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In this video tutorial, the presenter explains how to complete a HICFA 1500 claim form, which is utilized by non-institutional healthcare providers to submit claims. While most claims are submitted electronically, secondary claims may require paper submission along with the primary Explanation of Benefits (EOB). The tutorial demonstrates filling out various sections of the form, starting with box one to select the type of insurance as "Other" for a commercial policy. Details for box two include the patient's name, followed by the date of birth and gender in box three. Box five requires the patient's address and phone number, while box six indicates the patient's relationship to the policyholder, labeled as "self" in this example, with information to be filled out accordingly for any different guarantor.
