Existing Wording: The HRex Coverage Profile defines the constraints for representing the subscriber information to the Payer.

Proposed Wording: The HRex Coverage Profile defines the constraints for representing the covered party and their plan identification information to the Payer.

Comment:

The subscriber is the party who has signed-on for or acquired a plan from the payor, for example for employer supplied/arrainged health insurance typically the employer is the policy holder as they directly contract with the insurer; the employee is the subscriber as they subscribe to the negotiated policy and may select plan characteristics; and, the subscriber, and any identified dependents for a family policy, are beneficiaries under the policy.

The Coverage resource is per-beneficiary not per-subscriber.

Summary:

Fix subscriber vs covered party