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In today's video, the tutorial demonstrates how to complete a HICFA 1500 claim form, which is used by non-institutional health care providers to submit claims. While most claims are submitted electronically, secondary claims are submitted on paper with the primary explanation of benefits (EOB). The example focuses on a claim for a patient named Edna, with the insurance type selected as "Other" for a commercial policy. Key sections filled out include: Box 1 for member ID, Box 2 for the patient's name, Box 3 for date of birth and gender, Box 5 for the patient's address and phone number, and Box 6 for the patient's relationship, which is noted as "self." If there were a different policyholder, their information would be entered instead. The tutorial also mentions inquiries regarding additional health benefit plans.
