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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
32200 8,243 2,800 5,443
34963 6,182 1,174 5,008
34977 5,798 2,018 3,780
34986 3,963 378 3,585
U5065 3,922 974 2,948

Rejection Reason Codes Total KY OH
U5233 5,063 2,011 3,052
38200 4,586 1,107 3,479
39929 3,626 1,077 2,549
39934 2,154 631 1,523
U5200 1,977 327 1,650

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 11.12.2025

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