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In this tutorial, the presenter explains how to complete a HICFA 1500 claim form, primarily used by non-institutional healthcare providers to submit claims. While most claims are submitted electronically, secondary claims may require a paper submission with the primary explanation of benefits (EOB). The example focuses on a patient named Edna, with the following entries: Box 1 for insurance type ("Other" for a commercial policy), member ID in Box 2, and Box 3 contains the patient's name, date of birth, and gender. Box 5 is filled with the patient's address and phone number, while Box 6 indicates the relationship (self in this case). The tutorial emphasizes entering the correct information and addresses scenarios involving different policyholders if necessary.
