CARIN Consumer Directed Payer Data Exchange (CARIN IG for Blue Button®)
1.2.0 - STU 2 Ballot

This page is part of the CARIN Blue Button Implementation Guide (v1.2.0: STU 2 Ballot 1) based on FHIR R4. The current version which supercedes this version is 2.0.0. For a full list of available versions, see the Directory of published versions

Example Organization: Payer Organization Example 1

Generated Narrative

Resource "PayerOrganizationExample1" Updated "2020-09-08T00:00:00Z"

Information Source: Organization/PayerOrganizationExample1!

Profile: C4BB Organization (version 1.2.0)

identifier: NAIC Code: 95216

active: true

type: Payer (Organization type#pay)

name: UPMC Health Plan

telecom: ph: 1-844-220-4785 TTY: 711(WORK), ph: 1-866-406-8762(WORK)

address: UPMC Health Plan Attn: Commercial Plans U.S. Steel Tower 600 Grant Street Pittsburgh PA 15219

Notes:

FieldValue
resourceType "Organization"
id "PayerOrganizationExample1"
meta.lastUpdated "2020-09-08T00:00:00+00:00"
meta.source "Organization/PayerOrganizationExample1"
meta.profile[0]"http://hl7.org/fhir/us/carin-bb/StructureDefinition/C4BB-Organization"
identifier[0].type.coding[0].system "http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBIdentifierType"
identifier[0].type.coding[0].code #naiccode
identifier[0].type.coding[0].display "NAIC Code"
identifier[0].type.text "NAIC Code"
identifier[0].system "urn:oid:2.16.840.1.113883.6.300"
identifier[0].value 95216
active "true"
type[0].coding[0].system "http://terminology.hl7.org/CodeSystem/organization-type"
type[0].coding[0].code #pay
type[0].text "Payer"
name "UPMC Health Plan"
telecom[0].system "phone"
telecom[0].value 1-844-220-4785 TTY: 711
telecom[0].use "work"
telecom[1].system "phone"
telecom[1].value 1-866-406-8762
telecom[1].use "work"
address[0].type "physical"
address[0].line[0]"UPMC Health Plan"
address[0].line[1]"Attn: Commercial Plans"
address[0].line[2]"U.S. Steel Tower"
address[0].line[3]"600 Grant Street"
address[0].city "Pittsburgh"
address[0].state "PA"
address[0].postalCode "15219"