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In today's tutorial, the video explains how to complete a HICFA 1500 claim form, primarily used by non-institutional healthcare providers for submitting claims. The presenter typically submits claims electronically but mentions the need to file secondary claims on paper with the primary Explanation of Benefits (EOB). The tutorial uses an example involving a patient named Edna, detailing the completion of various boxes on the form. Specifically, box 1 is filled in as "Other" for commercial insurance, followed by entering the member ID, patient's name (box 2), date of birth and gender (box 3), address and phone number (box 5), and patient relationship (box 6). The video clarifies that this example involves the patient being self-insured, filling in her details accordingly.
