Skip to Main Content

Print | Bookmark | Font Size: + |

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 8,737 495 8,242
34963 5,502 1,308 4,194
32200 4,909 1,474 3,435
32243 4,134 3,183 951
U5065 2,886 591 2,295

Rejection Reason Codes Total KY OH
U5233 4,643 1,911 2,732
38200 3,504 912 2,592
39929 3,265 974 2,291
34538 1,841 480 1,361
39934 1,779 487 1,292

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 02.13.2026

spacer

26 Century Blvd Ste ST610, Nashville, TN 37214-3685 © CGS Administrators, LLC. All Rights Reserved