Resource CodeSystem/FHIR Server from package fhir.kenyaPSIG#current (62 ms)

Resources that use this resource

ValueSet
ClaimsResponseVS	Claims Response status

Resources that this resource uses

No resources found

Narrative

Note: links and images are rebased to the (stated) source

Source

{
  "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" : "2025-06-06T15:56:34+00:00",
  "publisher" : "IntelliSOFT Consulting",
  "contact" : [
    {
      "name" : "IntelliSOFT Consulting",
      "telecom" : [
        {
          "system" : "url",
          "value" : "https://.com/fhir/example-publisher"
        }
      ]
    },
    {
      "name" : "KPS Team Kenya.",
      "telecom" : [
        {
          "system" : "email",
          "value" : "info@example.com",
          "use" : "work"
        }
      ]
    }
  ],
  "description" : "CodeSystem for KNHTS Claim status",
  "jurisdiction" : [
    {
      "coding" : [
        {
          "system" : "urn:iso:std:iso:3166",
          "code" : "KE",
          "display" : "Kenya"
        }
      ]
    }
  ],
  "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."
    }
  ]
}

XIG built as of ??metadata-date??. Found ??metadata-resources?? resources in ??metadata-packages?? packages.