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In today's video tutorial, the presenter demonstrates how to complete a HICFA 1500 claim form, commonly used by non-institutional healthcare providers to submit claims. The focus is on preparing for electronic submissions, but secondary claims will be processed on paper alongside the primary Explanation of Benefits (EOB). The example claim is for a patient named Edna, with a commercial insurance policy. Key sections covered include selecting the type of insurance in Box 1, filling in the member ID, and entering patient details in Boxes 2 (name), 3 (date of birth and gender), 5 (address and phone number), and 6 (relationship, specified as self). The presenter also mentions the inclusion of information for any alternative policyholder if applicable.
