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In this tutorial, the presenter explains how to complete a HICFA 1500 claim form, used by non-institutional health care providers to submit claims. While most claims are submitted electronically, secondary claims may require paper submission. The example used is for a patient named Edna with a commercial insurance policy. The video covers filling out various sections: Box 1 for the type of insurance (selecting "Other"), Box 2 for the patient's name, Box 3 for their date of birth and gender, Box 5 for the patient's address and phone number, and Box 6 for the patient’s relationship to the insured (noting that Edna is self-insured). Additional details about the insurance plan and any other health benefit plans are also mentioned.
