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Source1

{
  "resourceType": "CodeSystem",
  "id": "knhts-clm-sts-cs",
  "text": {
    "status": "generated",
    "div": "<!-- snip (see above) -->"
  },
  "url": "https://nshr-uat.sha.go.ke/fhir/CodeSystem/knhts-clm-sts-cs",
  "version": "0.1.0",
  "name": "KNHTS_CLMS",
  "title": "KNHTS.CLMS CodeSystem for claim status",
  "status": "draft",
  "experimental": false,
  "date": "2026-06-19T10:10:16+00:00",
  "publisher": "Digital Health Agency of Kenya",
  "contact": [
    {
      "name": "Digital Health Agency of Kenya",
      "telecom": [
        {
          "system": "url",
          "value": "https://www.dha.go.ke"
        },
        {
          "system": "email",
          "value": "interoperability@dha.go.ke"
        }
      ]
    },
    {
      "name": "Digital Health Agency of Kenya – Interoperability Team",
      "telecom": [
        {
          "system": "email",
          "value": "interoperability@dha.go.ke",
          "use": "work"
        },
        {
          "system": "url",
          "value": "https://www.dha.go.ke",
          "use": "work"
        }
      ]
    }
  ],
  "description": "CodeSystem for KNHTS Claim status",
  "jurisdiction": [
    {
      "coding": [
        {
          "system": "urn:iso:std:iso:3166",
          "code": "KE",
          "display": "Kenya"
        }
      ]
    }
  ],
  "copyright": "Copyright © 2024+ Digital Health Agency of Kenya. This content is licensed under Creative Commons Zero v1.0 Universal (CC0 1.0). No rights reserved.\n",
  "caseSensitive": false,
  "content": "complete",
  "count": 12,
  "concept": [
    {
      "code": "STS01",
      "display": "NEW",
      "definition": "Active"
    },
    {
      "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."
    }
  ]
}