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In this tutorial, the speaker demonstrates how to complete a HICFA 1500 claim form, used by non-institutional healthcare providers to submit claims. Most claims are submitted electronically, but secondary claims may be submitted on paper. The example focuses on a claim for a patient named Edna. The speaker explains how to fill out various sections of the form: Box 1 for insurance type (selecting "other" for a commercial policy), 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 (in this case, "self"). If applicable, information about a different guarantor would be entered instead. The tutorial continues with additional sections of the form.
