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In this video tutorial, the presenter demonstrates how to complete a HICFA 1500 claim form, used by non-institutional healthcare providers for submitting claims. Most claims are submitted electronically, but secondary claims may be filed on paper with the primary Explanation of Benefits (EOB). The tutorial focuses on a claim for a patient named Edna, starting with selecting "Other" for the type of insurance in Box 1, as it is a commercial policy. The presenter fills out essential details such as the member ID, patient name (Box 2), date of birth and gender (Box 3), address and phone number (Box 5), and patient relationship (Box 6) indicating "self." If there were a guarantor, their information would be entered instead. The video also addresses the need for details on additional health benefit plans.
