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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 Processing Issues Log.

January 2020

RTP Reason Codes Total KY OH
39132 2,603 879 1,724
32402 2,360 1,176 1,184
U5065 1,998 1,081 917
38119 1,987 476 1,511
30905 1,282 458 824

Rejection Reason Codes Total KY OH
38200 7,206 4,965 2,241
U5233 6,520 3,107 3,413
39929 4,434 984 3,450
39934 3,236 1,408 1,828
38038 2,817 1,274 1,543

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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