medicalpolicy.bcbsmt.com
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Submitted URL: http://medicalpolicy.bcbsmt.com/
Effective URL: https://medicalpolicy.bcbsmt.com/
Submission: On February 24 via api from US — Scanned from US
Effective URL: https://medicalpolicy.bcbsmt.com/
Submission: On February 24 via api from US — Scanned from US
Form analysis 7 forms found in the DOM
POST /bcbs/search
<form class="noEMA" action="/bcbs/search" method="post" type="external">
<input class="search-button" title="Search" src="/images/bcbs/redesign/content/header/search-ico.png" alt="Search" type="image">
<input class="fsrVisible search-input" value="Search" onfocus="if(this.value=='Search')this.value='';" onblur="if(this.value=='')this.value='Search';" name="keyword" type="text">
</form>Name: LoginInfoForm — POST https://members.hcsc.net/wps/PA_BAMLogin/bamGateway?corpEntCode=MT1&cmdAction=doLogin
<form class="noEMA" method="post" name="LoginInfoForm" id="BamLogin" action="https://members.hcsc.net/wps/PA_BAMLogin/bamGateway?corpEntCode=MT1&cmdAction=doLogin">
<label>User Name:</label>
<input type="text" name="userName" tabindex="1" maxlength="50">
<label>Password:</label>
<input type="password" name="password" tabindex="2" maxlength="50">
<input type="submit" value="Log In" tabindex="3" onclick="submitBamMT();" title="Log In" alt="Log In" class="button-blue">
</form>Name: LoginInfoForm — POST /bcbs/index.page?submit=true&componentID=1366542415785
<form class="noEMA" method="post" name="LoginInfoForm" id="returning_shopper_login" action="/bcbs/index.page?submit=true&componentID=1366542415785">
<input type="hidden" value="https://retailweb.hcsc.net/retailshoppingcart/MT/census" name="redirectUrl">
<input type="hidden" value="MT" name="state">
<label>User Name:</label>
<input type="text" name="userName" tabindex="1" maxlength="50">
<label>Password:</label>
<input type="password" name="password" tabindex="2" maxlength="50">
<input type="submit" value="Log In" tabindex="3" onclick="submitSHOPPER();" title="Log In" alt="Log In" class="button-blue">
</form>Name: LoginInfoForm — POST /bcbs/index.page?submit=true&componentID=1366542415785
<form class="noEMA" method="post" name="LoginInfoForm" id="BAELogin" action="/bcbs/index.page?submit=true&componentID=1366542415785">
<input type="hidden" name="action" value="login">
<input type="hidden" name="corpEntCd" value="MT1">
<input type="hidden" value="1" name="unique">
<input type="hidden" value="Y" name="converted">
<input type="hidden" value="auth" name="requestFunction">
<label>User ID:</label>
<input type="text" maxlength="50" tabindex="1" id="userId" name="AccountField">
<label>Password:</label>
<input type="password" maxlength="50" tabindex="2" id="pswd" name="AccountPinField">
<input type="submit" class="button-blue" alt="Log In" title="Log In" onclick="submitBAEmt();" tabindex="3" value="Log In">
</form>Name: LoginInfoForm — POST /bcbs/index.page?submit=true&componentID=1366542415785
<form class="noEMA" method="post" name="LoginInfoForm" id="BAPLogin" action="/bcbs/index.page?submit=true&componentID=1366542415785">
<input type="hidden" name="unique" value="1"><input type="hidden" name="userType" value="BRK"><input type="hidden" name="unique" value="1"><input type="hidden" name="converted" value="Y"><input type="hidden" value="MT1" name="corpEntCd">
<label>Producer Number:</label>
<input type="text" name="j_username" id="userId" tabindex="1" maxlength="50">
<label>Password:</label>
<input type="password" name="j_password" id="pswd" tabindex="1" maxlength="50">
<input type="submit" value="Log In" tabindex="3" onclick="submitBAP();" title="Log In" alt="Log In" class="button-blue">
</form>Name: LoginInfoForm — POST /bcbs/index.page?submit=true&componentID=1366542415785
<form class="noEMA" method="post" name="LoginInfoForm" id="returning_shop_login" action="/bcbs/index.page?submit=true&componentID=1366542415785">
<input type="hidden" name="redirectUrl" value="https://retailweb.hcsc.net/retailshoppingcart/MT/census">
<input type="hidden" name="state" value="MT">
<label id="login-usernameLabel">User Name:</label>
<input type="text" name="userName" id="userId" tabindex="1" maxlength="50">
<label>Password:</label>
<input type="password" name="password" id="pswd" tabindex="2" maxlength="50">
<input type="submit" value="Log In" tabindex="3" onclick="submitSHOP();" title="Log In" alt="Log In" class="button-blue">
</form>POST /bcbs/search
<form method="post" action="/bcbs/search">
<input name="keyword" value="" placeholder="Search" type="text" id="s" class="search-input fsrVisible">
<input title="Search" class="search-button" src="/images/bcbs/redesign/content/header/btn-search-2.png" id="go" alt="Search" type="image">
</form>Text Content
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