yourhealthbill.com
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34.238.73.233
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Submitted URL: http://yourhealthbill.com/i/X4OWVD6b
Effective URL: https://yourhealthbill.com/
Submission: On June 09 via manual from US — Scanned from DE
Effective URL: https://yourhealthbill.com/
Submission: On June 09 via manual from US — Scanned from DE
Form analysis 1 forms found in the DOM
<form _ngcontent-dil-c83="" novalidate="" class="ng-untouched ng-pristine ng-invalid">
<div _ngcontent-dil-c83="" class="form-fields">
<div _ngcontent-dil-c83="" class="header">
<h1 _ngcontent-dil-c83="" class="header-title">Welcome SOFIA!</h1>
</div><!----><!----><mat-form-field _ngcontent-dil-c83="" appearance="outline"
class="mat-form-field ng-tns-c79-1 mat-primary mat-form-field-type-mat-input mat-form-field-appearance-outline mat-form-field-can-float mat-form-field-has-label mat-form-field-hide-placeholder ng-untouched ng-pristine ng-invalid ng-star-inserted">
<div class="mat-form-field-wrapper ng-tns-c79-1">
<div class="mat-form-field-flex ng-tns-c79-1">
<div class="mat-form-field-outline ng-tns-c79-1 ng-star-inserted">
<div class="mat-form-field-outline-start ng-tns-c79-1" style="width: 5.5px;"></div>
<div class="mat-form-field-outline-gap ng-tns-c79-1" style="width: 79.75px;"></div>
<div class="mat-form-field-outline-end ng-tns-c79-1"></div>
</div>
<div class="mat-form-field-outline mat-form-field-outline-thick ng-tns-c79-1 ng-star-inserted">
<div class="mat-form-field-outline-start ng-tns-c79-1" style="width: 5.5px;"></div>
<div class="mat-form-field-outline-gap ng-tns-c79-1" style="width: 79.75px;"></div>
<div class="mat-form-field-outline-end ng-tns-c79-1"></div>
</div><!----><!----><!---->
<div class="mat-form-field-infix ng-tns-c79-1"><input _ngcontent-dil-c83="" matinput="" type="tel" maxlength="14" minlength="14" phonenumberformatter="" formcontrolname="phone" id="phone"
class="mat-input-element mat-form-field-autofill-control ng-tns-c79-1 ng-untouched ng-pristine ng-invalid cdk-text-field-autofill-monitored" data-placeholder="Enter Your Phone Number" aria-invalid="false" aria-required="false"><span
class="mat-form-field-label-wrapper ng-tns-c79-1"><label class="mat-form-field-label ng-tns-c79-1 mat-empty mat-form-field-empty ng-star-inserted" id="mat-form-field-label-1" for="phone" aria-owns="phone"><!----><mat-label
_ngcontent-dil-c83="" class="ng-tns-c79-1 ng-star-inserted">Phone Number</mat-label><!----><!----></label><!----></span></div><!---->
</div><!---->
<div class="mat-form-field-subscript-wrapper ng-tns-c79-1"><!---->
<div class="mat-form-field-hint-wrapper ng-tns-c79-1 ng-trigger ng-trigger-transitionMessages ng-star-inserted" style="opacity: 1; transform: translateY(0%);"><!---->
<div class="mat-form-field-hint-spacer ng-tns-c79-1"></div>
</div><!---->
</div>
</div>
</mat-form-field><!----><mat-form-field _ngcontent-dil-c83="" appearance="outline"
class="mat-form-field ng-tns-c79-2 mat-primary mat-form-field-type-mat-input mat-form-field-appearance-outline mat-form-field-can-float mat-form-field-has-label mat-form-field-hide-placeholder ng-untouched ng-pristine ng-invalid ng-star-inserted">
<div class="mat-form-field-wrapper ng-tns-c79-2">
<div class="mat-form-field-flex ng-tns-c79-2">
<div class="mat-form-field-outline ng-tns-c79-2 ng-star-inserted">
<div class="mat-form-field-outline-start ng-tns-c79-2" style="width: 5.5px;"></div>
<div class="mat-form-field-outline-gap ng-tns-c79-2" style="width: 68.5px;"></div>
<div class="mat-form-field-outline-end ng-tns-c79-2"></div>
</div>
<div class="mat-form-field-outline mat-form-field-outline-thick ng-tns-c79-2 ng-star-inserted">
<div class="mat-form-field-outline-start ng-tns-c79-2" style="width: 5.5px;"></div>
<div class="mat-form-field-outline-gap ng-tns-c79-2" style="width: 68.5px;"></div>
<div class="mat-form-field-outline-end ng-tns-c79-2"></div>
</div><!----><!----><!---->
<div class="mat-form-field-infix ng-tns-c79-2"><input _ngcontent-dil-c83="" matinput="" type="tel" maxlength="10" minlength="10" appdateformatter="" formcontrolname="dob" id="dob"
class="mat-input-element mat-form-field-autofill-control ng-tns-c79-2 ng-untouched ng-pristine ng-invalid cdk-text-field-autofill-monitored" data-placeholder="" aria-invalid="false" aria-required="false"><span
class="mat-form-field-label-wrapper ng-tns-c79-2"><label class="mat-form-field-label ng-tns-c79-2 mat-empty mat-form-field-empty ng-star-inserted" id="mat-form-field-label-3" for="dob" aria-owns="dob"><!----><mat-label
_ngcontent-dil-c83="" class="ng-tns-c79-2 ng-star-inserted">Date of Birth</mat-label><!----><!----></label><!----></span></div><!---->
</div><!---->
<div class="mat-form-field-subscript-wrapper ng-tns-c79-2"><!---->
<div class="mat-form-field-hint-wrapper ng-tns-c79-2 ng-trigger ng-trigger-transitionMessages ng-star-inserted" style="opacity: 1; transform: translateY(0%);"><!---->
<div class="mat-form-field-hint-spacer ng-tns-c79-2"></div>
</div><!---->
</div>
</div>
</mat-form-field><!----><mat-form-field _ngcontent-dil-c83="" appearance="outline" id="passcode"
class="mat-form-field ng-tns-c79-3 mat-primary mat-form-field-type-mat-input mat-form-field-appearance-outline mat-form-field-can-float mat-form-field-should-float mat-form-field-has-label mat-form-field-disabled ng-untouched ng-pristine ng-star-inserted">
<div class="mat-form-field-wrapper ng-tns-c79-3">
<div class="mat-form-field-flex ng-tns-c79-3">
<div class="mat-form-field-outline ng-tns-c79-3 ng-star-inserted">
<div class="mat-form-field-outline-start ng-tns-c79-3" style="width: 5.5px;"></div>
<div class="mat-form-field-outline-gap ng-tns-c79-3" style="width: 113.5px;"></div>
<div class="mat-form-field-outline-end ng-tns-c79-3"></div>
</div>
<div class="mat-form-field-outline mat-form-field-outline-thick ng-tns-c79-3 ng-star-inserted">
<div class="mat-form-field-outline-start ng-tns-c79-3" style="width: 5.5px;"></div>
<div class="mat-form-field-outline-gap ng-tns-c79-3" style="width: 113.5px;"></div>
<div class="mat-form-field-outline-end ng-tns-c79-3"></div>
</div><!----><!----><!---->
<div class="mat-form-field-infix ng-tns-c79-3"><input _ngcontent-dil-c83="" matinput="" type="text" maxlength="10" minlength="10" appdateformatter="" formcontrolname="passcode" id="passcode" readonly="true"
class="mat-input-element mat-form-field-autofill-control ng-tns-c79-3 ng-untouched ng-pristine cdk-text-field-autofill-monitored" disabled="" aria-describedby="mat-hint-0" aria-invalid="false" aria-required="false"><span
class="mat-form-field-label-wrapper ng-tns-c79-3"><label class="mat-form-field-label ng-tns-c79-3 ng-star-inserted" id="mat-form-field-label-5" for="passcode" aria-owns="passcode"><!----><mat-label _ngcontent-dil-c83=""
class="ng-tns-c79-3 ng-star-inserted">Your secure passcode</mat-label><!----><!----></label><!----></span></div>
<div class="mat-form-field-suffix ng-tns-c79-3 ng-star-inserted"><mat-icon _ngcontent-dil-c83="" role="img" matsuffix="" class="mat-icon notranslate material-icons mat-icon-no-color ng-tns-c79-3" style="color: #4caf50;" aria-hidden="true"
data-mat-icon-type="font">check_circle</mat-icon></div><!---->
</div><!---->
<div class="mat-form-field-subscript-wrapper ng-tns-c79-3"><!---->
<div class="mat-form-field-hint-wrapper ng-tns-c79-3 ng-trigger ng-trigger-transitionMessages ng-star-inserted" style="opacity: 1; transform: translateY(0%);"><!----><mat-hint _ngcontent-dil-c83="" class="mat-hint ng-tns-c79-3"
id="mat-hint-0">This passcode is unique to you and is non-editable</mat-hint>
<div class="mat-form-field-hint-spacer ng-tns-c79-3"></div>
</div><!---->
</div>
</div>
</mat-form-field><!----><button _ngcontent-dil-c83="" mat-flat-button="" color="primary" type="submit" class="mat-focus-indicator login-btn mat-flat-button mat-button-base mat-primary mat-button-disabled" disabled="true"><span
class="mat-button-wrapper"> Login </span><span matripple="" class="mat-ripple mat-button-ripple"></span><span class="mat-button-focus-overlay"></span></button>
</div>
</form>Text Content
languageEnglishkeyboard_arrow_down help REVIEW YOUR MEDICAL BILL Access details about your medical bill 24x7x365. MAKE A PAYMENT Pay your medical bills with ease using a credit card or ACH transfer. SEE YOUR PAYMENT HISTORY Access your payment history and receipts anytime. NEED HELP? Please call the billing office of Liberty Anesthesia Consultants at (949) 588-2190 WELCOME SOFIA! Phone Number Date of Birth Your secure passcode check_circle This passcode is unique to you and is non-editable Login by Raxia provides digital payment solutions to healthcare providers. All rights reserved. Privacy PolicyTerms of Use FAQShelp