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In this video tutorial, the presenter explains how to complete a HICFA 1500 claim form, which is used by non-institutional healthcare providers to submit claims. Although the majority of claims are submitted electronically, secondary claims may need to be submitted on paper using the primary EOB. The example provided involves a patient named Edna with a commercial insurance policy. The tutorial covers filling out key sections of the form: Box 1 for insurance type (selecting 'other' for commercial), Box 2 for patient name, Box 3 for patient date of birth and gender, Box 5 for address and phone number, and Box 6 for patient relationship (noting 'self'). If applicable, information about a guarantor is also addressed.
