Kenya eClaims FHIR Implementation Guide
0.1.0 - ci-build KE

Kenya eClaims FHIR Implementation Guide, published by Digital Health Agency of Kenya. This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/IntelliSOFT-Consulting/Kenya-eClaims-FHIR-IG/ and changes regularly. See the Directory of published versions

CodeSystem: Coverage Plan Type Code System

Official URL: https://fhir.dha.go.ke/eclaims/CodeSystem/coverage-plan-type-cs Version: 0.1.0
Active as of 2026-05-19 Computable Name: CoveragePlanTypeCS

Codes for types of coverage plan (MOH-Kenya OCL: COVERAGE-PLAN-TYPE)

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

This case-sensitive code system https://fhir.dha.go.ke/eclaims/CodeSystem/coverage-plan-type-cs defines the following codes:

CodeDisplay
HMO Health Maintenance Organization
PPO Preferred Provider Organization
POS Point of Service
EPO Exclusive Provider Organization
INDEMNITY Indemnity
TPA Third Party Administrator