kenyaClaimsIG - 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://shr.tiberbuapps.com/fhir/CodeSystem/KNHTS.CLMSRSPSTS
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Version:
0.1.0
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Draft
as of 2024-09-06
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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://shr.tiberbuapps.com/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. |