{
  "resourceType" : "CodeSystem",
  "id" : "knhts-clm-sts-cs",
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: CodeSystem knhts-clm-sts-cs</b></p><a name=\"knhts-clm-sts-cs\"> </a><a name=\"hcknhts-clm-sts-cs\"> </a><p>This case-insensitive code system <code>https://fhir.dha.go.ke/kps/CodeSystem/knhts-clm-sts-cs</code> defines the following codes:</p><table class=\"codes\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td><td><b>Definition</b></td></tr><tr><td style=\"white-space:nowrap\">STS01<a name=\"knhts-clm-sts-cs-STS01\"> </a></td><td>NEW</td><td>Active</td></tr><tr><td style=\"white-space:nowrap\">STS02<a name=\"knhts-clm-sts-cs-STS02\"> </a></td><td>NOTIFIED</td><td>Identification done and payor notified</td></tr><tr><td style=\"white-space:nowrap\">STS03<a name=\"knhts-clm-sts-cs-STS03\"> </a></td><td>PREAUTHORIZED</td><td>Pre-authorization done.*</td></tr><tr><td style=\"white-space:nowrap\">STS04<a name=\"knhts-clm-sts-cs-STS04\"> </a></td><td>COMPLETE</td><td>Provider has checked that all requirements are met and the claim is ready for submission. Done at the end of a visit / after discharge.</td></tr><tr><td style=\"white-space:nowrap\">STS05<a name=\"knhts-clm-sts-cs-STS05\"> </a></td><td>CANCELLED</td><td>Cancelled at provider, before submission.</td></tr><tr><td style=\"white-space:nowrap\">STS06<a name=\"knhts-clm-sts-cs-STS06\"> </a></td><td>SUBMITTED</td><td>Submitted to payer.</td></tr><tr><td style=\"white-space:nowrap\">STS07<a name=\"knhts-clm-sts-cs-STS07\"> </a></td><td>RECEIVED</td><td>Received at payer.</td></tr><tr><td style=\"white-space:nowrap\">STS08<a name=\"knhts-clm-sts-cs-STS08\"> </a></td><td>APPROVED</td><td>Approved</td></tr><tr><td style=\"white-space:nowrap\">STS09<a name=\"knhts-clm-sts-cs-STS09\"> </a></td><td>REJECTED</td><td>The payer has indicated that the claim will not be paid.</td></tr><tr><td style=\"white-space:nowrap\">STS10<a name=\"knhts-clm-sts-cs-STS10\"> </a></td><td>PAID</td><td>The claim has been paid and the payee should expect to receive or have received  a remittance.</td></tr><tr><td style=\"white-space:nowrap\">STS11<a name=\"knhts-clm-sts-cs-STS11\"> </a></td><td>EXPIRED</td><td>Expired</td></tr><tr><td style=\"white-space:nowrap\">STS12<a name=\"knhts-clm-sts-cs-STS12\"> </a></td><td>QA</td><td>The claim is undergoing review.</td></tr></table></div>"
  },
  "url" : "https://fhir.dha.go.ke/kps/CodeSystem/knhts-clm-sts-cs",
  "version" : "0.1.0",
  "name" : "KNHTS_CLMS",
  "title" : "KNHTS.CLMS CodeSystem for claim status",
  "status" : "draft",
  "experimental" : false,
  "date" : "2026-05-12T08:53:32+00:00",
  "publisher" : "Digital Health Agency of Kenya",
  "contact" : [{
    "name" : "Digital Health Agency of Kenya",
    "telecom" : [{
      "system" : "url",
      "value" : "https://www.dha.go.ke"
    },
    {
      "system" : "email",
      "value" : "interoperability@dha.go.ke"
    }]
  },
  {
    "name" : "Digital Health Agency of Kenya – Interoperability Team",
    "telecom" : [{
      "system" : "email",
      "value" : "interoperability@dha.go.ke",
      "use" : "work"
    },
    {
      "system" : "url",
      "value" : "https://www.dha.go.ke",
      "use" : "work"
    }]
  }],
  "description" : "CodeSystem for KNHTS Claim status",
  "jurisdiction" : [{
    "coding" : [{
      "system" : "urn:iso:std:iso:3166",
      "code" : "KE",
      "display" : "Kenya"
    }]
  }],
  "copyright" : "Copyright © 2024+ Digital Health Agency of Kenya. This content is licensed under Creative Commons Zero v1.0 Universal (CC0 1.0). No rights reserved.\n",
  "caseSensitive" : false,
  "content" : "complete",
  "count" : 12,
  "concept" : [{
    "code" : "STS01",
    "display" : "NEW",
    "definition" : "Active"
  },
  {
    "code" : "STS02",
    "display" : "NOTIFIED",
    "definition" : "Identification done and payor notified"
  },
  {
    "code" : "STS03",
    "display" : "PREAUTHORIZED",
    "definition" : "Pre-authorization done.*"
  },
  {
    "code" : "STS04",
    "display" : "COMPLETE",
    "definition" : "Provider has checked that all requirements are met and the claim is ready for submission. Done at the end of a visit / after discharge."
  },
  {
    "code" : "STS05",
    "display" : "CANCELLED",
    "definition" : "Cancelled at provider, before submission."
  },
  {
    "code" : "STS06",
    "display" : "SUBMITTED",
    "definition" : "Submitted to payer."
  },
  {
    "code" : "STS07",
    "display" : "RECEIVED",
    "definition" : "Received at payer."
  },
  {
    "code" : "STS08",
    "display" : "APPROVED",
    "definition" : "Approved"
  },
  {
    "code" : "STS09",
    "display" : "REJECTED",
    "definition" : "The payer has indicated that the claim will not be paid."
  },
  {
    "code" : "STS10",
    "display" : "PAID",
    "definition" : "The claim has been paid and the payee should expect to receive or have received  a remittance."
  },
  {
    "code" : "STS11",
    "display" : "EXPIRED",
    "definition" : "Expired"
  },
  {
    "code" : "STS12",
    "display" : "QA",
    "definition" : "The claim is undergoing review."
  }]
}