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In this video tutorial, the presenter explains how to complete a HICFA 1500 claim form, which is used by non-institutional healthcare providers to submit claims, typically electronically. For secondary claims, paper submissions may be required alongside the primary Explanation of Benefits (EOB). The tutorial walks through filling out specific sections of the form: selecting "other" for the type of insurance in box 1, entering the member ID, and providing the patient’s name, date of birth, and gender in boxes 2 and 3. The presenter also discusses filling in the patient's address and phone number in box 5, indicating the patient’s relationship (self in this case) in box 6, and entering the insurance plan name in box 7, along with a query about other health benefit plans.
