pay.ahnneighborhood.org
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2606:4700::6811:7676
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Submitted URL: http://pay.ahnneighborhood.org/
Effective URL: https://pay.ahnneighborhood.org/
Submission: On November 02 via manual from US — Scanned from DE
Effective URL: https://pay.ahnneighborhood.org/
Submission: On November 02 via manual from US — Scanned from DE
Form analysis
11 forms found in the DOMPOST /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
skip to main content (833) 226-9689 Get Help English -------------------------------------------------------------------------------- -------------------------------------------------------------------------------- Languages skip to main content (833) 226-9689 Get Help English -------------------------------------------------------------------------------- -------------------------------------------------------------------------------- Languages WELCOME TO AHN NEIGHBORHOOD HOSPITAL PAY YOUR MEDICAL BILLS ONLINE EASILY AND SECURELY If you've received a paper bill, you can quickly log in by using the 12-digit Bill ID found at the top of your bill. VIEW YOUR BILL ONLINE Bill ID Patient Date of birth (MM/DD/YYYY) View bill Don't know your Bill ID? Find your account If you've received a paper bill, you can quickly log in by using the 12-digit Bill ID found at the top of your bill. * About * Terms * Privacy -------------------------------------------------------------------------------- English Powered by