduction
11.4.4 OSP Labs Revenue in Medical Payment Fraud Detection Business (2020-2025)
11.4.5 OSP Labs Recent Development
11.5 DXC Technology Company
11.5.1 DXC Technology Company Company Details
11.5.2 DXC Technology Company Business Overview
11.5.3 DXC Technology Company Medical Payment Fraud Detection Introduction
11.5.4 DXC Technology Company Revenue in Medical Payment Fraud Detection Business (2020-2025)
11.5.5 DXC Technology Company Recent Development
11.6 Unitedhealth Group
11.6.1 Unitedhealth Group Company Details
11.6.2 Unitedhealth Group Business Overview
11.6.3 Unitedhealth Group Medical Payment Fraud Detection Introduction
11.6.4 Unitedhealth Group Revenue in Medical Payment Fraud Detection Business (2020-2025)
11.6.5 Unitedhealth Group Recent Development
11.7 SAS Institute
11.7.1 SAS Institute Company Details
11.7.2 SAS Institute Business Overview
11.7.3 SAS Institute Medical Payment Fraud Detection Introduction
11.7.4 SAS Institute Revenue in Medical Payment Fraud Detection Business (2020-2025)
11.7.5 SAS Institute Recent Development
11.8 Fair Isaac Corporation
11.8.1 Fair Isaac Corporation Company Details
11.8.2 Fair Isaac Corporation Business Overview
11.8.3 Fair Isaac Corporation Medical Payment Fraud Detection Introduction
11.8.4 Fair Isaac Corporation Revenue in Medical Payment Fraud Detection Business (2020-2025)
11.8.5 Fair Isaac Corporation Recent Development
11.9 EXL Service Holdings, Inc.
11.9.1 EXL Service Holdings, Inc. Company Details
11.9.2 EXL Service Holdings, Inc. Business Overview
11.9.3 EXL Service Holdings, Inc. Medical Payment Fraud Detection Introduction
11.9.4 EXL Service Holdings, Inc. Revenue in Medical Payment Fraud Detection Business (2020-2025)
11.9.5 EXL Service Holdings, Inc. Recent Development
11.10 CGI GROUP
11.10.1 CGI GROUP Company Details
11.10.2 CGI GROUP Business Overview
11.10.3 CGI GROUP Medical Payment Fraud Detection Introduction
11.10.4 CGI GROUP Revenue in Medical Payment Fraud Detection Business (2020-2025)
11.10.5 CGI GROUP Recent Development
11.11 LexisNexis Risk Solutions
11.11.1 LexisNexis Risk Solutions Company Details
11.11.2 LexisNexis Risk Solutions Business Overview
11.11.3 LexisNexis Risk Solutions Medical Payment Fraud Detection Introduction
11.11.4 LexisNexis Risk Solutions Revenue in Medical Payment Fraud Detection Business (2020-2025)
11.11.5 LexisNexis Risk Solutions Recent Development
11.12 International Business Machines Corporation
11.12.1 International Business Machines Corporation Company Details
11.12.2 International Business Machines Corporation Business Overview
11.12.3 International Business Machines Corporation Medical Payment Fraud Detection Introduction
11.12.4 International Business Machines Corporation Revenue in Medical Payment Fraud Detection Business (2020-2025)
11.12.5 International Business Machines Corporation Recent Development
11.13 Optuminsight
11.13.1 Optuminsight Company Details
11.13.2 Optuminsight Business Overview
11.13.3 Optuminsight Medical Payment Fraud Detection Introduction
11.13.4 Optuminsight Revenue in Medical Payment Fraud Detection Business (2020-2025)
11.13.5 Optuminsight Recent Development
11.14 OSP Labs
11.14.1 OSP Labs Company Details
11.14.2 OSP Labs Business Overview
11.14.3 OSP Labs Medical Payment Fraud Detection Introduction
11.14.4 OSP Labs Revenue in Medical Payment Fraud Detection Business (2020-2025)
11.14.5 OSP Labs Recent Development
11.15 DXC Technology Company
11.15.1 DXC Technology Company Company Details
11.15.2 DXC Technology Company Business Overview
11.15.3 DXC Technology Company Medical Payment Fraud Detection Introduction
11.15.4 DXC Technology Company Revenue in Medical Payment Fraud Detection Business (2020-2025)
11.15.5 DXC Technology Company Recent Development
11.16 Unitedhealth Group
11.16.1 Unitedhealth Group Company Details
11.16.2 Unitedhealth Group Business Overview
11.16.3 Unitedhealth Group Medical Payment Fraud Detection Introduction
11.16.4 Unitedhealth Group Revenue in Medical Payment Fraud Detection Business (2020-2025)
11.16.5 Unitedhealth Group Recent Development
11.17 SAS Institute
11.17.1 SAS Institute Company Details
11.17.2 SAS Institute Business Overview
11.17.3 SAS Institute Medical Payment Fraud Detection Introduction
11.17.4 SAS Institute Revenue in Medical Payment Fraud Detection Business (2020-2025)
11.17.5 SAS Institute Recent Development
11.18 Fair Isaac Corporation
11.18.1 Fair Isaac Corporation Company Details
11.18.2 Fair Isaac Corporation Business Overview
11.18.3 Fair Isaac Corporation Medical Payment Fraud Detection Introduction
11.18.4 Fair Isaac Corporation Revenue in Medical Payment Fraud Detection Business (2020-2025)
11.18.5 Fair Isaac Corporation Recent Development
11.19 EXL Service Holdings, Inc.
11.19.1 EXL Service Holdings, Inc. Company Details
11.19.2 EXL Service Holdings, Inc. Business Overview
11.19.3 EXL Service Holdings, Inc. Medical Payment Fraud Detection Introduction
11.19.4 EXL Service Holdings, Inc. Revenue in Medical Payment Fraud Detection Business (2020-2025)
11.19.5 EXL Service Holdings, Inc. Recent Development
11.20 CGI GROUP
11.20.1 CGI GROUP Company Details
11.20.2 CGI GROUP Business Overview
11.20.3 CGI GROUP Medical Payment Fraud Detection Introduction
11.20.4 CGI GROUP Revenue in Medical Payment Fraud Detection Business (2020-2025)
11.20.5 CGI GROUP Recent Development
12 Analyst's Viewpoints/Conclusions
13 Appendix
13.1 Research Methodology
13.1.1 Methodology/Research Approach
13.1.1.1 Research Programs/Design
13.1.1.2 Market Size Estimation
13.1.1.3 Market Breakdown and Data Triangulation
13.1.2 Data Source
13.1.2.1 Secondary Sources
13.1.2.2 Primary Sources
13.2 Author Details
13.3 Disclaimer
FEATURED COMPANIES
Lexisnexis Risk Solutions
International Business Machines Corporation
OptumInsight
OSP Labs
DXC Technology Company
UnitedHealth Group
SAS Institute
Fair Isaac Corporation
EXL service Holdings, Inc.
CGI Group
List of Tables
 Table 1. Global Medical Payment Fraud Detection Market Size Growth Rate by Type (US$ Million): 2020 VS 2024 VS 2031
 Table 2. Key Players of On-premise
 Table 3. Key Players of Cloud-based
 Table 4. Key Players of On-premise
 Table 5. Key Players of Cloud-based
 Table 6. Global Medical Payment Fraud Detection Market Size Growth by Application (US$ Million): 2020 VS 2024 VS 2031
 Table 7. Global Medical Payment Fraud Detection Market Size by Region (US$ Million): 2020 VS 2024 VS 2031
 Table 8. Global Medical Payment Fraud Detection Market Size by Region (2020-2025) & (US$ Million)
 Table 9. Global Medical Payment Fraud Detection Market Share by Region (2020-2025)
 Table 10. Global Medical Payment Fraud Detection Forecasted Market Size by Region (2026-2031) & (US$ Million)
 Table 11. Global Medical Payment Fraud Detection Market Share by Region (2026-2031)
 Table 12. Medical Payment Fraud Detection Market Trends
 Table 13. Medical Payment Fraud Detection Market Drivers
 Table 14. Medical Payment Fraud Detection Market Challenges
 Table 15. Medical Payment Fraud Detection Market Restraints
 Table 16. Global Medical Payment Fraud Detection Revenue by Players (2020-2025) & (US$ Million)
 Table 17. Global Medical Payment Fraud Detection Market Share by Players (2020-2025)
 Table 18. Global Top Medical Payment Fraud Detection Players by Company Type (Tier 1, Tier 2, and Tier 3) & (based on the Revenue in Medical Payment Fraud Detection as of 2024)
 Table 19. Ranking of Global Top Medical Payment Fraud Detection Companies by Revenue (US$ Million) in 2024
 Table 20. Global 5 Largest Players Market Share by Medical Payment Fraud Detection Revenue (CR5 and HHI) & (2020-2025)
 Table 21. Global Key Players of Medical Payment Fraud Detection, Headquarters and Area Served
 Table 22. Global Key Players of Medical Payment Fraud Detection, Product and Application
 Table 23. Global Key Players of Medical Payment Fraud Detection, Date of Enter into This Industry
 Table 24. Mergers & Acquisitions, Expansion Plans
 Table 25. Global Medical Payment Fraud Detection Market Size by Type (2020-2025) & (US$ Million)
 Table 26. Global Medical Payment Fraud Detection Revenue Market Share by Type (2020-2025)
 Table 27. Global Medical Payment Fraud Detection Forecasted Market Size by Type (2026-2031) & (US$ Million)
 Table 28. Global Medical Payment Fraud Detection Revenue Market Share by Type (2026-2031)
 Table 29. Global Medical Payment Fraud Detection Market Size by Application (2020-2025) & (US$ Million)
 Table 30. Global Medical Payment Fraud Detection Revenue Market Share by Application (2020-2025)
 Table 31. Global Medical Payment Fraud Detection Forecasted Market Size by Application (2026-2031) & (US$ Million)
 Table 32. Global Medical Payment Fraud Detection Revenue Market Share by Application (2026-2031)
 Table 33. North America Medical Payment Fraud Detection Market Size Growth Rate by Country (US$ Million): 2020 VS 2024 VS 2031
 Table 34. North America Medical Payment Fraud Detection Market Size by Country (2020-2025) & (US$ Million)
 Table 35. North America Medical Payment Fraud Detection Market Size by Country (2026-2031) & (US$ Million)
 Table 36. Europe Medical Payment Fraud Detection Market Size Growth Rate by Country (US$ Million): 2020 VS 2024 VS 2031
 Table 37. Europe Medical Payment Fraud Detection Market Size by Country (2020-2025) & (US$ Million)
 Table 38. Europe Medical Payment Fraud Detection Market Size by Country (2026-2031) & (US$ Million)
 Table 39. Asia-Pacific Medical Payment Fraud Detection Market Size Growth Rate by Region (US$ Million): 2020 VS 2024 VS 2031
 Table 40. Asia-Pacific Medical Payment Fraud Detection Market Size by Region (2020-2025) & (US$ Million)
 Table 41. Asia-Pacific Medical Payment Fraud Detection Market Size by Region (2026-2031) & (US$ Million)
 Table 42. Latin America Medical Payment Fraud Detection Market Size Growth Rate by Country (US$ Million): 2020 VS 2024 VS 2031
 Table 43. Latin America Medical Payment Fraud Detection Market Size by Country (2020-2025) & (US$ Million)
 Table 44. Latin America Medical Payment Fraud Detection Market Size by Country (2026-2031) & (US$ Million)
 Table 45. Middle East & Africa Medical Payment Fraud Detection Market Size Growth Rate by Country (US$ Million): 2020 VS 2024 VS 2031
 Table 46. Middle East & Africa Medical Payment Fraud Detection Market Size by Country (2020-2025) & (US$ Million)
 Table 47. Middle East & Africa Medical Payment Fraud Detection Market Size by Country (2026-2031) & (US$ Million)
 Table 48. LexisNexis Risk Solutions Company Details
 Table 49. LexisNexis Risk Solutions Business Overview
 Table 50. LexisNexis Risk Solutions Medical Payment Fraud Detection Product
 Table 51. LexisNexis Risk Solutions Revenue in Medical Payment Fraud Detection Business (2020-2025) & (US$ Million)
 Table 52. LexisNexis Risk Solutions Recent Development
 Table 53. International Business Machines Corporation Company Details
 Table 54. International Business Machines Corporation Business Overview
 Table 55. International Business Machines Corporation Medical Payment Fraud Detection Product
 Table 56. International Business Machines Corporation Revenue in Medical Payment Fraud Detection Business (2020-2025) & (US$ Million)
 Table 57. International Business Machines Corporation Recent Development
 Table 58. Optuminsight Company Details
 Table 59. Optuminsight Business Overview
 Table 60. Optuminsight Medical Payment Fraud Detection Product
 Table 61. Optuminsight Revenue in Medical Payment Fraud Detection Business (2020-2025) & (US$ Million)
 Table 62. Optuminsight Recent Development
 Table 63. OSP Labs Company Details
 Table 64. OSP Labs Business Overview
 Table 65. OSP Labs Medical Payment Fraud Detection Product
 Table 66. OSP Labs Revenue in Medical Payment Fraud Detection Business (2020-2025) & (US$ Million)
 Table 67. OSP Labs Recent Development
 Table 68. DXC Technology Company Company Details
 Table 69. DXC Technology Company Business Overview
 Table 70. DXC Technology Company Medical Payment Fraud Detection Product
 Table 71. DXC Technology Company Revenue in Medical Payment Fraud Detection Business (2020-2025) & (US$ Million)
 Table 72. DXC Technology Company Recent Development
 Table 73. Unitedhealth Group Company Details
 Table 74. Unitedhealth Group Business Overview
 Table 75. Unitedhealth Group Medical Payment Fraud Detection Product
 Table 76. Unitedhealth Group Revenue in Medical Payment Fraud Detection Business (2020-2025) & (US$ Million)
 Table 77. Unitedhealth Group Recent Development
 Table 78. SAS Institute Company Details
 Table 79. SAS Institute Business Overview
 Table 80. SAS Institute Medical Payment Fraud Detection Product
 Table 81. SAS Institute Revenue in Medical Payment Fraud Detection Business (2020-2025) & (US$ Million)
 Table 82. SAS Institute Recent Development
 Table 83. Fair Isaac Corporation Company Details
 Table 84. Fair Isaac Corporation Business Overview
 Table 85. Fair Isaac Corporation Medical Payment Fraud Detection Product
 Table 86. Fair Isaac Corporation Revenue in Medical Payment Fraud Detection Business (2020-2025) & (US$ Million)
 Table 87. Fair Isaac Corporation Recent Development
 Table 88. EXL Service Holdings, Inc. Company Details
 Table 89. EXL Service Holdings, Inc. Business Overview
 Table 90. EXL Service Holdings, Inc. Medical Payment Fraud Detection Product
 Table 91. EXL Service Holdings, Inc. Revenue in Medical Payment Fraud Detection Business (2020-2025) & (US$ Million)
 Table 92. EXL Service Holdings, Inc. Recent Development
 Table 93. CGI GROUP Company Details
 Table 94. CGI GROUP Business Overview
 Table 95. CGI GROUP Medical Payment Fraud Detection Product
 Table 96. CGI GROUP Revenue in Medical Payment Fraud Detection Business (2020-2025) & (US$ Million)
 Table 97. CGI GROUP Recent Development
 Table 98. LexisNexis Risk Solutions Company Details
 Table 99. LexisNexis Risk Solutions Business Overview
 Table 100. LexisNexis Risk Solutions Medical Payment Fraud Detection Product
 Table 101. LexisNexis Risk Solutions Revenue in Medical Payment Fraud Detection Business (2020-2025) & (US$ Million)
 Table 102. LexisNexis Risk Solutions Recent Development
 Table 103. International Business Machines Corporation Company Details
 Table 104. International Business Machines Corporation Business Overview
 Table 105. International Business Machines Corporation Medical Payment Fraud Detection Product
 Table 106. International Business Machines Corporation Revenue in Medical Payment Fraud Detection Business (2020-2025) & (US$ Million)
 Table 107. International Business Machines Corporation Recent Development
 Table 108. Optuminsight Company Details
 Table 109. Optuminsight Business Overview
 Table 110. Optuminsight Medical Payment Fraud Detection Product
 Table 111. Optuminsight Revenue in Medical Payment Fraud Detection Business (2020-2025) & (US$ Million)
 Table 112. Optuminsight Recent Development
 Table 113. OSP Labs Company Details
 Table 114. OSP Labs Business Overview
 Table 115. OSP Labs Medical Payment Fraud Detection Product
 Table 116. OSP Labs Revenue in Medical Payment Fraud Detection Business (2020-2025) & (US$ Million)
 Table 117. OSP Labs Recent Development
 Table 118. DXC Technology Company Company Details
 Table 119. DXC Technology Company Business Overview
 Table 120. DXC Technology Company Medical Payment Fraud Detection Product
 Table 121. DXC Technology Company Revenue in Medical Payment Fraud Detection Business (2020-2025) & (US$ Million)
 Table 122. DXC Technology Company Recent Development
 Table 123. Unitedhealth Group Company Details
 Table 124. Unitedhealth Group Business Overview
 Table 125. Unitedhealth Group Medical Payment Fraud Detection Product
 Table 126. Unitedhealth Group Revenue in Medical Payment Fraud Detection Business (2020-2025) & (US$ Million)
 Table 127. Unitedhealth Group Recent Development
 Table 128. SAS Institute Company Details
 Table 129. SAS Institute Business Overview
 Table 130. SAS Institute Medical Payment Fraud Detection Product
 Table 131. SAS Institute Revenue in Medical Payment Fraud Detection Business (2020-2025) & (US$ Million)
 Table 132. SAS Institute Recent Development
 Table 133. Fair Isaac Corporation Company Details
 Table 134. Fair Isaac Corporation Business Overview
 Table 135. Fair Isaac Corporation Medical Payment Fraud Detection Product
 Table 136. Fair Isaac Corporation Revenue in Medical Payment Fraud Detection Business (2020-2025) & (US$ Million)
 Table 137. Fair Isaac Corporation Recent Development
 Table 138. EXL Service Holdings, Inc. Company Details
 Table 139. EXL Service Holdings, Inc. Business Overview
 Table 140. EXL Service Holdings, Inc. Medical Payment Fraud Detection Product
 Table 141. EXL Service Holdings, Inc. Revenue in Medical Payment Fraud Detection Business (2020-2025) & (US$ Million)
 Table 142. EXL Service Holdings, Inc. Recent Development
 Table 143. CGI GROUP Company Details
 Table 144. CGI GROUP Business Overview
 Table 145. CGI GROUP Medical Payment Fraud Detection Product
 Table 146. CGI GROUP Revenue in Medical Payment Fraud Detection Business (2020-2025) & (US$ Million)
 Table 147. CGI GROUP Recent Development
 Table 148. Research Programs/Design for This Report
 Table 149. Key Data Information from Secondary Sources
 Table 150. Key Data Information from Primary Sources
 Table 151. Authors List of This Report


List of Figures
 Figure 1. Medical Payment Fraud Detection Picture
 Figure 2. Global Medical Payment Fraud Detection Market Size Comparison by Type (2020-2031) & (US$ Million)
 Figure 3. Global Medical Payment Fraud Detection Market Share by Type: 2024 VS 2031
 Figure 4. On-premise Features
 Figure 5. Cloud-based Features
 Figure 6. On-premise Features
 Figure 7. Cloud-based Features
 Figure 8. Global Medical Payment Fraud Detection Market Size by Application (2020-2031) & (US$ Million)
 Figure 9. Global Medical Payment Fraud Detection Market Share by Application: 2024 VS 2031
 Figure 10. Private Insurance Payers Case Studies
 Figure 11. Public/Government Agencies Case Studies
 Figure 12. Third-Party Service Providers Case Studies
 Figure 13. Private Insurance Payers Case Studies
 Figure 14. Public/Government Agencies Case Studies
 Figure 15. Third-Party Service Providers Case Studies
 Figure 16. Medical Payment Fraud Detection Report Years Considered
 Figure 17. Global Medical Payment Fraud Detection Market Size (US$ Million), Year-over-Year: 2020-2031
 Figure 18. Global Medical Payment Fraud Detection Market Size, (US$ Million), 2020 VS 2024 VS 2031
 Figure 19. Global Medical Payment Fraud Detection Market Share by Region: 2024 VS 2031
 Figure 20. Global Medical Payment Fraud Detection Market Share by Players in 2024
 Figure 21. Global Top Medical Payment Fraud Detection Players by Company Type (Tier 1, Tier 2, and Tier 3) & (based on the Revenue in Medical Payment Fraud Detection as of 2024)
 Figure 22. The Top 10 and 5 Players Market Share by Medical Payment Fraud Detection Revenue in 2024
 Figure 23. North America Medical Payment Fraud Detection Market Size YoY Growth (2020-2031) & (US$ Million)
 Figure 24. North America Medical Payment Fraud Detection Market Share by Country (2020-2031)
 Figure 25. United States Medical Payment Fraud Detection Market Size YoY Growth (2020-2031) & (US$ Million)
 Figure 26. Canada Medical Payment Fraud Detection Market Size YoY Growth (2020-2031) & (US$ Million)
 Figure 27. Europe Medical Payment Fraud Detection Market Size YoY Growth (2020-2031) & (US$ Million)
 Figure 28. Europe Medical Payment Fraud Detection Market Share by Country (2020-2031)
 Figure 29. Germany Medical Payment Fraud Detection Market Size YoY Growth (2020-2031) & (US$ Million)
 Figure 30. France Medical Payment Fraud Detection Market Size YoY Growth (2020-2031) & (US$ Million)
 Figure 31. U.K. Medical Payment Fraud Detection Market Size YoY Growth (2020-2031) & (US$ Million)
 Figure 32. Italy Medical Payment Fraud Detection Market Size YoY Growth (2020-2031) & (US$ Million)
 Figure 33. Russia Medical Payment Fraud Detection Market Size YoY Growth (2020-2031) & (US$ Million)
 Figure 34. Nordic Countries Medical Payment Fraud Detection Market Size YoY Growth (2020-2031) & (US$ Million)
 Figure 35. Asia-Pacific Medical Payment Fraud Detection Market Size YoY Growth (2020-2031) & (US$ Million)
 Figure 36. Asia-Pacific Medical Payment Fraud Detection Market Share by Region (2020-2031)
 Figure 37. China Medical Payment Fraud Detection Market Size YoY Growth (2020-2031) & (US$ Million)
 Figure 38. Japan Medical Payment Fraud Detection Market Size YoY Growth (2020-2031) & (US$ Million)
 Figure 39. South Korea Medical Payment Fraud Detection Market Size YoY Growth (2020-2031) & (US$ Million)
 Figure 40. Southeast Asia Medical Payment Fraud Detection Market Size YoY Growth (2020-2031) & (US$ Million)
 Figure 41. India Medical Payment Fraud Detection Market Size YoY Growth (2020-2031) & (US$ Million)
 Figure 42. Australia Medical Payment Fraud Detection Market Size YoY Growth (2020-2031) & (US$ Million)
 Figure 43. Latin America Medical Payment Fraud Detection Market Size YoY Growth (2020-2031) & (US$ Million)
 Figure 44. Latin America Medical Payment Fraud Detection Market Share by Country (2020-2031)
 Figure 45. Mexico Medical Payment Fraud Detection Market Size YoY Growth (2020-2031) & (US$ Million)
 Figure 46. Brazil Medical Payment Fraud Detection Market Size YoY Growth (2020-2031) & (US$ Million)
 Figure 47. Middle East & Africa Medical Payment Fraud Detection Market Size YoY Growth (2020-2031) & (US$ Million)
 Figure 48. Middle East & Africa Medical Payment Fraud Detection Market Share by Country (2020-2031)
 Figure 49. Turkey Medical Payment Fraud Detection Market Size YoY Growth (2020-2031) & (US$ Million)
 Figure 50. Saudi Arabia Medical Payment Fraud Detection Market Size YoY Growth (2020-2031) & (US$ Million)
 Figure 51. UAE Medical Payment Fraud Detection Market Size YoY Growth (2020-2031) & (US$ Million)
 Figure 52. LexisNexis Risk Solutions Revenue Growth Rate in Medical Payment Fraud Detection Business (2020-2025)
 Figure 53. International Business Machines Corporation Revenue Growth Rate in Medical Payment Fraud Detection Business (2020-2025)
 Figure 54. Optuminsight Revenue Growth Rate in Medical Payment Fraud Detection Business (2020-2025)
 Figure 55. OSP Labs Revenue Growth Rate in Medical Payment Fraud Detection Business (2020-2025)
 Figure 56. DXC Technology Company Revenue Growth Rate in Medical Payment Fraud Detection Business (2020-2025)
 Figure 57. Unitedhealth Group Revenue Growth Rate in Medical Payment Fraud Detection Business (2020-2025)
 Figure 58. SAS Institute Revenue Growth Rate in Medical Payment Fraud Detection Business (2020-2025)
 Figure 59. Fair Isaac Corporation Revenue Growth Rate in Medical Payment Fraud Detection Business (2020-2025)
 Figure 60. EXL Service Holdings, Inc. Revenue Growth Rate in Medical Payment Fraud Detection Business (2020-2025)
 Figure 61. CGI GROUP Revenue Growth Rate in Medical Payment Fraud Detection Business (2020-2025)
 Figure 62. LexisNexis Risk Solutions Revenue Growth Rate in Medical Payment Fraud Detection Business (2020-2025)
 Figure 63. International Business Machines Corporation Revenue Growth Rate in Medical Payment Fraud Detection Business (2020-2025)
 Figure 64. Optuminsight Revenue Growth Rate in Medical Payment Fraud Detection Business (2020-2025)
 Figure 65. OSP Labs Revenue Growth Rate in Medical Payment Fraud Detection Business (2020-2025)
 Figure 66. DXC Technology Company Revenue Growth Rate in Medical Payment Fraud Detection Business (2020-2025)
 Figure 67. Unitedhealth Group Revenue Growth Rate in Medical Payment Fraud Detection Business (2020-2025)
 Figure 68. SAS Institute Revenue Growth Rate in Medical Payment Fraud Detection Business (2020-2025)
 Figure 69. Fair Isaac Corporation Revenue Growth Rate in Medical Payment Fraud Detection Business (2020-2025)
 Figure 70. EXL Service Holdings, Inc. Revenue Growth Rate in Medical Payment Fraud Detection Business (2020-2025)
 Figure 71. CGI GROUP Revenue Growth Rate in Medical Payment Fraud Detection Business (2020-2025)
 Figure 72. Bottom-up and Top-down Approaches for This Report
 Figure 73. Data Triangulation
 Figure 74. Key Executives Interviewed
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