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In today's video tutorial, the presenter demonstrates how to complete a HICFA 1500 claim form, commonly used by non-institutional healthcare providers for claims submission. While most claims are submitted electronically, secondary claims are submitted on paper. The example case involves a patient named Edna, with the insurance type selected as "Other" under box one, in this instance representing a commercial policy. Key details such as member ID, patient name, date of birth, gender, address, and phone number are filled in accordingly. The relationship of the patient is noted as 'self' in box 6, with information provided for the insurance plan name. The video aims to guide viewers through the form-filling process step-by-step.
