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In this video tutorial, the presenter demonstrates how to complete a HICFA 1500 claim form, used by non-institutional healthcare providers to submit claims. While most claims are submitted electronically, secondary claims are done on paper with the primary explanation of benefits. The example provided involves a patient named Edna, with the insurance type selected as "other" due to it being a commercial policy. Key details are filled in, including the member ID, patient's name, date of birth, gender, address, phone number, and relationship to the insured. If the patient were not self-insured, information for a different policyholder would be entered. The video emphasizes completing each section accurately, including the insurance plan name and checking for any additional health benefit plans.
