HEALTHCARE INFRASTRUCTURE

Globalesm One Healthcare

Healthcare transactions. One API.

Healthcare infrastructure for the applications you build and the operations you run. Bring eligibility, authorizations, claims, status, remittance, and interoperability into one integration strategy.

Eligibility, claim status, and selected interoperability workflows are implemented. Unified APIs, authorization, claims submission, and remittance are planned.

Talk to our team Explore the modules

ONE INTEGRATION STRATEGY

Your workflow. One orchestration layer.

The goal is to integrate once with Globalesm One while our team manages the connections underneath. Normalized data, workflow coordination, and operational visibility form the platform layer above payer APIs and clearinghouses.

  1. Your application

    Healthcare appEHR / EMRPlatform

  2. Globalesm One API

    Planned unified transaction interface

  3. VerifyExisting workflows
    AuthorizePlanned workflows
    ClaimsPlanned workflows
    TrackExisting workflows
    RemitPlanned workflows

  4. Globalesm orchestration and normalization

    Mapping, workflow coordination, monitoring, and implementation support

  5. PayersClearinghousesEHRsHIEsExternal APIs
Target architecture. Each implementation starts with verified workflows and agreed connections; this diagram does not imply every transaction or destination is available today.

Five modules. A connected healthcare workflow.

Choose the workflows that matter to your team. Availability is shown below; we confirm your scope before implementation or production use.

ONE VERIFY

Eligibility and benefits

Partner-connected workflows

Real-time and scheduled batch eligibility workflows with normalized benefits information, available through integrated partners.

  • X12 270/271 eligibility and coverage status
  • Benefits, deductibles, copays, and coinsurance when returned
  • Service-specific benefits and insurance discovery where supported
  • API-based verification workflow design during onboarding

Payer responses, enrollment, tenant enablement, and production readiness determine availability. A unified public eligibility REST endpoint is planned.

ONE AUTHORIZE

Prior authorization

Planned module

Planned workflows for coordinating requirements, requests, documentation, and follow-up across the authorization lifecycle.

  • Requirements checks, requests, and tracking where supported
  • Documentation, expiration, and applicable unit / visit tracking
  • FHIR prior authorization and X12 278 where supported
  • Notifications and workflow automation

Electronic authorization is payer-specific. This module is not currently available; discuss your use case for roadmap planning.

ONE CLAIMS

Claims lifecycle

Claim status implemented · Submission planned

Start with partner-backed 276/277 claim-status checks. Submission, acknowledgments, and rejection workflows are planned.

  • 276/277 claim-status workflows where supported
  • Planned: 837P, 837I, and 837D validation and submission
  • Planned: 999 and 277CA acknowledgment handling
  • Planned: rejection workflows and claim lifecycle monitoring

Claim-status support does not imply claim-submission support. We confirm supported payers and transactions when scoping your integration.

ONE REMIT

Remittance and reconciliation

Planned module

Planned tools to connect remittance information with claims and the operational work needed to reconcile payment.

  • 835 ERA ingestion and claim / remittance matching
  • Adjustment and denial information
  • Payment reconciliation workflows
  • Remittance APIs and webhooks

ERA ingestion, matching, and remittance APIs are planned, not currently available platform features.

ONE CONNECT

Healthcare interoperability

Selected interfaces implemented

Read-only FHIR R4, HL7 v2 ingestion, and Mirth Connect monitoring provide the foundation for application and EHR connections. Implementation services also cover Open Integration Engine (OIE) and BridgeLink.

  • FHIR R4 read / search and HL7 v2 ingestion
  • Mirth Connect metrics, monitoring, and alerting; OIE and BridgeLink monitoring scoped per implementation
  • Project-scoped: X12 EDI, REST APIs, webhooks, and SFTP
  • Project-scoped: EHRs, clearinghouses, OIE, BridgeLink, AWS, Azure, mapping, and transformation

Additional connections are implementation engagements. Available operations depend on configured interfaces and partner capabilities.

HEALTHCARE PARTNERSHIPS

Stedi, Availity, and Epic.

Globalesm partners with Stedi, Availity, and Epic to help connect payer, clinical, and operational workflows. We scope each implementation around your systems, access requirements, and business needs.

Partner products, permissions, enrollment, and supported transactions vary by implementation.

FOR DEVELOPERS

More than a data pass-through.

Globalesm One turns connected data into structured information, operational insights, and work your team can act on. Eligibility normalization, contextual worklists, and analytics add value beyond forwarding a partner response.

  1. 01

    Normalize

    Structure eligibility responses into coverage status, benefits, and service-specific details, including network distinctions when returned.

  2. 02

    Add context

    Connect the latest eligibility result with the appointment and insurance policy. Exclude outdated checks after policy changes.

  3. 03

    Analyze

    Aggregate patient and appointment data into operational measures, including no-show rates and condition registry counts.

  4. 04

    Support action

    Surface inactive coverage, missing insurance, unchecked appointments, and failed or stalled checks in the worklist.

These are operational measures, not clinical recommendations. Results depend on the data received, configured modules, and your team's permissions.

HTTP APIs

FHIR read access, HL7 ingestion, imaging registration, and Mirth Connect monitoring. For Open Integration Engine (OIE) and BridgeLink, we scope monitoring compatibility during implementation. Access and supported operations depend on your tenant configuration and scoped credentials.

  • GET/api/fhir/R4/metadata

    Discover supported FHIR operations

  • GET/api/fhir/R4/Patient/{id}

    Read a patient resource

  • GET/api/fhir/R4/Observation?patient={id}

    Retrieve patient observations as FHIR resources

  • GET/api/fhir/R4/Encounter?patient={id}

    Retrieve patient encounters as FHIR resources

  • POST/api/hl7/ingest

    Ingest HL7 messages for processing

  • POST/api/v1/imaging/studies

    Register an imported imaging study with duplicate-safe writes

  • POST/api/v1/mirth/samples

    Ingest channel metrics for operational monitoring

Workflow and analytics APIs

Authenticated application procedures (tRPC), separate from the HTTP APIs above. These require tenant feature enablement and role permissions; they are not public REST endpoints. Contact our team to scope access for your integration.

Mutationcoverage.checkEligibility
Run a partner-backed eligibility check with normalized coverage and benefit information.
Querycoverage.worklist
Combine appointments, insurance, and eligibility results into a worklist with coverage states and items needing attention.
Queryhealthcare.analytics.overview
Calculate patient counts, appointment status totals, no-show rates, and condition registry counts.

API Documentation

Access the One developer reference with an authenticated session. Contact our team for access.

Discuss api documentation

Sandbox

Guided test-mode evaluation can be scoped with engineering. Public self-service access is not available.

Discuss sandbox

OpenAPI

The existing One specification covers its developer API. A unified healthcare transaction specification is planned.

Discuss openapi

Authentication

Existing interoperability routes use scoped credentials. We confirm route-specific access during onboarding.

Discuss authentication

Webhooks

Unified healthcare transaction webhooks are planned. Discuss event and delivery requirements with us.

Discuss webhooks

Integration Guide

Get a workflow-specific integration plan, including supported interfaces, testing, and launch requirements.

Discuss integration guide

Built for healthcare platforms and operations teams

For teams that need a practical path from fragmented systems to a connected clinical or revenue-cycle workflow.

  • Healthcare SaaS companies
  • EHR / EMR vendors
  • Practice management platforms
  • Revenue cycle management companies
  • Billing organizations
  • MSOs
  • Digital health companies
  • Home health / EVV platforms
  • Imaging and radiology organizations
  • Specialty healthcare software vendors
  • Providers with complex integration requirements

LET'S CONNECT

Tell us what you need to connect.

Share your systems, workflows, or a technical question. Our team will help you find the right starting point. No budget or timeline required.

Contact our team contact@globalesm.com

Also part of Globalesm One

Business operations: CRM, projects, documentation, time, billing, HR, AI, and reporting.

Explore business operations