{
  "resourceType" : "Organization",
  "id" : "SamplePayer",
  "meta" : {
    "lastUpdated" : "2026-07-01T13:26:22.0314215+00:00",
    "profile" : ["http://hl7.org/fhir/us/ndh/StructureDefinition/ndh-Organization"]
  },
  "language" : "en",
  "text" : {
    "status" : "extensions"
  },
  "extension" : [{
    "url" : "http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-insuranceplan-reference",
    "valueReference" : {
      "reference" : "InsurancePlan/AcmeQHPBronze"
    }
  }],
  "identifier" : [{
    "type" : {
      "coding" : [{
        "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
        "code" : "PAYERID"
      }]
    },
    "system" : "http://example.org/Identifiers",
    "value" : "123456789"
  }],
  "active" : true,
  "type" : [{
    "coding" : [{
      "system" : "http://terminology.hl7.org/CodeSystem/organization-type",
      "version" : "2.0.1",
      "code" : "pay",
      "display" : "Payer"
    }]
  }],
  "name" : "Sample of Medicare Payer",
  "telecom" : [{
    "system" : "phone",
    "value" : "(111)-222-3333",
    "rank" : 2
  },
  {
    "system" : "url",
    "value" : "https://www.example.com",
    "rank" : 1
  }],
  "address" : [{
    "line" : ["456 Main Street"],
    "city" : "Norwalk",
    "state" : "CT",
    "postalCode" : "00014-1234"
  }]
}