What is Activate Default EPS Bearer Context Accept in LTE?

It is the EPS NAS session-management message the UE sends to confirm that the requested default bearer was accepted and activated.

Is this message always sent by itself?

No. During initial attach it is often carried inside Attach Complete. After standalone PDN connectivity it is usually sent alone.

What should I inspect first in this message?

Start with its timing and procedure context, then verify which bearer-activation request it answers.

Why is this message important in troubleshooting?

Because it confirms whether the UE actually completed default bearer activation, which is often the difference between an accepted PDN branch and a retransmitting one.