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In this video tutorial, the presenter explains how to complete a HICFA 1500 claim form, utilized by non-institutional health care providers to submit claims. Most claims are submitted electronically, but secondary claims may be submitted on paper with the primary Explanation of Benefits (EOB). The tutorial demonstrates filling out the form using an example for a patient named Edna. Key steps include selecting "Other" for insurance type in box 1, entering member ID in box 2, patient name in box 3, and date of birth and gender in box 5. The presenter's example indicates that the patient is self-insured, so only her information is included, along with the insurance plan name in box 6.
