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In this video tutorial, the presenter demonstrates how to complete a HICFA 1500 claim form used by non-institutional healthcare providers for claim submissions. The majority of claims are submitted electronically, but secondary claims may require paper submissions with the primary Explanation of Benefits (EOB). The example claim is for a patient named Edna. The tutorial covers filling out various sections of the form: Box 1 indicates the type of insurance as 'Other' for a commercial policy, Box 2 contains the patient's name, Box 3 includes the patient's date of birth and gender, Box 5 records the patient's address and phone number, and Box 6 specifies the patient's relationship to the insured (self in this case). The presenter mentions that information for other policyholders can be added if applicable.
