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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 10,642 3,246 7,396
37098 6,385 560 5,825
34963 5,729 1,127 4,602
U5065 5,632 1,919 3,713
32243 3,551 2,534 1,017

Rejection Reason Codes Total KY OH
U5233 6,588 2,170 4,418
38200 6,103 1,501 4,602
39929 3,527 845 2,682
34538 1,853 512 1,341
38038 1,835 515 1,320

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: 10.19.2026

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