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In today's video, we learn how to fill out a HICFA 1500 claim form, used by non-institutional healthcare providers. Most claims are submitted electronically, but secondary claims are done on paper with the primary EOB. The claim is addressed to Edna with a commercial policy. Fill in member ID, patient name, date of birth, and gender. Address, phone number, and patient relationship (self) in boxes 5, 6, and 8. Provider of insurance is Roxie, enter additional plan info if needed.
