Corporate

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.

May 2018

RTP Reason Codes Total KY OH
32402 4,870 2,379 2,491
38119 2,698 781 1,917
  U5061* 2,258 759 1,499
39132 2,204 732 1,472
31689 1,719 38 1,681

Rejection Reason Codes Total KY OH
U5233 5,072 1,472 3,600
39934 4,321 1,834 2,487
38200 3,600 1,135 2,465
39929 3,518 969 2,549
10420 2,399 710 1,689

For additional information on identifying and correcting or adjusting claims in the Direct Data Entry (DDE) system, please reference the Claim Status and Corrections article or the DDE User Manual.

* CGS is attempting to determine if this might be a Claims Processing Issue. Monitor J15 Part A Claims Processing Issues Log to verify.


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