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In this tutorial, the presenter explains how to complete a HICFA 1500 claim form, which non-institutional healthcare providers use to submit claims. The majority of claims are submitted electronically, but secondary claims may be filed on paper. The video walks through filling out specific sections of the form, starting with selecting "other" for box one to indicate a commercial policy and entering member ID. Box two requires the patient's name, while box three is for their date of birth and gender. Box five collects the patient's address and phone number, and box six indicates the relationship as self. If there was a different policyholder, their information would be entered in box four. Lastly, the video mentions including the insurance plan name in box six and notes a potential need for additional health benefit plans.
