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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. The focus is on filling out the form for a patient named Edna, with instructions for each box. For box one, the type of insurance is classified as "other," as it's a commercial policy. The member ID is entered, followed by the patient's name in box two, date of birth and gender in box three, and address and phone number in box five. Box six details the patient's relationship to the insured, noted as self in this case. The tutorial clarifies that if there were a different policyholder, their information would be included instead. Finally, it touches on whether there is another health benefit plan involved.
