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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 6,955 932617 6,338
34963 5,597 1,433 4,164
U5065 3,802 1,061 2,741
38119 2,495 702 1,793
32243 2,250 1,893 357

Rejection Reason Codes Total KY OH
38200 4,469 1,692 2,777
39929 4,421 749 2,5873,672
U5233 3,810 1,472 2,338
38038 2,253 658 1,595
C7010 1,337 322 1,015

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 01.07.2025

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