lifebridge.simpleepay.com
Open in
urlscan Pro
2606:4700:4400::6812:2b13
Public Scan
Submitted URL: https://a.smpp.me/Ge785V
Effective URL: https://lifebridge.simpleepay.com/app/login/lifebridge?bill_id=1134260&utm_campaign=lifebridge&utm_content=hanks&utm_medium=sms&ut...
Submission: On June 14 via manual from US — Scanned from DE
Effective URL: https://lifebridge.simpleepay.com/app/login/lifebridge?bill_id=1134260&utm_campaign=lifebridge&utm_content=hanks&utm_medium=sms&ut...
Submission: On June 14 via manual from US — Scanned from DE
Form analysis 1 forms found in the DOM
<form>
<div class="MuiGrid-root MuiGrid-container MuiGrid-spacing-xs-2 MuiGrid-direction-xs-column css-su6uu9">
<div class="MuiGrid-root MuiGrid-item css-1wxaqej">
<div data-testid="zip">
<div class="MuiFormControl-root MuiFormControl-fullWidth MuiTextField-root css-feqhe6" background="[object Object]"><label
class="MuiFormLabel-root MuiInputLabel-root MuiInputLabel-formControl MuiInputLabel-animated MuiInputLabel-sizeMedium MuiInputLabel-standard MuiFormLabel-colorPrimary Mui-required MuiInputLabel-root MuiInputLabel-formControl MuiInputLabel-animated MuiInputLabel-sizeMedium MuiInputLabel-standard css-13sn9e4"
data-shrink="false" for="zip-auth" id="zip-auth-label">Guarantor Zip Code<span aria-hidden="true" class="MuiFormLabel-asterisk MuiInputLabel-asterisk css-ihp4ni"> *</span></label>
<div class="MuiInputBase-root MuiInput-root MuiInput-underline MuiInputBase-colorPrimary MuiInputBase-fullWidth MuiInputBase-formControl css-e1omqe"><input aria-invalid="false" autocomplete="off" id="zip-auth" name="zip" required=""
type="text" inputmode="numeric" class="MuiInputBase-input MuiInput-input css-mnn31" value=""></div>
</div>
</div>
</div>
<div class="MuiGrid-root MuiGrid-item css-1wxaqej">
<div class="MuiFormControl-root MuiFormControl-fullWidth MuiTextField-root sc-ggpjZQ hnqAQP css-feqhe6" data-testid="dob-picker" inputmode="text" background="[object Object]"><label
class="MuiFormLabel-root MuiInputLabel-root MuiInputLabel-formControl MuiInputLabel-animated MuiInputLabel-sizeMedium MuiInputLabel-standard MuiFormLabel-colorPrimary MuiInputLabel-root MuiInputLabel-formControl MuiInputLabel-animated MuiInputLabel-sizeMedium MuiInputLabel-standard css-13sn9e4"
data-shrink="false" for="dob-picker" id="dob-picker-label">Patient or Guarantor Date Of Birth</label>
<div class="MuiInputBase-root MuiInput-root MuiInput-underline MuiInputBase-colorPrimary MuiInputBase-fullWidth MuiInputBase-formControl MuiInputBase-adornedEnd css-e1omqe"><input aria-invalid="false" autocomplete="off" id="dob-picker"
name="dateOfBirth" placeholder="mm/dd/yyyy" type="tel" class="MuiInputBase-input MuiInput-input MuiInputBase-inputAdornedEnd css-mnn31" value="">
<div class="MuiInputAdornment-root MuiInputAdornment-positionEnd MuiInputAdornment-standard MuiInputAdornment-sizeMedium css-1nvf7g0"><button
class="MuiButtonBase-root MuiIconButton-root MuiIconButton-edgeEnd MuiIconButton-sizeMedium css-pyn50l" tabindex="0" type="button" aria-label="Choose date"><svg class="MuiSvgIcon-root MuiSvgIcon-fontSizeMedium css-1857714"
focusable="false" aria-hidden="true" viewBox="0 0 24 24" data-testid="CalendarIcon">
<path d="M17 12h-5v5h5v-5zM16 1v2H8V1H6v2H5c-1.11 0-1.99.9-1.99 2L3 19c0 1.1.89 2 2 2h14c1.1 0 2-.9 2-2V5c0-1.1-.9-2-2-2h-1V1h-2zm3 18H5V8h14v11z"></path>
</svg><span class="MuiTouchRipple-root css-w0pj6f"></span></button></div>
</div>
</div>
</div>
<div class="MuiGrid-root MuiGrid-item css-1wxaqej"><label class="MuiFormControlLabel-root MuiFormControlLabel-labelPlacementEnd loginRememberMe css-1jaw3da"><span
class="MuiButtonBase-root MuiCheckbox-root MuiCheckbox-colorSecondary MuiCheckbox-sizeMedium PrivateSwitchBase-root MuiCheckbox-root MuiCheckbox-colorSecondary MuiCheckbox-sizeMedium MuiCheckbox-root MuiCheckbox-colorSecondary MuiCheckbox-sizeMedium css-1agmama"><input
class="PrivateSwitchBase-input css-1m9pwf3" type="checkbox" data-indeterminate="false"><svg class="MuiSvgIcon-root MuiSvgIcon-fontSizeMedium css-1857714" focusable="false" aria-hidden="true" viewBox="0 0 24 24"
data-testid="CheckBoxOutlineBlankIcon">
<path d="M19 5v14H5V5h14m0-2H5c-1.1 0-2 .9-2 2v14c0 1.1.9 2 2 2h14c1.1 0 2-.9 2-2V5c0-1.1-.9-2-2-2z"></path>
</svg><span class="MuiTouchRipple-root css-w0pj6f"></span></span><span class="MuiTypography-root MuiTypography-body1 MuiFormControlLabel-label css-1asxdmy">Remember Me</span></label></div>
<div class="MuiGrid-root MuiGrid-item termAndConditions css-1wxaqej">
<div class="sc-dkmUuB cHhPWi"><label class="MuiFormControlLabel-root MuiFormControlLabel-labelPlacementEnd css-1jaw3da" data-testid="checkbox-label-wrapper"><span
class="MuiButtonBase-root MuiCheckbox-root MuiCheckbox-colorSecondary MuiCheckbox-sizeMedium PrivateSwitchBase-root MuiCheckbox-root MuiCheckbox-colorSecondary MuiCheckbox-sizeMedium MuiCheckbox-root MuiCheckbox-colorSecondary MuiCheckbox-sizeMedium sc-krNlru HzSYp checkbox css-1agmama"
data-testid="checkbox"><input class="PrivateSwitchBase-input css-1m9pwf3" name="acceptedTerms" type="checkbox" data-indeterminate="false" aria-label="checkbox"><svg class="MuiSvgIcon-root MuiSvgIcon-fontSizeMedium css-1857714"
focusable="false" aria-hidden="true" viewBox="0 0 24 24" data-testid="CheckBoxOutlineBlankIcon">
<path d="M19 5v14H5V5h14m0-2H5c-1.1 0-2 .9-2 2v14c0 1.1.9 2 2 2h14c1.1 0 2-.9 2-2V5c0-1.1-.9-2-2-2z"></path>
</svg><span class="MuiTouchRipple-root css-w0pj6f"></span></span>
<p class="MuiTypography-root MuiTypography-body1 labelText css-1asxdmy"></p>
<div>I have read, understand, and agree to the <a class="MuiTypography-root MuiTypography-inherit MuiLink-root MuiLink-underlineAlways css-130h13o" href="https://www.flywire.com/legal/terms-of-use" target="_blank">Flywire Terms of Use</a>,
<a class="MuiTypography-root MuiTypography-inherit MuiLink-root MuiLink-underlineAlways css-130h13o" href="https://www.flywire.com/legal/privacy-policy" target="_blank">Privacy Policy</a>,
<a class="MuiTypography-root MuiTypography-inherit MuiLink-root MuiLink-underlineAlways css-130h13o" href="https://www.flywire.com/legal/cookie-policy" target="_blank">Cookie Policy</a>,
<a class="MuiTypography-root MuiTypography-inherit MuiLink-root MuiLink-underlineAlways link css-130h13o" data-testid="conditions-dialog-link" href="#">Confidentiality Notice</a> and
<a class="MuiTypography-root MuiTypography-inherit MuiLink-root MuiLink-underlineAlways link css-130h13o" data-testid="conditions-dialog-link" href="#">Consent to Electronic Communications</a></div>
<p></p>
</label></div>
</div>
<div class="MuiGrid-root MuiGrid-item css-1wxaqej"><button
class="MuiButtonBase-root MuiButton-root MuiButton-contained MuiButton-containedPrimary MuiButton-sizeLarge MuiButton-containedSizeLarge Mui-disabled MuiButton-root MuiButton-contained MuiButton-containedPrimary MuiButton-sizeLarge MuiButton-containedSizeLarge sc-fqkvVR loIItj button viewMyAccountBtn css-1of72ps"
tabindex="-1" type="submit" disabled="" data-testid="button-view-my-account" aria-label="View My Account" loading="0"><span class="text">View My Account</span></button></div>
</div>
</form>Text Content
You need to enable JavaScript to run this app. WELCOME TO LIFEBRIDGE HEALTH LOG IN TO VIEW AND PAY YOUR MEDICAL BILLS EASILY. LOG IN Guarantor Zip Code * Patient or Guarantor Date Of Birth Remember Me I have read, understand, and agree to the Flywire Terms of Use, Privacy Policy, Cookie Policy, Confidentiality Notice and Consent to Electronic Communications View My Account -------------------------------------------------------------------------------- © Flywire. 2009-2024 All Rights Reserved. English