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In this video tutorial, the presenter demonstrates how to complete a HICFA 1500 claim form, which is used by non-institutional health care providers to submit claims. The majority of claims are submitted electronically, but secondary claims may be submitted on paper. The example used involves a patient named Edna. The presenter outlines filling out various fields in the form, including box 1 (insurance type), box 2 (patient's name), box 3 (date of birth and gender), box 5 (address and phone number), and box 6 (relationship to the insured, noted as "self" in this case). If there were a different policyholder, their information would be included instead. The process continues with filling out the insurance plan name and inquiring about any additional health benefit plans.