CARIN Consumer Directed Payer Data Exchange (CARIN IG for Blue Button®)
1.1.0 - STU1 Update

This page is part of the CARIN Blue Button Implementation Guide (v1.1.0: 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

: Payer Organization Example 1 - XML Representation

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<Organization xmlns="http://hl7.org/fhir">
  <id value="PayerOrganizationExample1"/>
  <meta>
    <lastUpdated value="2020-09-08T00:00:00+00:00"/>
    <source value="Organization/PayerOrganizationExample1"/>
    <profile
             value="http://hl7.org/fhir/us/carin-bb/StructureDefinition/C4BB-Organization|1.1.0"/>
  </meta>
  <text>
    <status value="generated"/>
    <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>
  </text>
  <identifier>
    <type>
      <coding>
        <system
                value="http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBIdentifierType"/>
        <code value="naiccode"/>
        <display value="NAIC Code"/>
      </coding>
      <text value="NAIC Code"/>
    </type>
    <system value="urn:oid:2.16.840.1.113883.6.300"/>
    <value value="95216"/>
  </identifier>
  <active value="true"/>
  <type>
    <coding>
      <system value="http://terminology.hl7.org/CodeSystem/organization-type"/>
      <code value="pay"/>
    </coding>
    <text value="Payer"/>
  </type>
  <name value="UPMC Health Plan"/>
  <telecom>
    <system value="phone"/>
    <value value="1-844-220-4785 TTY: 711"/>
    <use value="work"/>
  </telecom>
  <telecom>
    <system value="phone"/>
    <value value="1-866-406-8762"/>
    <use value="work"/>
  </telecom>
  <address>
    <type value="physical"/>
    <line value="UPMC Health Plan"/>
    <line value="Attn: Commercial Plans"/>
    <line value="U.S. Steel Tower"/>
    <line value="600 Grant Street"/>
    <city value="Pittsburgh"/>
    <state value="PA"/>
    <postalCode value="15219"/>
  </address>
</Organization>