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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 to submit claims. While most claims are submitted electronically, secondary claims may need to be submitted on paper. The tutorial walks through filling out key sections of the form, starting with selecting "Other" for box one, as the insurance type is a commercial policy. The presenter fills out the member ID, patient name (box 2), date of birth and gender (box 3), address and phone number (box 5), and relationship to the insured (box 6), noting that in this example, the patient is self-insured. The video continues with further details on the insurance plan.
