CARIN Digital Insurance Card
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This page is part of the CARIN Digital Insurance Card (v1.1.0: STU1) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version. For a full list of available versions, see the Directory of published versions

: Payer Organization Example 1 - JSON Representation

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{
  "resourceType" : "Organization",
  "id" : "Example-PayerOrganization1",
  "meta" : {
    "versionId" : "4",
    "lastUpdated" : "2021-08-16T14:08:24.329+00:00",
    "profile" : [
      🔗 "http://hl7.org/fhir/us/insurance-card/StructureDefinition/C4DIC-Organization"
    ]
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Organization</b><a name=\"Example-PayerOrganization1\"> </a><a name=\"hcExample-PayerOrganization1\"> </a></p><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\">Resource Organization &quot;Example-PayerOrganization1&quot; Version &quot;4&quot; Updated &quot;2021-08-16 14:08:24+0000&quot; </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-C4DIC-Organization.html\">C4DIC Organization</a></p></div><p><b>identifier</b>: Payer ID/45002</p><p><b>active</b>: true</p><p><b>name</b>: Acme Insurance Co</p><blockquote><p><b>contact</b></p><p><b>purpose</b>: Pharmacists <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-C4DICExtendedContactTypeCS.html\">C4DIC Extended Contact Type</a>#pharma)</span></p><p><b>telecom</b>: ph: 1-800-123-4988</p></blockquote><blockquote><p><b>contact</b></p><p><b>purpose</b>: Patient <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.3.0/CodeSystem-contactentity-type.html\">Contact entity type</a>#PATINF)</span></p><p><b>telecom</b>: ph: 1-800-465-2222, <a href=\"http://acmeinsurance.com\">http://acmeinsurance.com</a></p></blockquote><blockquote><p><b>contact</b></p><p><b>purpose</b>: Mail Order Pharmacy <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-C4DICExtendedContactTypeCS.html\">C4DIC Extended Contact Type</a>#rxmailorder)</span></p><p><b>telecom</b>: ph: 1-888-466-1234</p></blockquote><blockquote><p><b>contact</b></p><p><b>purpose</b>: Provider Service <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-C4DICExtendedContactTypeCS.html\">C4DIC Extended Contact Type</a>#provider)</span></p><p><b>telecom</b>: ph: 1-800-444-3333</p></blockquote><blockquote><p><b>contact</b></p><p><b>purpose</b>: Virtual Care Services <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-C4DICExtendedContactTypeCS.html\">C4DIC Extended Contact Type</a>#virtual)</span></p><p><b>telecom</b>: <a href=\"http://virtualdoctor.com\">http://virtualdoctor.com</a></p></blockquote><blockquote><p><b>contact</b></p><p><b>purpose</b>: Payor <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.3.0/CodeSystem-contactentity-type.html\">Contact entity type</a>#PAYOR)</span></p><p><b>address</b>: P.O. Box 1111 Miami, FL 20222-4021</p></blockquote></div>"
  },
  "identifier" : [
    {
      "type" : {
        "coding" : [
          {
            "system" : "http://hl7.org/fhir/us/insurance-card/CodeSystem/C4DICIdentifierType",
            "code" : "payerid"
          }
        ]
      },
      "value" : "45002"
    }
  ],
  "active" : true,
  "name" : "Acme Insurance Co",
  "contact" : [
    {
      "purpose" : {
        "coding" : [
          {
            "system" : "http://hl7.org/fhir/us/insurance-card/CodeSystem/C4DICExtendedContactTypeCS",
            "code" : "pharma",
            "display" : "Pharmacists"
          }
        ]
      },
      "telecom" : [
        {
          "system" : "phone",
          "value" : "1-800-123-4988"
        }
      ]
    },
    {
      "purpose" : {
        "coding" : [
          {
            "system" : "http://terminology.hl7.org/CodeSystem/contactentity-type",
            "code" : "PATINF",
            "display" : "Patient"
          }
        ]
      },
      "telecom" : [
        {
          "system" : "phone",
          "value" : "1-800-465-2222"
        },
        {
          "system" : "url",
          "value" : "http://acmeinsurance.com"
        }
      ]
    },
    {
      "purpose" : {
        "coding" : [
          {
            "system" : "http://hl7.org/fhir/us/insurance-card/CodeSystem/C4DICExtendedContactTypeCS",
            "code" : "rxmailorder",
            "display" : "Mail Order Pharmacy"
          }
        ]
      },
      "telecom" : [
        {
          "system" : "phone",
          "value" : "1-888-466-1234"
        }
      ]
    },
    {
      "purpose" : {
        "coding" : [
          {
            "system" : "http://hl7.org/fhir/us/insurance-card/CodeSystem/C4DICExtendedContactTypeCS",
            "code" : "provider",
            "display" : "Provider Service"
          }
        ]
      },
      "telecom" : [
        {
          "system" : "phone",
          "value" : "1-800-444-3333"
        }
      ]
    },
    {
      "purpose" : {
        "coding" : [
          {
            "system" : "http://hl7.org/fhir/us/insurance-card/CodeSystem/C4DICExtendedContactTypeCS",
            "code" : "virtual",
            "display" : "Virtual Care Services"
          }
        ]
      },
      "telecom" : [
        {
          "system" : "url",
          "value" : "http://virtualdoctor.com"
        }
      ]
    },
    {
      "purpose" : {
        "coding" : [
          {
            "system" : "http://terminology.hl7.org/CodeSystem/contactentity-type",
            "code" : "PAYOR",
            "display" : "Payor"
          }
        ]
      },
      "address" : {
        "type" : "postal",
        "text" : "P.O. Box 1111 Miami, FL 20222-4021",
        "line" : [
          "P.O. Box 1111"
        ],
        "city" : "Miami",
        "state" : "FL",
        "postalCode" : "20222-4021",
        "country" : "US"
      }
    }
  ]
}