{
  "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 class=\"res-header-id\"><b>Generated Narrative: Organization Example-PayerOrganization1</b></p><a name=\"Example-PayerOrganization1\"> </a><a name=\"hcExample-PayerOrganization1\"> </a><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\">version: 4; Last updated: 2021-08-16 14:08:24+0000</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>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/C4DICExtendedContactTypeCS pharma}\">Pharmacists</span></p><p><b>telecom</b>: ph: 1-800-123-4988</p></blockquote><blockquote><p><b>contact</b></p><p><b>purpose</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/contactentity-type PATINF}\">Patient</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>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/C4DICExtendedContactTypeCS rxmailorder}\">Mail Order Pharmacy</span></p><p><b>telecom</b>: ph: 1-888-466-1234</p></blockquote><blockquote><p><b>contact</b></p><p><b>purpose</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/C4DICExtendedContactTypeCS provider}\">Provider Service</span></p><p><b>telecom</b>: ph: 1-800-444-3333</p></blockquote><blockquote><p><b>contact</b></p><p><b>purpose</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/C4DICExtendedContactTypeCS virtual}\">Virtual Care Services</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>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/contactentity-type PAYOR}\">Payor</span></p><p><b>address</b>: P.O. Box 1111 Miami, FL 20222-4021</p></blockquote></div>"
  },
  "identifier" : [{
    "type" : {
      "coding" : [{
        "system" : "http://terminology.hl7.org/CodeSystem/C4DICIdentifierType",
        "code" : "payerid"
      }]
    },
    "value" : "45002"
  }],
  "active" : true,
  "name" : "Acme Insurance Co",
  "contact" : [{
    "purpose" : {
      "coding" : [{
        "system" : "http://terminology.hl7.org/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://terminology.hl7.org/CodeSystem/C4DICExtendedContactTypeCS",
        "code" : "rxmailorder",
        "display" : "Mail Order Pharmacy"
      }]
    },
    "telecom" : [{
      "system" : "phone",
      "value" : "1-888-466-1234"
    }]
  },
  {
    "purpose" : {
      "coding" : [{
        "system" : "http://terminology.hl7.org/CodeSystem/C4DICExtendedContactTypeCS",
        "code" : "provider",
        "display" : "Provider Service"
      }]
    },
    "telecom" : [{
      "system" : "phone",
      "value" : "1-800-444-3333"
    }]
  },
  {
    "purpose" : {
      "coding" : [{
        "system" : "http://terminology.hl7.org/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"
    }
  }]
}