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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.

July 2020

RTP Reason Codes Total KY OH
38119 2,340 669 1,671
39132 2,170 697 1,473
32402 2,142 921 1,221
37578 2,097 1,367 730
37541 1,254 850 404

Rejection Reason Codes Total KY OH
U5233 7,068 3,102 3,966
39934 4,107 1,275 2,832
39929 3,717 767 2,950
38200 3,277 1,473 1,804
38032 2,718 498 2,220

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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