knhts-clm-sts-cs
type: CodeSystem
node role: treeRoot
id:
  v: knhts-clm-sts-cs
text:
  status:
    v: generated
  div:
    v: Generated Narrative: CodeSystem knhts-clm-sts-cs This case-insensitive code system https://fhir.dha.go.ke/kps/CodeSystem/knhts-clm-sts-cs defines the following codes: Code Display Definition STS01 NEW Active 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://fhir.dha.go.ke/kps/CodeSystem/knhts-clm-sts-cs
  l: knhts-clm-sts-cs
version:
  v: 0.1.0
name:
  v: KNHTS_CLMS
title:
  v: KNHTS.CLMS CodeSystem for claim status
status:
  v: draft
experimental:
  v: false
date:
  v: 2026-05-12T08:53:32+00:00
publisher:
  v: Digital Health Agency of Kenya
contact:
  name:
    v: Digital Health Agency of Kenya
  telecom:
    system:
      v: url
    value:
      v: https://www.dha.go.ke
  telecom:
    system:
      v: email
contact:
  name:
    v: Digital Health Agency of Kenya – Interoperability Team
  telecom:
    system:
      v: email
    use:
      v: work
  telecom:
    system:
      v: url
    value:
      v: https://www.dha.go.ke
    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
copyright:
  v: Copyright © 2024+ Digital Health Agency of Kenya. This content is licensed under Creative Commons Zero v1.0 Universal (CC0 1.0). No rights reserved.
case sensitive:
  v: false
content:
  v: complete
count:
  v: 12
concept:
  code:
    v: STS01
  display:
    v: NEW
  definition:
    v: Active
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.