Resource ValueSet/FHIR Server from package fhir.kenyaPSIG#current (47 ms)
Resources that use this resource
Resources that this resource uses
| CodeSystem |
KNHTS.CLMSTS  | KNHTS.CLMS CodeSystem for claim status |
Narrative
Note: links and images are rebased to the (stated) source
- Include these codes as defined in
https://shr.tiberbuapps.com/fhir/CodeSystem/KNHTS.CLMSTS| 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. |
Source
{
"resourceType" : "ValueSet",
"id" : "ClaimsStatusVS",
"text" : {
"status" : "extensions",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: ValueSet ClaimsStatusVS</b></p><a name=\"ClaimsStatusVS\"> </a><a name=\"hcClaimsStatusVS\"> </a><a name=\"ClaimsStatusVS-en-US\"> </a><ul><li>Include these codes as defined in <a href=\"CodeSystem-KNHTS.CLMSTS.html\"><code>https://shr.tiberbuapps.com/fhir/CodeSystem/KNHTS.CLMSTS</code></a><table class=\"none\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td><td><b>Definition</b></td></tr><tr><td><a href=\"CodeSystem-KNHTS.CLMSTS.html#KNHTS.CLMSTS-STS01\">STS01</a></td><td style=\"color: #cccccc\">NEW</td><td>Active</td></tr><tr><td><a href=\"CodeSystem-KNHTS.CLMSTS.html#KNHTS.CLMSTS-STS02\">STS02</a></td><td style=\"color: #cccccc\">NOTIFIED</td><td>Identification done and payor notified</td></tr><tr><td><a href=\"CodeSystem-KNHTS.CLMSTS.html#KNHTS.CLMSTS-STS03\">STS03</a></td><td style=\"color: #cccccc\">PREAUTHORIZED</td><td>Pre-authorization done.*</td></tr><tr><td><a href=\"CodeSystem-KNHTS.CLMSTS.html#KNHTS.CLMSTS-STS04\">STS04</a></td><td style=\"color: #cccccc\">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><a href=\"CodeSystem-KNHTS.CLMSTS.html#KNHTS.CLMSTS-STS05\">STS05</a></td><td style=\"color: #cccccc\">CANCELLED</td><td>Cancelled at provider, before submission.</td></tr><tr><td><a href=\"CodeSystem-KNHTS.CLMSTS.html#KNHTS.CLMSTS-STS06\">STS06</a></td><td style=\"color: #cccccc\">SUBMITTED</td><td>Submitted to payer.</td></tr><tr><td><a href=\"CodeSystem-KNHTS.CLMSTS.html#KNHTS.CLMSTS-STS07\">STS07</a></td><td style=\"color: #cccccc\">RECEIVED</td><td>Received at payer.</td></tr><tr><td><a href=\"CodeSystem-KNHTS.CLMSTS.html#KNHTS.CLMSTS-STS08\">STS08</a></td><td style=\"color: #cccccc\">APPROVED</td><td>Approved</td></tr><tr><td><a href=\"CodeSystem-KNHTS.CLMSTS.html#KNHTS.CLMSTS-STS09\">STS09</a></td><td style=\"color: #cccccc\">REJECTED</td><td>The payer has indicated that the claim will not be paid.</td></tr><tr><td><a href=\"CodeSystem-KNHTS.CLMSTS.html#KNHTS.CLMSTS-STS10\">STS10</a></td><td style=\"color: #cccccc\">PAID</td><td>The claim has been paid and the payee should expect to receive or have received a remittance.</td></tr><tr><td><a href=\"CodeSystem-KNHTS.CLMSTS.html#KNHTS.CLMSTS-STS11\">STS11</a></td><td style=\"color: #cccccc\">EXPIRED</td><td>Expired</td></tr><tr><td><a href=\"CodeSystem-KNHTS.CLMSTS.html#KNHTS.CLMSTS-STS12\">STS12</a></td><td style=\"color: #cccccc\">QA</td><td>The claim is undergoing review.</td></tr></table></li></ul></div>"
},
"url" : "https://shr.tiberbuapps.com/fhir/ValueSet/ClaimsStatusVS",
"version" : "0.1.0",
"name" : "KNHTSCLMVS",
"title" : "Claims 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" : "Claims status",
"jurisdiction" : [
{
"coding" : [
{
"system" : "urn:iso:std:iso:3166",
"code" : "KE",
"display" : "Kenya"
}
]
}
],
"compose" : {
"include" : [
{
"system" : "https://shr.tiberbuapps.com/fhir/CodeSystem/KNHTS.CLMSTS",
"concept" : [
{
"code" : "STS01"
},
{
"code" : "STS02"
},
{
"code" : "STS03"
},
{
"code" : "STS04"
},
{
"code" : "STS05"
},
{
"code" : "STS06"
},
{
"code" : "STS07"
},
{
"code" : "STS08"
},
{
"code" : "STS09"
},
{
"code" : "STS10"
},
{
"code" : "STS11"
},
{
"code" : "STS12"
}
]
}
]
}
}
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FHIR