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In this video tutorial, the presenter guides viewers through completing a HICFA 1500 claim form, which non-institutional health care providers use to submit claims. The tutorial focuses on filling the form for a patient named Edna, starting with selecting "other" in box one for the commercial policy. Next, the member ID is entered, followed by the patient's name in box two, date of birth and gender in box three, and contact details in box five. Box six indicates the patient's relationship, labeled as "self" in this case. If the patient had a different policyholder, that information would be entered instead. The tutorial aims to clarify the completion process for both electronic and secondary paper claims.
