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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.

June 2020

RTP Reason Codes Total KY OH
38119 2,560 682 1,878
32901 2,491 2,278 213
32402 2,263 1,396 867
154#1 2,047 773 1,274
39132 1,896 604 1,292

Rejection Reason Codes Total KY OH
U5233 5,645 2,326 3,319
39934 5,315 1,293 4,022
39929 3,312 792 2,520
38200 3,101 1,110 1,991
38032 1,762 444 1,318

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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