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In this tutorial, the presenter demonstrates how to complete a HICFA 1500 claim form, utilized by non-institutional healthcare providers for submitting claims. While most claims are submitted electronically, secondary claims are submitted on paper with the primary Explanation of Benefits (EOB). The example provided is for a patient named Edna, beginning with selecting "Other" in Box 1 for the commercial insurance type. The form is filled out with Edna's member ID in Box 2, her name in Box 3, and her date of birth and gender. Box 5 includes her address and phone number, while Box 6 indicates the patient relationship, which is "self" in this instance. The tutorial also briefly mentions entering information for a guarantor if applicable.
