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In today's video tutorial, the presenter demonstrates how to complete a HICFA 1500 claim form, which is used by non-institutional healthcare providers to submit claims. The majority of claims are submitted electronically, but secondary claims are submitted on paper alongside the primary Explanation of Benefits (EOB). The example provided is for a patient named Edna. The tutorial covers filling out key sections of the form, including selecting "Other" for insurance type in Box 1, entering the member ID, and providing the patient’s name (Box 2), date of birth and gender (Box 3), address and phone number (Box 5), relationship to insured (Box 6), and insurance plan name (Box 7). If there were a different policyholder, their information would be included instead.
