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.