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In today's video, the tutorial demonstrates how to complete a HICFA 1500 claim form, which is used by non-institutional health care providers to submit claims. The majority of claims are submitted electronically, but secondary claims may be submitted on paper with the primary explanation of benefits. The tutorial example involves a patient named Edna, with specific instructions for filling out the form. Box 1 requires selecting "other" for her commercial insurance policy. Other details include entering the member ID in Box 2, the patient's name in Box 3, date of birth and gender, address and phone number in Box 5, and relationship in Box 6, which is "self" in this instance. If there were a different policyholder, their information would be entered instead. Finally, Box E addresses whether there is another health benefit plan.
