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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 for submitting claims. While most claims are submitted electronically, secondary claims are often sent on paper. The example provided involves a patient named Edna. The presenter explains filling out Box 1 with "Other" for the commercial insurance type, followed by the member ID. Box 2 requires the patient's name, while Box 3 collects the patient's date of birth and gender. Box 5 takes the address and phone number, and Box 6 indicates the patient's relationship to the insured; in this case, it's self. If there was another policyholder, their information would be included instead. Finally, Box E pertains to whether there is another health benefit plan.
