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In this tutorial, the presenter explains how to complete a HICFA 1500 claim form, commonly used by non-institutional healthcare providers to submit claims. While most claims are submitted electronically, secondary claims are sometimes filed on paper with the primary Explanation of Benefits (EOB). The example focuses on a claim for a patient named Edna, detailing steps to fill out the form. Box 1 is selected as "Other" for commercial insurance, followed by entering the member ID. Box 2 captures the patient's name, and Box 3 records the patient's date of birth and gender. Box 5 includes the patient's address and phone number, while Box 6 specifies the relationship as self. If a different policyholder were involved, their information would be added. The video also touches on entering the insurance plan name in Box E and confirming if there's another health benefit plan.
