KNHTS.CLMSRSPSTS
type: CodeSystem
node role: treeRoot
id:
  v: KNHTS.CLMSRSPSTS
text:
  status:
    v: generated
  div:
    v: Generated Narrative: CodeSystem KNHTS.CLMSRSPSTS 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.
url:
  v: https://example.org/fhir/CodeSystem/KNHTS.CLMSRSPSTS
  l: KNHTS.CLMSRSPSTS
version:
  v: 0.1.0
name:
  v: KNHTS_CLMS_RSP
title:
  v: KNHTS.CLMSRSP CodeSystem for claim response status
status:
  v: draft
experimental:
  v: false
date:
  v: 2025-12-09T10:36:20+00:00
publisher:
  v: IntelliSOFT Consulting
contact:
  name:
    v: IntelliSOFT Consulting
  telecom:
    system:
      v: url
    value:
      v: https://.com/fhir/example-publisher
contact:
  name:
    v: KPS Team Kenya.
  telecom:
    system:
      v: email
    use:
      v: work
description:
  v: CodeSystem for KNHTS Claim status
jurisdiction:
  coding:
    system:
      v: urn:iso:std:iso:3166
      l: 3166
    code:
      v: KE
    display:
      v: Kenya
case sensitive:
  v: false
content:
  v: complete
count:
  v: 12
concept:
  code:
    v: STS01
  display:
    v: NEW
  definition:
    v: New Claims response
concept:
  code:
    v: STS02
  display:
    v: NOTIFIED
  definition:
    v: Identification done and payor notified
concept:
  code:
    v: STS03
  display:
    v: PREAUTHORIZED
  definition:
    v: Pre-authorization done.*
concept:
  code:
    v: STS04
  display:
    v: COMPLETE
  definition:
    v: Provider has checked that all requirements are met and the claim is ready for submission. Done at the end of a visit / after discharge.
concept:
  code:
    v: STS05
  display:
    v: CANCELLED
  definition:
    v: Cancelled at provider, before submission.
concept:
  code:
    v: STS06
  display:
    v: SUBMITTED
  definition:
    v: Submitted to payer.
concept:
  code:
    v: STS07
  display:
    v: RECEIVED
  definition:
    v: Received at payer.
concept:
  code:
    v: STS08
  display:
    v: APPROVED
  definition:
    v: Approved
concept:
  code:
    v: STS09
  display:
    v: REJECTED
  definition:
    v: The payer has indicated that the claim will not be paid.
concept:
  code:
    v: STS10
  display:
    v: PAID
  definition:
    v: The claim has been paid and the payee should expect to receive or have received a remittance.
concept:
  code:
    v: STS11
  display:
    v: EXPIRED
  definition:
    v: Expired
concept:
  code:
    v: STS12
  display:
    v: QA
  definition:
    v: The claim is undergoing review.