Claim
Sun Life claim for Mei Chen
Statusawaiting approval
Amount$685.00
Ready-to-submit sheet (key these into the TELUS portal)
| Field | Value |
|---|---|
| Insurer | Sun Life |
| Policy / group number | G-104477 |
| Member ID | 883120 |
| Patient is | self |
| Patient | Mei Chen |
| Patient date of birth | 1992-01-13 |
| Date of service | 2026-10-08 |
| Prescription date | 2026-09-28 |
| Item 1 | Progressive lenses: $420.00 |
| Item 2 | Frame: $265.00 |
| Total | $685.00 |