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In this video tutorial, the presenter demonstrates how to complete a HICFA 1500 claim form, commonly used by non-institutional healthcare providers for submitting claims. While the majority of claims are submitted electronically, paper submissions are required for secondary claims alongside the primary explanation of benefits (EOB). The tutorial proceeds by filling out necessary fields on the form, starting with Box 1 selecting "Other" for commercial policy insurance type, followed by entering the member ID. Box 2 requires the patient’s name, Box 3 captures the date of birth and gender, Box 5 includes the patient's address and phone number, and Box 6 indicates the patient’s relationship to the insured, which is “self” in this example. If applicable, information for a guarantor would be entered instead. The tutorial mentions filling out the insurance plan name in Box E for additional health benefit plans.
