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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 health care providers to submit insurance claims. The majority of claims are submitted electronically, but secondary claims may require paper submission. The example claim is for a patient named Edna, with the type of insurance indicated as "other" for a commercial policy. Key information filled in includes the member ID, patient name, date of birth, gender, address, phone number, and relationship to the insured. The presenter clarifies that if the patient were not self-insured, the guarantor's information would be entered instead. The insurance plan name and inquiry about other health benefit plans are also addressed in the example.
