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In this tutorial video, the presenter demonstrates how to complete a HICFA 1500 claim form, which non-institutional healthcare providers use to submit claims. While most claims are submitted electronically, secondary claims may require paper submission along with the primary Explanation of Benefits (EOB). The example claims are for a patient named Edna. Key details include: for Box 1, selecting "Other" for commercial insurance; Box 2 for the patient's name; Box 3 for the patient's date of birth and gender; Box 5 for the address and phone number; and Box 6 for the patient's relationship to the insured, noted as 'self' in this case. The presenter also discusses entering information if the patient has a different policyholder.
