Reason Code Guidance - JF Part A
Reason Code Guidance
Below are some of the most common claim submission error codes. Click on the links to read the error code descriptions and their solutions. This page is not a comprehensive list of reason codes, of which several thousand exist. Direct Data Entry (DDE) system users can find the definition of any reason code by using shortcut (SC) 56.
- 11503
- 11701
- 12205
- 12206
- 15202 - Hospital Inpatient
- 15202 - Skilled Nursing Facility
- 17701
- 19301
- 30004
- 30905
- 30912
- 30940
- 30955
- 31023
- 31241
- 31265
- 31324
- 31337
- 31409
- 31577
- 31814
- 31947
- 31997
- 32402
- 32403
- 32404
- 34072
- 34538
- 34540
- 34545
- 34931
- 34963
- 34977
- 34978
- 36620
- 37022
- 37112
- 37116
- 37537
- 37538
- 37541
- 37544
- 38038
- 38105
- 38117
- 38119
- 38200
- 39011
- 39621
- 39721
- 51MUE
- 52MUE
- 53MUE
- 54MUE
- 54NCD
- 55405
- 55406
- 55500
- 56900
- 5J504
- 5LPDN
- 5NPDN
- 7MOLD
- 7NDOC
- 7OUTI
- 7R042
- 7R046
- 7R139
- 7R176
- 7THER
- C5460
- C5461
- C5462
- C5463
- C5464
- C5467
- C5468
- C5469
- C546D
- C5470
- C547D
- C7010
- C7080
- C7111
- C7113
- C7114
- C7251
- C7252
- C7272
- C7565
- C7715
- E2307
- E7272
- U5210
- U5211
- U5233
- U538H
- U6805
- U6825
- U680A
- U680B
- U680D
- U680E
- U680G
- U680H
- U680L
- W7001
- W7002
- W7003
- W7006
- W7007
- W7008
- W7023
- W7025
- W7026
- W7029
- W7030
- W7031
- W7040
- W7042
- W7047
- W7048
- W7049
- W7061
- W7065
- W7088
- W7089
- W7106
Last Updated Dec 09 , 2023
