pay.ahnneighborhood.org Open in urlscan Pro
2606:4700::6811:7676  Public Scan

Submitted URL: http://pay.ahnneighborhood.org/
Effective URL: https://pay.ahnneighborhood.org/
Submission: On November 02 via manual from US — Scanned from DE

Form analysis 11 forms found in the DOM

POST /set-language/

<form action="/set-language/" method="post"><input type="hidden" name="csrfmiddlewaretoken" value="xxdJuxEgDpVn1Wk4ZTHOsbLejUlCjcvYCDQK1R1QWRdpByvjtlLtab0RnSHwB5uq">
  <input type="hidden" name="language" value="en">
  <input type="hidden" name="next" value="/">
  <input tabindex="-1" class="text-0_875 s768:text-1 tracking-0_2 leading-1_5 text-left bg-white capitalize px-24 py-8 w-full border-none hover:bg-gray-f3f4f7  text-primary-3667e9 font-500" type="submit" value="English">
</form>

POST /set-language/

<form action="/set-language/" method="post"><input type="hidden" name="csrfmiddlewaretoken" value="xxdJuxEgDpVn1Wk4ZTHOsbLejUlCjcvYCDQK1R1QWRdpByvjtlLtab0RnSHwB5uq">
  <input type="hidden" name="language" value="es">
  <input type="hidden" name="next" value="/">
  <input tabindex="-1" class="text-0_875 s768:text-1 tracking-0_2 leading-1_5 text-left bg-white capitalize px-24 py-8 w-full border-none hover:bg-gray-f3f4f7 text-gray-65657b" type="submit" value="español">
</form>

POST /set-language/

<form action="/set-language/" method="post"><input type="hidden" name="csrfmiddlewaretoken" value="xxdJuxEgDpVn1Wk4ZTHOsbLejUlCjcvYCDQK1R1QWRdpByvjtlLtab0RnSHwB5uq">
  <input type="hidden" name="language" value="en">
  <input type="hidden" name="next" value="/">
  <input tabindex="-1" class="text-1 bg-white list-style-none my-12 capitalize tracking-0_2 leading-1_25 border-none  text-primary-3667e9 font-500" type="submit" value="English">
</form>

POST /set-language/

<form action="/set-language/" method="post"><input type="hidden" name="csrfmiddlewaretoken" value="xxdJuxEgDpVn1Wk4ZTHOsbLejUlCjcvYCDQK1R1QWRdpByvjtlLtab0RnSHwB5uq">
  <input type="hidden" name="language" value="es">
  <input type="hidden" name="next" value="/">
  <input tabindex="-1" class="text-1 bg-white list-style-none my-12 capitalize tracking-0_2 leading-1_25 border-none text-gray-171731" type="submit" value="español">
</form>

POST /set-language/

<form action="/set-language/" method="post"><input type="hidden" name="csrfmiddlewaretoken" value="xxdJuxEgDpVn1Wk4ZTHOsbLejUlCjcvYCDQK1R1QWRdpByvjtlLtab0RnSHwB5uq">
  <input type="hidden" name="language" value="en">
  <input type="hidden" name="next" value="/">
  <input tabindex="-1" class="text-0_875 s768:text-1 tracking-0_2 leading-1_5 text-left bg-white capitalize px-24 py-8 w-full border-none hover:bg-gray-f3f4f7  text-primary-3667e9 font-500" type="submit" value="English">
</form>

POST /set-language/

<form action="/set-language/" method="post"><input type="hidden" name="csrfmiddlewaretoken" value="xxdJuxEgDpVn1Wk4ZTHOsbLejUlCjcvYCDQK1R1QWRdpByvjtlLtab0RnSHwB5uq">
  <input type="hidden" name="language" value="es">
  <input type="hidden" name="next" value="/">
  <input tabindex="-1" class="text-0_875 s768:text-1 tracking-0_2 leading-1_5 text-left bg-white capitalize px-24 py-8 w-full border-none hover:bg-gray-f3f4f7 text-gray-65657b" type="submit" value="español">
</form>

POST /set-language/

<form action="/set-language/" method="post"><input type="hidden" name="csrfmiddlewaretoken" value="xxdJuxEgDpVn1Wk4ZTHOsbLejUlCjcvYCDQK1R1QWRdpByvjtlLtab0RnSHwB5uq">
  <input type="hidden" name="language" value="en">
  <input type="hidden" name="next" value="/">
  <input tabindex="-1" class="text-1 bg-white list-style-none my-12 capitalize tracking-0_2 leading-1_25 border-none  text-primary-3667e9 font-500" type="submit" value="English">
</form>

POST /set-language/

<form action="/set-language/" method="post"><input type="hidden" name="csrfmiddlewaretoken" value="xxdJuxEgDpVn1Wk4ZTHOsbLejUlCjcvYCDQK1R1QWRdpByvjtlLtab0RnSHwB5uq">
  <input type="hidden" name="language" value="es">
  <input type="hidden" name="next" value="/">
  <input tabindex="-1" class="text-1 bg-white list-style-none my-12 capitalize tracking-0_2 leading-1_25 border-none text-gray-171731" type="submit" value="español">
</form>

POST

<form role="form" method="POST" novalidate="novalidate" class="my-16">
  <input type="hidden" name="csrfmiddlewaretoken" value="xxdJuxEgDpVn1Wk4ZTHOsbLejUlCjcvYCDQK1R1QWRdpByvjtlLtab0RnSHwB5uq">
  <label>
    <div class="mt-24 text-gray-65657b text-0_875 font-500"> Bill ID </div>
    <div class="mt-8 " data-test="index-login-form-bill-id-input">
      <input type="text" name="link_id" id="link_id" class="input" placeholder="0000 - 0000 - 0000" data-validations="required regex=[0-9]{12}" data-name="link_id" pattern="[0-9]*" autocomplete="off" maxlength="14" required="">
    </div>
  </label>
  <label>
    <div class="mt-24 text-gray-65657b text-0_875 font-500"> Patient Date of birth (MM/DD/YYYY) </div>
    <div class="mt-8 " data-test="index-login-form-dob-input">
      <input type="text" name="dob" id="" class="input _dob-l10n" data-name="Date of Birth" data-test="localized-dob-field" data-validations="required regex=\d{1,2}/\d{1,2}/\d{4}" pattern="\d{1,2}/\d{1,2}/\d{4}" placeholder="MM / DD / YYYY"
        autocomplete="off" inputmode="numeric" required="">
    </div>
  </label>
  <button id="verify" type="submit" class="btn btn-primary mt-32" data-test="index-login-form-verify-btn"> View bill </button>
</form>

POST /set-language/

<form action="/set-language/" method="post">
  <input type="hidden" name="csrfmiddlewaretoken" value="xxdJuxEgDpVn1Wk4ZTHOsbLejUlCjcvYCDQK1R1QWRdpByvjtlLtab0RnSHwB5uq">
  <input type="hidden" name="language" value="en">
  <input type="hidden" name="next" value="/">
  <input class="text-left bg-white capitalize px-24 py-8 w-full hover:bg-gray-f3f4f7  text-primary-3667e9 font-500" type="submit" value="English">
</form>

POST /set-language/

<form action="/set-language/" method="post">
  <input type="hidden" name="csrfmiddlewaretoken" value="xxdJuxEgDpVn1Wk4ZTHOsbLejUlCjcvYCDQK1R1QWRdpByvjtlLtab0RnSHwB5uq">
  <input type="hidden" name="language" value="es">
  <input type="hidden" name="next" value="/">
  <input class="text-left bg-white capitalize px-24 py-8 w-full hover:bg-gray-f3f4f7 text-gray-65657b" type="submit" value="español">
</form>

Text Content

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(833) 226-9689
Get Help
English


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Languages



skip to main content
 
(833) 226-9689
Get Help
English


--------------------------------------------------------------------------------

--------------------------------------------------------------------------------

Languages





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Patient Date of birth (MM/DD/YYYY)

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