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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 healthcare providers to submit their claims. While most claims are submitted electronically, secondary claims may need to be filed on paper. The example provided is for a patient named Edna, with a commercial insurance policy. The tutorial covers filling out specific boxes: Box 1 is marked as "Other" for the insurance type, Box 2 includes the patient's name, Box 3 captures the patient's date of birth and gender, Box 5 requires the patient's address and phone number, and Box 6 indicates the patient relationship (self in this case). If another policyholder was involved, their information would be entered. The tutorial includes filling in the insurance plan name and checks for additional health benefit plans.
