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In today's video, the tutorial demonstrates how to complete a HICFA 1500 claim form, utilized by non-institutional healthcare providers for claims submission. The presenter typically submits claims electronically but may submit a paper claim for secondary claims using the primary Explanation of Benefits (EOB). The tutorial uses an example involving a patient named Edna, guiding viewers through the process: selecting "other" for the insurance type in Box 1, entering the member ID, and filling in patient information in Boxes 2 (name), 3 (date of birth and gender), 5 (address and phone number), and 6 (relationship). The example assumes self-insurance, so only Edna's information is entered. Additionally, it queries if there is another health benefit plan involved.
