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In this video tutorial, the presenter explains how to complete a HICFA 1500 claim form, used by non-institutional health care providers to submit claims. Primarily submitted electronically, paper claims are used for secondary submissions along with the primary explanation of benefits (EOB). The tutorial includes a step-by-step demonstration, starting with box 1 by selecting "other" for the insurance type, indicating a commercial policy. The presenter fills out the member ID, patient name (box 2), date of birth and gender (box 3), and patient address and phone number (box 5). Box 6 details the patient's relationship, which is "self" for this example. The tutorial continues by entering the insurance plan name and checking for additional health benefit plans.
