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Claim issues / denials
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Top denials (CARC)
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CO 22
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CO 97
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CO/PR B7
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CO/PR 50
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CO 236
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PR B9
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OA 18
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Rejected as unprocessable claim (RUC)
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CO 4
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CO 16
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CO 24
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CO 109
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CO 181
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Return to provider (RTP)
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Duplicate claims (e.g., 38032 & 38037)
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12206
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153XX-154XX
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30912
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30949
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30960
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31197
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32400-32404
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34931
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38200
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70RTP
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W7088
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Reject reason codes
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U5233
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CO B9
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34538
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76474
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Processing issues
Returned to provider (RTP)
A claim on status T (RTP) was returned to provider for corrections. The assigned reason code will provide you instructions for the necessary corrections.
Use the links on this page to avoid common denials and claims rejections.