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In this video tutorial, the presenter demonstrates how to complete a HICFA 1500 claim form, which is used by non-institutional healthcare providers for submitting insurance claims. The majority of claims are submitted electronically, but secondary claims are processed on paper. The example provided involves a patient named Edna. The tutorial covers filling out various boxes on the form: Box 1 is for the type of insurance (selected as "other" for a commercial policy), Box 2 is for the patient's name, Box 3 for the patient's date of birth and gender, Box 5 for the address and phone number, and Box 6 for the patient relationship (noting "self" in this case). Additional information about insurance plans and any other health benefits is also discussed.
