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In this video tutorial, the presenter explains how to complete a HICFA 1500 claim form used by non-institutional healthcare providers for claims submission. The focus is on filling out the form correctly, especially when submitting secondary claims on paper accompanied by the primary Explanation of Benefits (EOB). The example used is for a patient named Edna, where the type of insurance is marked as "Other" for a commercial policy. Key sections filled include Box 1 for member ID, Box 2 for the patient's name, Box 3 for date of birth and gender, Box 5 for address and phone number, and Box 6 for patient relationship, which, in this case, is "self." The tutorial also addresses how to enter information if there is a different policyholder.
