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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.

October 2019

RTP Reason Codes Total KY OH
38119 2,874 943 1,931
39132 2,389 814 1,575
32402 2,279 988 1,291
32415 1,143 749 394
37544 792 119 673

Rejection Reason Codes Total KY OH
39929 4,799 1,080 3,719
38200 4,571 1,555 3,016
39934 4,403 1,447 2,956
U5200 3,017 952 2,065
38038 2,280 619 1,661

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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