uhg-emsegwpqa.simplifyhealthcare.com Open in urlscan Pro
20.49.104.42  Public Scan

Submitted URL: http://uhg-emsegwpqa.simplifyhealthcare.com/
Effective URL: https://uhg-emsegwpqa.simplifyhealthcare.com/
Submission: On February 13 via api from US — Scanned from DE

Form analysis 1 forms found in the DOM

POST /

<form action="/" class="form-signin" method="post"><input name="__RequestVerificationToken" type="hidden" value="xkWqfLi1-pU_ZlTDK0M6f5ZERP8zOFAqEDVjuB20vgW0RWpEd4TQ9w5on-Bvz0tr97Ca0lHrlU1B58dsQ6PO84TQPV3qIZ9tzw1gxu7eGPs1">
  <div class="text-center client-logo">
    <a href="/">
                        <img src="/Content/css/custom-theme/images/eMS-logo-vertical.png" title="eMedicareSync" alt="eMedicareSync">
                    </a>
  </div>
  <div class="form-group">
    <input class="form-control ebs-form-contol login-form-control" data-val="true" data-val-required="The User name field is required." id="UserName" name="UserName" placeholder="Email Id/ User name" tabindex="1" type="text" value="">
    <span class="help-block">
      <span class="field-validation-valid help-inline" data-valmsg-for="UserName" data-valmsg-replace="true"></span>
    </span>
  </div>
  <div class="form-group">
    <input class="form-control ebs-form-contol login-form-control" data-val="true" data-val-required="The Password field is required." id="Password" name="Password" placeholder="Password" tabindex="2" type="password">
    <span class="help-block">
      <span class="field-validation-valid help-inline" data-valmsg-for="Password" data-valmsg-replace="true"></span>
    </span>
    <a href="/Account/ChangePassword" class="forgot-password pull-right">
                    <i data-toggle="tooltip" class="material-icons" data-original-title="Change Password"> help </i>
                </a>
  </div>
  <div class="form-group">
    <div class="select-wrapper block">
      <select class="form-control ebs-form-contol login-form-control" id="StartIN" name="StartIN" placeholder="Landing Page" tabindex="3">
        <option>Dashboard</option>
        <option>Portfolio Search</option>
        <option>Account Search</option>
      </select>
      <span class="help-block">
        <span class="field-validation-valid help-inline" data-valmsg-for="StartIN" data-valmsg-replace="true"></span>
      </span>
    </div>
  </div>
  <button class="btn btn-lg btn-primary btn-block btn-signin" type="submit" tabindex="3">Get Started</button>
</form>

Text Content

help
Dashboard Portfolio Search Account Search
Get Started