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In today's video, the tutorial guides viewers on completing a HICFA 1500 claim form, used by non-institutional health care providers to submit claims. The presenter primarily submits claims electronically but explains the process for filing a secondary claim on paper alongside the primary Explanation of Benefits (EOB). The example given is for a patient named Edna with a commercial insurance policy. Key fields filled in the form include: Box 1 (Insurance Type) selected as "Other," Box 2 (Patient Name), Box 3 (Patient Date of Birth and Gender), Box 5 (Patient Address and Phone Number), and Box 6 (Patient Relationship, noted as "Self"). The tutorial emphasizes correctly entering information, especially if a guarantor or different policyholder is involved, but in this case, all data pertains to the patient herself.
