This class represents a Person who is named as a beneficiary of a Health Policy. Usually, this is the person who is paying for the premiums of the Health Policy, or the person on whose behalf an organization, such as their employer, is paying the premiums. In the case of government programs, this person is the named beneficiary.

The concept which we chose to name "Subscriber" is known by multiple terms, depending on the setting. For all intents and purposes, Subscriber, Sponsor, Policy Holder, and Contract Holder are synonymous.

Other terms which sometimes overlap and sometimes do not include: Insured-Or-Member, Member, Beneficiary, Enrollee, Cardholder, Recipient, and Covered Person. For the most part, these terms relate closer to the person being treated (what we call the Covered Patient) than to the named Subscriber. It is worth noting though that not all Insured-Or-Members are necessarily ever patients, only those that have actually been treated are patients. The person referred to by many of these concepts, especially Insured-Or-Member, may be either a Dependent, or may be the Subscriber (i.e., "self").

The Subscriber may have dependents who may or may not be known by name to the Payer. The Payer may or may not issue insurances cards to those dependents, so the term "Cardholder" does not distinguish between the Subscriber and their dependents.

In the Department of Defense, active duty personnel are automatically enrolled into the "direct care" program as a Subscriber. Retirees are eligible to enroll in several programs such as Tricare for Life. In this case, person is still considered a Subscriber.

The following definitions are from eHealthInsurance.org:
Subscriber: "This term may be used in two senses: First, it may refer to the person or organization that pays for health insurance premiums; secondly, it may refer to the person whose employment makes him or her eligible for group health insurance benefits."

Enrollee: "An eligible person or eligible employee who is enrolled in a health insurance plan. Dependents are not referred to as enrollees."

Member: "Anyone covered under a health insurance plan, an enrollee or eligible dependent."

Attributes
Person	asPerson	Pointer to the Person playing the Role of Subscriber. "Contains the name of the insured person. The insured is the person who has an agreement with the insurance company to provide healthcare services to persons covered by the insurance policy." - HL7 Version 2.8, IN1-16.
«IVL_TS» Period	coverageTerm	"Contains the date that the insurance goes into effect." - HL7 Version 2.8, IN1-12. "Indicates the last date of service that the insurance will cover or be responsible for." - HL7 Version 2.8, IN1-13.
«CS» Code	coverageType	"Contains the coding structure that identifies the various plan types, for example, Medicare, Medicaid, Blue Cross, HMO, etc." - HL7 Version 2.8, IN1-15. Note that HL7 links this field to User Defined Table 0086, which contains no suggested values.
GroupCoverage	group	Pointer to the Group Health Insurance Policy under which the Subscriber is entitled benefits.
HealthcarePolicy	healthcarePolicy	Pointer to the Insurance Policy (a contract between an benefits provider and an individual or his/her sponsor to pay for a set of benefits) for which the Subscriber is a beneficiary.
OtherPolicyInfo	otherPolicyInfo	Pointer to additional information needed by specific payers to properly identify either the subscriber or the health plan.
String	subscriberIdentifier	A unique identifier that the payer or information source can use to identify the person as a Policy Holder. "Contains a healthcare institution’s identifiers for the insured." - HL7 Version 2.8, IN1-49. "The insurer assigned ID for the Subscriber." - HL7 FHIR, Coverage.subscriberId "Insurance ID assigned to the cardholder or identification number used by the plan." - NCPDP Telecommunication (Field 302-C2, Data Dictionary 201104). Note that the some payers issue cards to dependents, some do not; therefore the cardholder might be the patient, the subscriber, or both.

Attributes inherited from  FHIM::EnrollEligCOB::CoveredPatient

identifier,  patientResidenceType,  personCode,  patient,  responsibleParty,  coverage

 asPerson

Public Person asPerson

Pointer to the Person playing the Role of Subscriber.
"Contains the name of the insured person. The insured is the person who has an agreement with the insurance company to provide healthcare services to persons covered by the insurance policy." - HL7 Version 2.8, IN1-16.

Constraints:

Properties:

Aggregation	None
Alias
Association	subscriber_asPerson
Association End
Class	Subscriber
Datatype
Default
Default Value
Is Composite	false
Is Derived	false
Is Derived Union	false
Is Leaf	false
Is Ordered	false
Is Read Only	false
Is Static	false
Is Unique	true
Keywords
Lower	1
Lower Value	(1)
Multiplicity	1
Name	asPerson
Name Expression
Namespace	Subscriber
Opposite
Owner	Subscriber
Owning Association
Owning Template Parameter
Qualified Name	FHIM::EnrollEligCOB::Subscriber::asPerson
Stereotype
Template Parameter
Type	Person
Upper	1
Upper Value	(1)
Visibility	Public

 coverageTerm

Public «IVL_TS» Period coverageTerm

"Contains the date that the insurance goes into effect." - HL7 Version 2.8, IN1-12.
"Indicates the last date of service that the insurance will cover or be responsible for." - HL7 Version 2.8, IN1-13.

Constraints:

Properties:

Aggregation	None
Alias
Association
Association End
Class	Subscriber
Datatype
Default
Default Value
Is Composite	false
Is Derived	false
Is Derived Union	false
Is Leaf	false
Is Ordered	false
Is Read Only	false
Is Static	false
Is Unique	true
Keywords
Lower	0
Lower Value	(0)
Multiplicity	0..1
Name	coverageTerm
Name Expression
Namespace	Subscriber
Opposite
Owner	Subscriber
Owning Association
Owning Template Parameter
Qualified Name	FHIM::EnrollEligCOB::Subscriber::coverageTerm
Stereotype
Template Parameter
Type	«IVL_TS» Period
Upper	1
Upper Value	(1)
Visibility	Public

 coverageType

Public «CS» Code coverageType

"Contains the coding structure that identifies the various plan types, for example, Medicare, Medicaid, Blue Cross, HMO, etc." - HL7 Version 2.8, IN1-15. Note that HL7 links this field to User Defined Table 0086, which contains no suggested values.

Constraints:

Properties:

Aggregation	None
Alias
Association
Association End
Class	Subscriber
Datatype
Default
Default Value
Is Composite	false
Is Derived	false
Is Derived Union	false
Is Leaf	false
Is Ordered	false
Is Read Only	false
Is Static	false
Is Unique	true
Keywords
Lower	0
Lower Value	(0)
Multiplicity	0..1
Name	coverageType
Name Expression
Namespace	Subscriber
Opposite
Owner	Subscriber
Owning Association
Owning Template Parameter
Qualified Name	FHIM::EnrollEligCOB::Subscriber::coverageType
Stereotype
Template Parameter
Type	«CS» Code
Upper	1
Upper Value	(1)
Visibility	Public

 group

Public GroupCoverage group

Pointer to the Group Health Insurance Policy under which the Subscriber is entitled benefits.

Constraints:

Properties:

Aggregation	None
Alias
Association	subscriber_group
Association End
Class	Subscriber
Datatype
Default
Default Value
Is Composite	false
Is Derived	false
Is Derived Union	false
Is Leaf	false
Is Ordered	false
Is Read Only	false
Is Static	false
Is Unique	true
Keywords
Lower	0
Lower Value	(0)
Multiplicity	*
Name	group
Name Expression
Namespace	Subscriber
Opposite	subscriber
Owner	Subscriber
Owning Association
Owning Template Parameter
Qualified Name	FHIM::EnrollEligCOB::Subscriber::group
Stereotype
Template Parameter
Type	GroupCoverage
Upper	*
Upper Value	(*)
Visibility	Public

 healthcarePolicy

Public HealthcarePolicy healthcarePolicy

Pointer to the Insurance Policy (a contract between an benefits provider and an individual or his/her sponsor to pay for a set of benefits) for which the Subscriber is a beneficiary.

Constraints:

Properties:

Aggregation	None
Alias
Association	subscriber_healthcarePolicy
Association End
Class	Subscriber
Datatype
Default
Default Value
Is Composite	false
Is Derived	false
Is Derived Union	false
Is Leaf	false
Is Ordered	false
Is Read Only	false
Is Static	false
Is Unique	true
Keywords
Lower	1
Lower Value	(1)
Multiplicity	1..*
Name	healthcarePolicy
Name Expression
Namespace	Subscriber
Opposite	subscriber
Owner	Subscriber
Owning Association
Owning Template Parameter
Qualified Name	FHIM::EnrollEligCOB::Subscriber::healthcarePolicy
Stereotype
Template Parameter
Type	HealthcarePolicy
Upper	*
Upper Value	(*)
Visibility	Public

 otherPolicyInfo

Public OtherPolicyInfo otherPolicyInfo

Pointer to additional information needed by specific payers to properly identify either the subscriber or the health plan.

Constraints:

Properties:

Aggregation	None
Alias
Association	subscriber_otherPolicyInfo
Association End
Class	Subscriber
Datatype
Default
Default Value
Is Composite	false
Is Derived	false
Is Derived Union	false
Is Leaf	false
Is Ordered	false
Is Read Only	false
Is Static	false
Is Unique	true
Keywords
Lower	0
Lower Value	(0)
Multiplicity	*
Name	otherPolicyInfo
Name Expression
Namespace	Subscriber
Opposite
Owner	Subscriber
Owning Association
Owning Template Parameter
Qualified Name	FHIM::EnrollEligCOB::Subscriber::otherPolicyInfo
Stereotype
Template Parameter
Type	OtherPolicyInfo
Upper	*
Upper Value	(*)
Visibility	Public

 subscriberIdentifier

Public String subscriberIdentifier

A unique identifier that the payer or information source can use to identify the person as a Policy Holder.
"Contains a healthcare institution’s identifiers for the insured." - HL7 Version 2.8, IN1-49.
"The insurer assigned ID for the Subscriber." - HL7 FHIR, Coverage.subscriberId
"Insurance ID assigned to the cardholder or identification number used by the plan." - NCPDP Telecommunication (Field 302-C2, Data Dictionary 201104). Note that the some payers issue cards to dependents, some do not; therefore the cardholder might be the patient, the subscriber, or both.

Constraints:

Properties:

Aggregation	None
Alias
Association
Association End
Class	Subscriber
Datatype
Default
Default Value
Is Composite	false
Is Derived	false
Is Derived Union	false
Is Leaf	false
Is Ordered	false
Is Read Only	false
Is Static	false
Is Unique	true
Keywords
Lower	0
Lower Value	(0)
Multiplicity	0..1
Name	subscriberIdentifier
Name Expression
Namespace	Subscriber
Opposite
Owner	Subscriber
Owning Association
Owning Template Parameter
Qualified Name	FHIM::EnrollEligCOB::Subscriber::subscriberIdentifier
Stereotype
Template Parameter
Type	String
Upper	1
Upper Value	(1)
Visibility	Public