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In today's tutorial, the focus is on completing a HICFA 1500 claim form, commonly used by non-institutional healthcare providers to submit claims. The presenter typically submits claims electronically but explains the process for filing secondary claims on paper using the primary Explanation of Benefits (EOB). The example case involves a patient named Edna, with the presenter going through the necessary details: selecting "other" for the type of insurance in box 1, filling in the member ID in box 2, and entering the patient’s name, date of birth, and gender in box 3. Box 5 is for the patient's address and phone number, and box 6 indicates the patient’s relationship, noted as "self." The presenter highlights that if there were a different policyholder, that information would be entered instead. Finally, the insurance plan name and additional health benefit plan details are addressed in box 7.
