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In this video tutorial, the presenter demonstrates how to complete a HICFA 1500 claim form, which is utilized by non-institutional healthcare providers for submitting claims. The presenter primarily submits claims electronically but occasionally uses paper forms for secondary claims alongside the primary Explanation of Benefits (ELB). The example used is for a patient named Edna, beginning with selecting the insurance type in Box 1 as "Other" for commercial policies. Key points include filling out Box 2 with the patient's name, Box 3 with the patient's date of birth and gender, Box 5 with the patient’s address and phone number, and Box 6 indicating the patient relationship as self, while noting the process differs for guarantor situations. Other details such as the insurance plan are also discussed.
