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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 7,651 388 7,263
34963 6,076 1,363 4,713
U5065 4,776 1,571 3,205
37098 4,141 1,417 2,724
32200 3,350 793 2,557

Rejection Reason Codes Total KY OH
U5233 7,038 2,075 4,963
38200 3,727 1,133 2,594
39929 3,259 923 2,336
38032 1,847 525 1,322
34538 1,835 512 1,323

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.

Updated 05.08.2026

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