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In this video tutorial, the presenter explains how to complete a HICFA 1500 claim form, which is utilized by non-institutional healthcare providers to submit claims. The tutorial primarily covers electronic submissions but addresses paper submissions for secondary claims accompanied by the primary Explanation of Benefits (EOB). Key steps include selecting the insurance type in Box 1, entering the member ID in Box 2, and providing the patient's name, date of birth, gender, address, and phone number in subsequent boxes. The patient's relationship to the insured is noted in Box 6, indicating "self" for this example. Additional details about health benefit plans are also discussed in this instructional context.
