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In this video tutorial, the presenter explains how to complete a HICFA 1500 claim form used by non-institutional health care providers to submit claims. Most claims are submitted electronically, but paper submissions are used for secondary claims alongside the primary Explanation of Benefits (EOB). The tutorial demonstrates filling out various sections of the form: Box 1 is for insurance type, selecting "Other" for a commercial policy; Box 2 includes the patient's name; Box 3 requires the patient's date of birth and gender; Box 5 captures the patient's address and phone number; and Box 6 indicates the patient’s relationship to the insured, which in this case is "self." The presenter also notes scenarios involving guarantors if the insured is not the patient.
