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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 emphasis is on electronic submissions, although paper claims may be necessary for secondary submissions. The example provided involves a claim for a patient named Edna, with details on how to fill out various sections of the form. Box 1 indicates the type of insurance, categorized as "other" for a commercial policy. The presenter then fills in Box 2 with the patient's name, Box 3 with the patient's date of birth and gender, Box 5 with the patient's address and phone number, and Box 6 with the patient’s relationship to the insured, which is self in this case. Additional details, like the insurance plan name, are also discussed.
