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In this video tutorial, the presenter explains how to complete a HICFA 1500 claim form used by non-institutional healthcare providers to submit claims. Although most claims are submitted electronically, paper forms are used for secondary claims accompanied by the primary Explanation of Benefits (EOB). The tutorial uses an example case for a patient named Edna. Key steps include selecting the insurance type in Box 1 (Other for commercial policies), filling in the member ID, and entering the patient's name, date of birth, and gender in Boxes 2 and 3. Box 5 requires the patient's address and phone number, while Box 6 specifies the patient relationship, listed as “self” in this case. The presenter also notes how to handle situations with different policyholders.
