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Top Claim Submission Errors

The top five Return to Provider (RTP) and rejection reason codes for the J15 Part A Kentucky/Ohio region are listed below. This information is updated on a monthly basis.

Click on the reason code to view the description and resolution. The description will explain why the claim was RTP'd, or why the claim was rejected. Instructions for correcting these claims are in the Direct Data Entry (DDE) Manual linked below. Reason Codes with an asterisk (*) indicate they are listed on the Part A Claims Payment Alerts.

RTP Reason Codes Total KY OH
34977 12,123 4,444 7,679
34963 7,936 1,711 6,225
34985 5,579 2,295 3,284
37544 3,736 240 3,496
34986 3,297 302 2,995

Rejection Reason Codes Total KY OH
38200 6,564 2,292 4,272
U5233 4,646 1,666 2,980
39929 3,938 889 3,049
38038 2,314 560 1,754
38032 1,769 431 1,338

For additional information on identifying, correcting, or adjusting claims in the DDE system, please reference the Claim Status and Corrections article or the DDE User Manual/FISS Reference Guide.

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