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In today's video, the tutorial demonstrates how to complete a HICFA 1500 claim form for non-institutional health care providers submitting claims, usually electronically, but occasionally on paper for secondary claims. The example used is for a patient named Edna, selecting "Other" in Box 1 as the type of insurance, which is a commercial policy. The tutorial guides viewers to fill in the member ID, patient's name (Box 2), date of birth and gender (Box 3), address and phone number (Box 5), and patient relationship status as self (Box 6). If the patient had a different policyholder, that information would be entered. Lastly, the tutorial notes the requirement to indicate if there is another health benefit plan in Box E.
