# Physical Insurance Card Data Elements - CARIN Digital Insurance Card v2.0.0

* [**Table of Contents**](toc.md)
* **Physical Insurance Card Data Elements**

## Physical Insurance Card Data Elements

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

### Physical Insurance Card Data Elements

This table outlines the necessary data elements found on physical insurance cards. This list of data elements was compiled through collaboration with numerous subject-matter experts across major insurance companies in the US. The authors of this IG also consulted the following resources for additional guidance:

* WEDI Health Identification Card Implementation Guide
* WEDI Virtual Clipboard
* NYS DFS Title 11, section 52.69
* CAA/No Surprises Act, section 107
* SMART Health Card IG (related to QR codes)

* **Images: Images often found on the front or back of the physical insurance card**: * Claims Address*
  * ?: *Address to send provider claims to for adjudication.*
  * ?: *organization.contact.address*
* **Images: Images often found on the front or back of the physical insurance card**: * Phone*
  * ?: *Phone numbers. Need to support multiple types of phone numbers for different purposes (physician, member, pharmacist, etc.)*
  * ?: *organization.contact.telecom*
* **Images: Images often found on the front or back of the physical insurance card**: * Web Address*
  * ?: *The public internet address of the payer*
  * ?: *organization.contact.telecom*
* **Images: Images often found on the front or back of the physical insurance card**: * Customer Service*
  * ?: *This is the customer-facing number for member service questions*
  * ?: *organization.contact.telecom*
* **Images: Images often found on the front or back of the physical insurance card**: * PCP office visits*
  * ?: *Copay for PCP office visits*
  * ?: *coverage.costToBeneficiary (where value can be represented as valueMoney), coverage.extension C4DIC-AdditionalCardInformation-extension (where string is required)*
* **Images: Images often found on the front or back of the physical insurance card**: * Specialist office visits*
  * ?: *Copay for specialist office visits*
  * ?: *coverage.costToBeneficiary (where value can be represented as valueMoney), coverage.extension C4DIC-AdditionalCardInformation-extension (where string is required)*
* **Images: Images often found on the front or back of the physical insurance card**: * Urgent care*
  * ?: *Copay for urgent care visits*
  * ?: *coverage.costToBeneficiary (where value can be represented as valueMoney), coverage.extension C4DIC-AdditionalCardInformation-extension (where string is required*)
* **Images: Images often found on the front or back of the physical insurance card**: * ER visits*
  * ?: *Copay for ER visits*
  * ?: *coverage.costToBeneficiary (where value can be represented as valueMoney), coverage.extension C4DIC-AdditionalCardInformation-extension (where string is required)*
* **Images: Images often found on the front or back of the physical insurance card**: * Prescription drugs, retail pharmacy, 30-day supply*
  * ?: *Copay for prescription drugs*
  * ?: *coverage.costToBeneficiary (where value can be represented as valueMoney), coverage.extension C4DIC-AdditionalCardInformation-extension (where string is required)*
* **Images: Images often found on the front or back of the physical insurance card**: * Logo*
  * ?: *A company logo or image to represent the company*
  * ?: *coverage.extension C4DIC-Logo-extension*
* **Images: Images often found on the front or back of the physical insurance card**: * Barcode*
  * ?: *Machine readable code in the form of numbers or patterns or special charaters.*
  * ?: *coverage.extension C4DIC-Barcode-extension*
* **Images: Images often found on the front or back of the physical insurance card**: * QR code*
  * ?: *Scannable code in the form of patterns.*
  * ?: *coverage.extension C4DIC-QRCode-extension*
* **Images: Images often found on the front or back of the physical insurance card**: * Other supporting images*
  * ?: *Partner logos, images indicating the type of coverage provided, etc.*
  * ?: *coverage.extension C4DIC-SupportingImage-extension*

