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The video tutorial demonstrates how to complete a HICFA 1500 claim form, commonly used by non-institutional health care providers to submit claims. It emphasizes that while most claims are submitted electronically, secondary claims must be submitted on paper using the primary Explanation of Benefits (EOB). The tutorial proceeds to fill out the form for a patient named Edna, specifying that the insurance type in Box 1 is "Other" for a commercial policy. It covers details for Box 2 (patient name), Box 3 (patient's date of birth and gender), Box 5 (address and phone number), and Box 6 (patient relationship, noted as "self"). The video briefly mentions that if the patient had a different policyholder, their information would be included instead.
