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In the video tutorial, the presenter explains how to complete a HICFA 1500 claim form, used by non-institutional healthcare providers for submitting claims. Most claims are submitted electronically, but secondary claims are sometimes submitted on paper. The example claim is for a patient named Edna, and the presenter demonstrates filling out various boxes: Box 1 indicates the type of insurance as "Other" for a commercial policy; Box 2 includes the patient’s name; Box 3 has the patient's date of birth and gender; Box 5 covers the patient's address and phone number; Box 6 denotes the patient’s relationship as “self.” The presenter highlights that if there were a different policyholder, their information would be entered instead, but in this case, it’s all for Edna.
