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In this video tutorial, the process for completing a HICFA 1500 claim form is explained, primarily used by non-institutional health care providers for claims submission. The tutorial starts by mentioning that most claims are submitted electronically, while secondary claims may require paper submission with the primary Explanation of Benefits (EOB). The example given is for a patient named Edna with a commercial insurance policy. Key fields detailed include selecting "other" for insurance type in Box 1, filling in the member ID, the patient's name (Box 2), date of birth, and gender (Box 3), as well as the address and phone number (Box 5). The patient's relationship is marked as 'self' in Box 6, and additional information is provided regarding entering guarantor details if applicable. The tutorial emphasizes the importance of accurate information for successful claim submission.
