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In this video tutorial, the presenter demonstrates how to complete a HICFA 1500 claim form, which is utilized by non-institutional health care providers for submitting claims. While most claims are submitted electronically, paper submissions are necessary for secondary claims accompanied by the primary Explanation of Benefits (EOB). The tutorial begins with selecting "other" for insurance type in box 1, as it's a commercial policy. It continues by filling in the member ID in box 2, patient name in box 3, and patient date of birth and gender. Box 5 requires the patient's address and phone number, while box 6 indicates the patient’s relationship, noted as self in this example. If applicable, a different policyholder's information would be entered instead. The video stresses these details while preparing the claim for submission.
