Claims are returned to provider (RTP) when information needed to adjudicate them is missing or incomplete. First Coast rejects claims returned to a provider more than three times with reason code 70RTP. 

Our goal is to reduce a high number of cycling and unresolved RTP claims with this reason code. 

Avoid reject code 70RTP

It is very important that providers check their RTP file regularly for returned claims. In most situations, we receive the same claim back without the necessary updates or changes per the adjudicator's remarks or reason code instructions. This can happen for different reasons:

• Overlooking or ignoring the remarks or reason code(s) 
• Vendor software that systematically returns the claims to First Coast without giving billing personnel the opportunity to review remarks and add the requested information, or 
• Remarks or reason codes are misinterpreted

Please make sure to share this important change with your billing representatives and make all necessary changes to your RTP claim to prevent unnecessary rejections.