Top 10 Claim Submission Error Analysis Report 2026

Published 04/16/2026

Claims submission errors are those that result in rejected, denied or incorrectly paid claims. Palmetto GBA reviews data analysis of the most frequent collective claims submission errors to identify aberrancies in billing patterns. 

The top ten reason codes for Jurisdiction M Part A are listed by quarter. This information will be beneficial in preventing claim submission errors.

Table 1. Jan. – Mar. 2026
Rank Denial Code Count of Claims with Denial Code Percent of Denied Claims to Total Claims with Any Denial Code Percent of Denied Claims to Total Claims Excluding T-Status Claims
1 31241 75,168 21.6 2.2
2 31324 71,394 20.6 2.1
3 31947 16,083 5.0 0.5
4 38200 13,457 3.8 0.4
5 U5233 13,355 3.9 0.4
6 31837 12,533 3.6 0.4
7 W7112 10,346 3.0 0.3
8 55503 8,643 2.5 0.3
9 39011 7,586 2.2 0.2
10 39929 7,006 2.0 0.2

Was this article helpful?