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In this video tutorial, the presenter demonstrates how to complete a HICFA 1500 claim form, which is used by non-institutional healthcare providers to submit claims. The focus is on electronic submissions, although secondary claims are submitted on paper. The example used is for a patient named Edna, with the first step involving selecting "Other" for the insurance type in box one, indicating a commercial policy. The presenter proceeds to fill out the claim, including the member ID in box two, patient name in box three, and date of birth and gender. Further details provided include the patient's address, phone number, relationship, and insurance plan name, with emphasis on entering the correct information for the self-insured patient.