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In this video tutorial, the presenter explains how to complete a HICFA 1500 claim form, which is used by non-institutional healthcare providers to submit claims. Although most claims are submitted electronically, secondary claims are filed on paper alongside the primary Explanation of Benefits (EOB). The tutorial walks through the process using an example involving a patient named Edna. Key points include selecting "other" for the type of insurance in box one, entering the member ID, filling out patient details in boxes two and three (name, date of birth, gender), providing the address and phone number in box five, and indicating patient relationship in box six, which is "self" in this case. The tutorial also notes the procedure for entering information if the patient is not self-insured.
