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

CodeSystem: KNHTS.STELG CodeSystem for Site Eligibility

Official URL: https://shr.tiberbuapps.com/fhir/CodeSystem/KNHTS.STELG Version: 0.1.0
Draft as of 2024-09-06 Computable Name: KNHTS_SITE_ELIGIBILITY

CodeSystem for KNHTS Site Eligibility

This Code system is referenced in the content logical definition of the following value sets:

  • This CodeSystem is not used here; it may be used elsewhere (e.g. specifications and/or implementations that use this content)

Generated Narrative: CodeSystem KNHTS.STELG

This case-insensitive code system https://shr.tiberbuapps.com/fhir/CodeSystem/KNHTS.STELG defines the following codes:

CodeDisplayDefinition
STGELG01 ELIGIBLE Eligible
STGELG02 NOT_ACTIVE Member's insurance policy is not active
STGELG03 NOT_COVERED Policy does not cover the requested services
STGELG04 NOT_DIRECT_BILLING Patient is not covered on direct billing basis
STGELG05 OUT_NETWORK Provider outside member Network
STGELG06 LIMIT_EXHAUSTED Patient policy/benefit limit is exhausted
STGELG07 COVERAGE_SUSPENDED Patient coverage is suspended
STGELG08 PROVIDER_CONTRACT_SUSPENDED Provider contract is suspended