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In today's video tutorial, the focus is on completing a HICFA 1500 claim form, which non-institutional health care providers use to submit claims. Although most claims are submitted electronically, secondary claims may be submitted on paper alongside the primary Explanation of Benefits (EOB). The example used is for a patient named Edna. Key sections covered include: Box 1 for insurance type (selecting "other" for a commercial policy), Box 2 for the patient’s name, Box 3 for their date of birth and gender, Box 5 for the address and phone number, Box 6 for the patient’s relationship to the insured (noting "self" in this case), and Box 7 asking about other health benefit plans. The form is filled out with Edna's personal and insurance information for accurate processing.
