urlscan.io logo urlscan.io
SecurityTrails logo

www.claimsedi.com Open in urlscan Pro
69.164.109.148  Public Scan

Back to summary
URL: https://www.claimsedi.com/
Submission: On August 03 via automatic, source certstream-suspicious — Scanned from DE

Form analysis 1 forms found in the DOM

POST index.php

<form method="post" action="index.php">
  <div style="width:600px; text-align:center;">
    <input type="hidden" name="mode" value="">
    <input type="hidden" name="login" value="\">
    <p> Ebix offers comprehensive EDI compliance solutions including Workers Compensation EDI reporting to all states and Medicare reporting to CMS for MMSEA Section 111 compliance. </p>
    <div class="errorText">
    </div>
    <div class="minitableheading center">
      <div class="left_corner"> CMS Login </div>
    </div>
    <table class="minisearchpanel center" cellpadding="0" cellspacing="0">
      <tbody>
        <tr>
          <th>
            <label for="username">User Id:</label>
          </th>
          <td>
            <input id="username" name="username" value="" type="text" class="textinput" size="20">
          </td>
        </tr>
        <tr>
          <th>
            <label for="password">Password:</label>
          </th>
          <td>
            <input id="password" name="password" type="password" class="textinput" size="20">
          </td>
        </tr>
        <tr>
          <th colspan="2" style="text-align:center;">
            <input type="submit" class="defaultbutton" name="submit" value="Login">
            <input type="reset" class="defaultbutton" name="reset" value="Reset">
          </th>
        </tr>
      </tbody>
    </table>
  </div>
</form>

Text Content

Welcome
 * 
 * 
 * 


ERROR

It appears that your web browser does not support JavaScript, or you have
temporarily disabled scripting.
Either way, this site won't work properly without it.




Ebix offers comprehensive EDI compliance solutions including Workers
Compensation EDI reporting to all states and Medicare reporting to CMS for MMSEA
Section 111 compliance.


CMS Login

User Id: Password:

For questions regarding the completion of the form, please call 866-448-1776 or
email risksupport@ebix.com.

Copyright � Ebix Inc. | All Rights Reserved
CMS Web Interface 2.0 55.34
Server response time: 1659560150.6489 seconds.