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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
Reject reason codes
A status R claim is a claim that was rejected for reasons such as Medicare eligibility, billing issues like overlapping with another provider’s claim, Medicare Secondary Payer (MSP) provisions, duplicate claims or claims that failed the timeliness requirements.
Use the links on this page to avoid common denials and claims rejections.