0.1.0 - ci-build
kenyaClaimsIG - Local Development build (v0.1.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions
| Draft as of 2024-09-06 |
{
"resourceType" : "CodeSystem",
"id" : "KNHTS.CLMSRSPSTS",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: CodeSystem KNHTS.CLMSRSPSTS</b></p><a name=\"KNHTS.CLMSRSPSTS\"> </a><a name=\"hcKNHTS.CLMSRSPSTS\"> </a><a name=\"KNHTS.CLMSRSPSTS-en-US\"> </a><p>This case-insensitive code system <code>https://shr.tiberbuapps.com/fhir/CodeSystem/KNHTS.CLMSRSPSTS</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.CLMSRSPSTS-STS01\"> </a></td><td>NEW</td><td>New Claims response</td></tr><tr><td style=\"white-space:nowrap\">STS02<a name=\"KNHTS.CLMSRSPSTS-STS02\"> </a></td><td>NOTIFIED</td><td>Identification done and payor notified</td></tr><tr><td style=\"white-space:nowrap\">STS03<a name=\"KNHTS.CLMSRSPSTS-STS03\"> </a></td><td>PREAUTHORIZED</td><td>Pre-authorization done.*</td></tr><tr><td style=\"white-space:nowrap\">STS04<a name=\"KNHTS.CLMSRSPSTS-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.CLMSRSPSTS-STS05\"> </a></td><td>CANCELLED</td><td>Cancelled at provider, before submission.</td></tr><tr><td style=\"white-space:nowrap\">STS06<a name=\"KNHTS.CLMSRSPSTS-STS06\"> </a></td><td>SUBMITTED</td><td>Submitted to payer.</td></tr><tr><td style=\"white-space:nowrap\">STS07<a name=\"KNHTS.CLMSRSPSTS-STS07\"> </a></td><td>RECEIVED</td><td>Received at payer.</td></tr><tr><td style=\"white-space:nowrap\">STS08<a name=\"KNHTS.CLMSRSPSTS-STS08\"> </a></td><td>APPROVED</td><td>Approved</td></tr><tr><td style=\"white-space:nowrap\">STS09<a name=\"KNHTS.CLMSRSPSTS-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.CLMSRSPSTS-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.CLMSRSPSTS-STS11\"> </a></td><td>EXPIRED</td><td>Expired</td></tr><tr><td style=\"white-space:nowrap\">STS12<a name=\"KNHTS.CLMSRSPSTS-STS12\"> </a></td><td>QA</td><td>The claim is undergoing review.</td></tr></table></div>"
},
"url" : "https://shr.tiberbuapps.com/fhir/CodeSystem/KNHTS.CLMSRSPSTS",
"version" : "0.1.0",
"name" : "KNHTS_CLMS_RSP",
"title" : "KNHTS.CLMSRSP CodeSystem for claim response status",
"status" : "draft",
"experimental" : false,
"date" : "2024-09-06T09:59:02+00:00",
"publisher" : "intellisoftkenya",
"contact" : [
{
"name" : "intellisoftkenya",
"telecom" : [
{
"system" : "url",
"value" : "http://example.org/example-publisher"
}
]
}
],
"description" : "CodeSystem for KNHTS Claim status",
"caseSensitive" : false,
"content" : "complete",
"count" : 12,
"concept" : [
{
"code" : "STS01",
"display" : "NEW",
"definition" : "New Claims response"
},
{
"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."
}
]
}