Claim
Manulife claim for Jack Murphy
Statussubmitted
Amount$180.00
TELUS claim #TEL-2026-118734
Ready-to-submit sheet (key these into the TELUS portal)
| Field | Value |
|---|---|
| Insurer | Manulife |
| Policy / group number | M-55021 |
| Member ID | 77-0193 |
| Patient is | spouse |
| Patient | Jack Murphy |
| Patient date of birth | 1981-08-20 |
| Date of service | 2026-09-18 |
| Item 1 | Single vision lenses: $180.00 |
| Total | $180.00 |