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In this video tutorial, the speaker demonstrates how to complete a HICFA 1500 claim form used by non-institutional health care providers for submitting claims. While most claims are submitted electronically, secondary claims are submitted on paper with the primary Explanation of Benefits (EOB). The tutorial walks through the form step-by-step, starting with selecting "Other" for the type of insurance in box 1, filling in the member ID, and entering the patient's name (box 2), date of birth and gender (box 3), and address with phone number (box 5). Box 6 captures the patient's relationship, which is "self" in this case. If there were a guarantor or different policyholder, their information would be entered instead. The tutorial continues by addressing the insurance plan name in box 7.