Time is a crucial resource that every organization treasures and tries to transform into a gain. In choosing document management software, pay attention to a clutterless and user-friendly interface that empowers consumers. DocHub gives cutting-edge tools to optimize your document managing and transforms your PDF file editing into a matter of a single click. Replace Fillable Fileds from the Accident Medical Claim Form with DocHub in order to save a lot of time and improve your productivity.
Make PDF file editing an simple and easy intuitive operation that helps save you plenty of precious time. Easily modify your files and send out them for signing without turning to third-party solutions. Focus on relevant tasks and improve your document managing with DocHub starting today.
In today's video tutorial, the presenter teaches how to complete a HICFA 1500 claim form, commonly used by non-institutional health care providers for claim submissions. While most claims are submitted electronically, secondary claims may require paper submissions along with the primary ELB. The tutorial uses an example involving a patient named Edna and focuses on filling out specific sections of the form. This includes selecting "Other" under Type of Insurance (Box 1) as it's a commercial policy, entering member ID, patient name (Box 2), date of birth and gender (Box 3), address and phone number (Box 5), and the patient's relationship to the insured (Box 6), identified as "self" in this case. If a different policyholder were involved, their information would be entered accordingly.