CARIN Consumer Directed Payer Data Exchange (CARIN IG for Blue Button®)
2.1.0-snapshot1 - STU 2.1 prepublication draft United States of America flag

This page is part of the CARIN Blue Button Implementation Guide (v2.1.0-snapshot1: STU 2) based on FHIR (HL7® FHIR® Standard) R4. The current version which supersedes this version is 2.0.0. For a full list of available versions, see the Directory of published versions

: Dental Payer1 - XML Representation

Page standards status: Informative

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<Organization xmlns="http://hl7.org/fhir">
  <id value="DentalPayer1"/>
  <meta>
    <lastUpdated value="2021-01-01T10:23:11+00:00"/>
    <profile
             value="http://hl7.org/fhir/us/carin-bb/StructureDefinition/C4BB-Organization|2.1.0-snapshot1"/>
  </meta>
  <language value="en-US"/>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml" xml:lang="en-US" lang="en-US"><p class="res-header-id"><b>Generated Narrative: Organization DentalPayer1</b></p><a name="DentalPayer1"> </a><a name="hcDentalPayer1"> </a><a name="DentalPayer1-en-US"> </a><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">Last updated: 2021-01-01 10:23:11+0000; Language: en-US</p><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-C4BB-Organization.html">C4BB Organizationversion: {0}2.1.0-snapshot1)</a></p></div><p><b>identifier</b>: National provider identifier/9941339100, Payer ID/66783JJT</p><p><b>active</b>: true</p><p><b>name</b>: INSURANCE COMPANY XYZ</p></div>
  </text>
  <identifier>
    <type>
      <coding>
        <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
        <code value="NPI"/>
      </coding>
    </type>
    <system value="http://hl7.org/fhir/sid/us-npi"/>
    <value value="9941339100"/>
  </identifier>
  <identifier>
    <type>
      <coding>
        <system
                value="http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBIdentifierType"/>
        <code value="payerid"/>
      </coding>
    </type>
    <value value="66783JJT"/>
  </identifier>
  <active value="true"/>
  <name value="INSURANCE COMPANY XYZ"/>
</Organization>