Kenya Patient Summary FHIR IG - Local Development build (v0.1.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions
CodeSystem: KNHTS.CLMSRSP CodeSystem for claim response status
Official URL : https://example.org/fhir/CodeSystem/KNHTS.CLMSRSPSTS
Version :
0.1.0
Draft
as of 2025-12-09
Computable Name : KNHTS_CLMS_RSP
CodeSystem for KNHTS Claim status
This Code system is referenced in the content logical definition of the following value sets:
This case-insensitive code system https://example.org/fhir/CodeSystem/KNHTS.CLMSRSPSTS defines the following codes:
Code Display Definition
STS01
NEW
New Claims response
STS02
NOTIFIED
Identification done and payor notified
STS03
PREAUTHORIZED
Pre-authorization done.*
STS04
COMPLETE
Provider has checked that all requirements are met and the claim is ready for submission. Done at the end of a visit / after discharge.
STS05
CANCELLED
Cancelled at provider, before submission.
STS06
SUBMITTED
Submitted to payer.
STS07
RECEIVED
Received at payer.
STS08
APPROVED
Approved
STS09
REJECTED
The payer has indicated that the claim will not be paid.
STS10
PAID
The claim has been paid and the payee should expect to receive or have received a remittance.
STS11
EXPIRED
Expired
STS12
QA
The claim is undergoing review.