# Can insurers or the Social Health Authority receive mental health diagnoses through digital claims?

URL: https://tymirahealth.com/resources/faqs/can-insurers-or-the-social-health-authority-receive-mental-health-diagnoses-through-digital-clai
For: Digital health teams | Data protection and privacy | Reviewed by Independent clinical reviewer, Registered mental health clinician, Kenya | Last reviewed 8 November 2026

**Answer:** Claims usually need a diagnosis code; Kenya's eClaims FHIR guide, built with the Social Health Authority, uses ICD-11 for diagnoses. The Data Protection Act limits health data processing to healthcare providers or people bound by professional secrecy, subject to conditions. Send only what the claim requires, never session notes, and make sure clients understand what their insurer will see before they choose to claim. Confirm specific payer requirements and lawful basis with your DPO.

Sources: Digital Health Agency, Kenya: https://fhir.dha.go.ke/ig/eclaims/background.html - Kenya Law: https://new.kenyalaw.org/akn/ke/act/2019/24/eng@2022-12-31

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