Having full power over your files at any time is vital to ease your everyday duties and improve your productivity. Accomplish any objective with DocHub tools for papers management and hassle-free PDF file editing. Gain access, change and save and integrate your workflows along with other secure cloud storage.
DocHub gives you lossless editing, the opportunity to work with any format, and safely eSign papers without the need of searching for a third-party eSignature option. Obtain the most of your file managing solutions in one place. Check out all DocHub features today with the free of charge profile.
in todays video I want to show you how to complete a hicfa 1500 claim form this form is used by any non institutional health care provider to submit their claims the majority of the claims I submit are electronically but if I have to submit a secondary claim it will be on paper with the primary ELB so lets get started this claim is going to edna the type of insurance is for box one so were going to select other since its a commercial policy and then well fill in the member ID insured by d box 2 is the patient name and box 3 is patient date of birth and gender box 5 is the address and phone number box 6 patient relationship - in short in this example is self so one box for were going to fill in her information again if the patient was not self insured if there was a guarantor of a different policyholder we would enter their information here but again this example is self so were putting in her information Roxie insurance plan name e is there another health benefit plan in this e
