Corporate

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.

January 2018

RTP Reason Codes Total KY OH
32404 5,140 1,386 3,754
38119 4,266 818 3,448
32402 3,454 1,666 1,788
39132 2,019 678 1,341
31689 1,827 92 1,735

Rejection Reason Codes Total KY OH
U5233 5,357 1,714 3,643
39934 4,827 2,001 2,826
39929 4,741 1,399 3,342
38200 2,874 1,030 1,844
10420 2,422 666 1,756

For additional information on identifying and correcting or adjusting claims in the Direct Data Entry (DDE) system, please reference the Claim Status and Corrections article or the DDE User Manual.


Two Vantage Way, Nashville, TN 37228 © CGS Administrators, LLC. All Rights Reserved