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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.

November 2018

RTP Reason Codes Total KY OH
32402 3,520 1,134 2,386
38119 2,399 882 1,517
39132 2,026 686 1,340
32415 1,558 1,055 503
30905 1,418 441 977

Rejection Reason Codes Total KY OH
U5233 * 4,458 1,333 3,215
39934 4,368 1,722 2,646
39929 3,513 1,230 2,283
38200 3,480 978 2,502
38032 2,299 532 1,767

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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