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In this video tutorial, the presenter outlines how to complete a HICFA 1500 claim form, primarily used by non-institutional healthcare providers to submit claims. The majority of claims are submitted electronically, but secondary claims may require paper submission along with the primary Explanation of Benefits (EOB). The tutorial involves filling out a claim for a patient named Edna. Key details include selecting "other" for the insurance type in Box 1, entering Edna's member ID, providing her name and date of birth in Boxes 2 and 3, and completing her address and phone number in Box 5. Box 6 indicates the patient's relationship, which in this case is self, and additional fields involve entering information about any other health benefit plans if applicable.
