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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 10,673 3,506 7,167
34554 9,382 1,998 7,384
U5065 8,555 2,992 5,563
34963 6,017 1,472 4,545
37098 2,952 376 2,576

Rejection Reason Codes Total KY OH
38200 6,985 1,586 5,399
U5233 5,248 2,003 3,245
39929 4,003 762 3,241
39934 2,038 560 1,478
34538 1,967 561 1,406

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: 08.14.2026

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