Having comprehensive control of your files at any moment is crucial to alleviate your day-to-day tasks and boost your efficiency. Accomplish any objective with DocHub features for document management and hassle-free PDF file editing. Gain access, change and save and integrate your workflows with other secure cloud storage.
DocHub offers you lossless editing, the chance to use any formatting, and securely eSign papers without having looking for a third-party eSignature alternative. Obtain the most of the file management solutions in one place. Consider all DocHub features right now with your free account.
In this video tutorial, the presenter explains how to complete a HICFA 1500 claim form, which is used by non-institutional health care providers to submit claims. Most claims are submitted electronically, but secondary claims may require paper submission alongside the primary Explanation of Benefits (EOB). The tutorial includes specific instructions for filling out various sections of the form: Box 1 for selecting the type of insurance, Box 2 for the patient’s name, Box 3 for the patient’s date of birth and gender, Box 5 for the patient’s address and phone number, and Box 6 for the patient’s relationship to the insured. The example assumes the patient is self-insured, so only her information is entered. The tutorial also touches on Box E for additional health benefit plans.
