# Use Cases - CARIN Digital Insurance Card v2.0.0-ballot

* [**Table of Contents**](toc.md)
* **Use Cases**

## Use Cases

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| *Page standards status:*[Informative](http://hl7.org/fhir/R4/versions.html#std-process) |

> This section has been restructured into a multi-page section to support the addition of a significant number of new use cases for the use of Digital Insurance Card.

## Terms and Concepts

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| Subscriber | An individual or entity that selects benefits offered by an entity, such as an employer, government, or insurance company |
| Dependent | An individual, other than the subscriber, who has insurance coverage under the benefits selected by a subscriber |
| Member | Any individual covered by the benefits offered by an entity, such as an employer or insurance company. In the US, some government programs refer to Members as Beneficiaries. |
| Patient | An individual who has received, is receiving or intends to receive health care services. (Health care services as defined by federal and state regulations.) |
| Personal Representative | Per the HIPAA privacy regulations at 45 CFR 164.502(g), a[personal-representative](https://www.hhs.gov/hipaa/for-professionals/privacy/guidance/personal-representatives/index.html)is someone authorized under state or other applicable law to act on behalf of the individual in making health care related decisions (such as a parent, guardian, or person with a medical power of attorney) |
| Payer | Public or private party which offers and/or administers health insurance plan(s) or coverage and/or pays claims directly or indirectly. Examples include:- Insurance Company- Health Maintenance Organization- Medicare- Third-party Administrator- Repricer |

## Use Cases

This Implementation Guide provides both foundational and specific use cases for a Digital Insurance Card. The Foundational use case describe basic capabilities, such as initiating a Digital Insurance enabled transaction. Other use case are specific examples of exchanges, such as utilizing a Digital Insurance Card to enable a Real-Time Pharmacy Benefit Check.

### Foundational Use Cases

* [Authorization](Use_Case_Authorization.md)
* [Distribution](Use_Case_Distribution.md)
* [Patient Access API](Use_Case_Patient_Access_API.md)
* [Representing Multiple Coverages for the Same Payer](Use_Case_Multiple_Coverages.md)
* [Support for Multiple Digital Insurance cards](Use_Case_Multiple_Cards.md)

### Insurance Card Transaction Examples

* [Consumer Access to their Insurance Card Data](Use_Case_Consumer_Access.md)
* [Consumer Access and Exchange](Use_Case_Consumer_Access_And_Exchange.md)
* [Real-Time Pharmacy Benefit Check](Use_Case_RTPBC.md)
* [Comparison with International Patient Summary IG](Use_Case_IPS.md)
* [Summary of Benefits and Coverage](Use_Case_Summary_of_Benefits.md)

