This page is part of the CARIN Blue Button Implementation Guide (v1.0.0: STU 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

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: Payer Organization Example 1 - JSON Representation

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{
  "resourceType" : "Organization",
  "id" : "PayerOrganizationExample1",
  "meta" : {
    "lastUpdated" : "2020-09-08T00:00:00+00:00",
    "source" : "Organization/PayerOrganizationExample1",
    "profile" : [
      "http://hl7.org/fhir/us/carin-bb/StructureDefinition/C4BB-Organization"
    ]
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>identifier</b>: NAIC Code: 95216</p><p><b>active</b>: true</p><p><b>type</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/organization-type pay}\">Payer</span></p><p><b>name</b>: UPMC Health Plan</p><p><b>telecom</b>: ph: 1-844-220-4785 TTY: 711(WORK), ph: 1-866-406-8762(WORK)</p><p><b>address</b>: UPMC Health Plan Attn: Commercial Plans U.S. Steel Tower 600 Grant Street Pittsburgh PA 15219 </p></div>"
  },
  "identifier" : [
    {
      "type" : {
        "coding" : [
          {
            "system" : "http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBIdentifierType",
            "code" : "naiccode",
            "display" : "NAIC Code"
          }
        ],
        "text" : "NAIC Code"
      },
      "system" : "urn:oid:2.16.840.1.113883.6.300",
      "value" : "95216"
    }
  ],
  "active" : true,
  "type" : [
    {
      "coding" : [
        {
          "system" : "http://terminology.hl7.org/CodeSystem/organization-type",
          "code" : "pay"
        }
      ],
      "text" : "Payer"
    }
  ],
  "name" : "UPMC Health Plan",
  "telecom" : [
    {
      "system" : "phone",
      "value" : "1-844-220-4785 TTY: 711",
      "use" : "work"
    },
    {
      "system" : "phone",
      "value" : "1-866-406-8762",
      "use" : "work"
    }
  ],
  "address" : [
    {
      "type" : "physical",
      "line" : [
        "UPMC Health Plan",
        "Attn: Commercial Plans",
        "U.S. Steel Tower",
        "600 Grant Street"
      ],
      "city" : "Pittsburgh",
      "state" : "PA",
      "postalCode" : "15219"
    }
  ]
}