web.paymentvision.com Open in urlscan Pro
15.197.193.116  Public Scan

Submitted URL: https://mmrgpayment.com/
Effective URL: https://web.paymentvision.com/mmrgpayment/login.aspx
Submission: On July 03 via automatic, source certstream-suspicious — Scanned from DE

Form analysis 1 forms found in the DOM

Name: form1POST ./get-virtual.aspx?p=2167

<form name="form1" method="post" action="./get-virtual.aspx?p=2167" id="form1">
  <div>
    <input type="hidden" name="__EVENTTARGET" id="__EVENTTARGET" value="">
    <input type="hidden" name="__EVENTARGUMENT" id="__EVENTARGUMENT" value="">
    <input type="hidden" name="__VIEWSTATE" id="__VIEWSTATE"
      value="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">
  </div>
  <script type="text/javascript">
    //<![CDATA[
    var theForm = document.forms['form1'];
    if (!theForm) {
      theForm = document.form1;
    }

    function __doPostBack(eventTarget, eventArgument) {
      if (!theForm.onsubmit || (theForm.onsubmit() != false)) {
        theForm.__EVENTTARGET.value = eventTarget;
        theForm.__EVENTARGUMENT.value = eventArgument;
        theForm.submit();
      }
    }
    //]]>
  </script>
  <script type="text/javascript">
    //<![CDATA[
    jQuery(function($) {
      $("#basic-modal-content").modal({
        escClose: false,
        focus: false
      });
    }); //]]>
  </script>
  <script
    src="/mmrgpayment/ScriptResource.axd?d=sUMKr2h6IDQ3ZqHAClyrUG7ts0n7UZsfO-kFBaykJCcXN7uBQEL4m3UOHpLGwAatbPASfw1-U0Mh3lz5pow4FUJz2mrwBtS-M2zi7BiL1Bef2kPfAy3znIfxZTKp9iJcgh0p1s3KunaHizmcneF_R0_NEiZjIjMzTyyBoFs1UKY9HtO4pY2bZIZSsiD7aSKKVB8Z4DBcor1uwheerqI4-vPxCN2Oxp0EDH7lgHh0jd0GW_JZFtvyFjZovgIwPVw6Lv7jqg3oAWEoZPfdDkZhyAQBskmLNd5eetAKB_FIjAPLyXFGdoccpMDRevKua__lAymT4uXeunm-pN-qOTdfu0yFkDl7O1ppX3zOD_4IH-HdZase-JrGs4EgdTN30LuvFLWk4KPdkBgpHgcJlsz31jIQ8eGN6K7HGiZ29fgsacqhQ4YKHSaOlGPLMtaa8JDy9S7B3HFRIs8AryInjcldlA2"
    type="text/javascript"></script>
  <div>
    <input type="hidden" name="__VIEWSTATEGENERATOR" id="__VIEWSTATEGENERATOR" value="AD0BA83B">
    <input type="hidden" name="__EVENTVALIDATION" id="__EVENTVALIDATION"
      value="/wEdAArVyvvhn1qJ19SB8RkekiadsbIGRdtXawO2jHmoNHSZHoiCDX0FsSVZL6nhLeQSfhWQ1K2yHgBIhSCg2nv1+2/OZdlmVblz0LtfL8MnqHsTF/wEM0KxtftLZ/0IwGJSPuh1Zry2uDbAVxAiLLcetOFF2tbGTf6DIj8aI2VZu0zVDWoA+6tkyGu0r7TKMpGT6EW1FPWyalpt3WhEdgYbWBVAod2dC9BxX4uUlTgm5CYiEj66GbLDbnaRjKK9/oopdhA=">
  </div>
  <div id="blackout"
    style="visibility:hidden; position:fixed; left:0; top:0; width:100%; Z-INDEX:1234567891; background-image:url(data:image/gif;base64,R0lGODlhAgACAIAAADc3N0xMTCH5BAAAAAAALAAAAAACAAIAAAIDRAIFADs=);opacity: .45;filter: alpha(opacity=45);"> </div>
  <div id="WaitImage" style="
    position: fixed;
    top: 35%;
    left: 50%;
  z-index:1234567892;" role="alert" aria-live="assertive">
    <p style="position:absolute;left:-10000px;top:auto;width:1px;height:1px;overflow:hidden;">Content is loading...</p>
  </div>
  <div id="container" class="enable-javascript" style="display: block;">
    <div class="content-wrapper">
      <div id="ParentDiv">
        <script type="text/javascript">
          //<![CDATA[
          Sys.WebForms.PageRequestManager._initialize('ScriptManager1', 'form1', ['tUp_Common', ''], [], [], 5000, '');
          //]]>
        </script>
        <div>
          <div>
            <div id="Up_Common">
              <div class="header-container">
                <div class="header">
                  <div class="logoprint"> <img src="APP_Themes/mmrgpayment/images/logo.png"> </div>
                </div>
              </div>
              <!--[if IE 7 ]><body class="ie7"><![endif]-->
              <style>
                a.skip-main {
                  position: absolute;
                  top: auto;
                  width: 1px;
                  height: 1px;
                  overflow: hidden;
                  z-index: -999;
                }

                a.skip-main:focus,
                a.skip-main:active {
                  color: #fff;
                  background-color: #000;
                  left: auto;
                  top: auto;
                  width: 30%;
                  height: auto;
                  overflow: auto;
                  padding: 5px;
                  border-radius: 15px;
                  border: 4px solid black;
                  text-align: center;
                  font-size: 1.2em;
                  z-index: 999;
                }
              </style>
              <a class="skip-main" href="#content" style="visibility: hidden;">Skip to main content</a>
              <div id="w">
                <div id="pagebody">
                  <div id="MasterPageheader">
                    <div id="PageContent1_ctl00_phheader" class="pageheader">
                    </div>
                    <div id="navmenu">
                      <!--<script src="http://code.jquery.com/jquery-1.10.2.min.js"></script>-->
                      <nav class="navbar navbar-default" role="navigation">
                        <div class="navbar-header">
                          <button type="button" class="navbar-toggle" data-toggle="collapse" data-target="#dropdown-thumbnail-preview" style="visibility: hidden;">
                            <span class="sr-only">Toggle navigation</span>
                            <span class="icon-bar"></span>
                            <span class="icon-bar"></span>
                            <span class="icon-bar"></span>
                          </button>
                        </div>
                        <div class="menutable tech" id="Menu_Layout" style="visibility: hidden;">
                          <div class="collapse navbar-collapse" id="dropdown-thumbnail-preview">
                            <div class="menu">
                              <label for="show-menu" class="show-menu" style="visibility:hidden"> Menu</label>
                              <input type="checkbox" id="show-menu" role="button" style="visibility:hidden">
                              <ul id="menu" class="menu level1"></ul>
                            </div>
                          </div>
                        </div>
                      </nav>
                    </div>
                    <placeholder id="imageholder"><img id="menuSeperator" src="App_Themes/mmrgpayment/images/hr.png" class="hr" alt=""></placeholder>
                  </div>
                  <section id="content" class="clearfix">
                    <div id="innerContainer">
                      <div class="content-wrapper">
                        <div id="home-content">
                          <div id="PageContent1_ctl00_phMaincontent" class="pagemaincontent">
                            <div id="PageContent1_ctl00_CONTROL_LoginWidget_confirmation" class="section">
                              <div class="sectionTitle"><span id="PageContent1_ctl00_CONTROL_LoginWidget_loginWelcome" class="LoginTitle">Welcome</span></div>
                              <div id="loginbox">
                                <span class="Subtitle"><span id="PageContent1_ctl00_CONTROL_LoginWidget_lblErrorMsg4">To access your account you will need to have your reference number and your 5 digit zip code as found on the letter(s) we have sent
                                    you.<br> If you do not have a reference number for an account you wish to pay or if you have trouble logging in, please contact us at 1-866-910-2607 or
                                    <a href="mailto:contact@miramedrg.com">contact@miramedrg.com</a>.</span></span>
                                <div class="loginError"><span id="PageContent1_ctl00_CONTROL_LoginWidget_Lbl_Error_Login" role="alert" style="color:White;"></span></div>
                                <div class="control-group">
                                  <!-- Username -->
                                  <label for="PageContent1_ctl00_CONTROL_LoginWidget_Txt_UserName" id="PageContent1_ctl00_CONTROL_LoginWidget_Lbl_UserName" class="control-label">Reference Number: *</label>
                                  <div class="controls">
                                    <input name="PageContent1$ctl00$CONTROL_LoginWidget$Txt_UserName" type="text" id="PageContent1_ctl00_CONTROL_LoginWidget_Txt_UserName" class="input-xlarge" aria-required="true">
                                    <span id="PageContent1_ctl00_CONTROL_LoginWidget_lblUserNameOptional"> </span>
                                  </div>
                                </div>
                                <div class="control-group">
                                  <!-- Password -->
                                  <label for="PageContent1_ctl00_CONTROL_LoginWidget_Txt_Password" id="PageContent1_ctl00_CONTROL_LoginWidget_Lbl_Password" class="control-label">Zip Code: *</label>
                                  <div class="controls">
                                    <input name="PageContent1$ctl00$CONTROL_LoginWidget$Txt_Password" type="password" id="PageContent1_ctl00_CONTROL_LoginWidget_Txt_Password" class="input-xlarge" aria-required="true">
                                    <span id="PageContent1_ctl00_CONTROL_LoginWidget_lblPasswordOptional"> </span>
                                    <span id="PasswordRightValidtor">&nbsp;</span>
                                  </div>
                                </div>
                                <div id="PageContent1_ctl00_CONTROL_LoginWidget_pnlSecondPassword" class="control-group">
                                  <!-- second password -->
                                  <span id="PageContent1_ctl00_CONTROL_LoginWidget_Lbl_PasswordTwo" class="control-label">First Name: *</span>
                                  <div class="controls">
                                    <input name="PageContent1$ctl00$CONTROL_LoginWidget$Txt_PasswordTwo" type="text" id="PageContent1_ctl00_CONTROL_LoginWidget_Txt_PasswordTwo" class="input-xlarge">
                                    <span id="PageContent1_ctl00_CONTROL_LoginWidget_lblPasswordTwoOptional"> </span>
                                    <span id="PasswordTwoRightValidtor">&nbsp;</span>
                                  </div>
                                </div><span>* Required Field</span>
                              </div>
                              <div class="loginFooter">
                                <input type="submit" name="PageContent1$ctl00$CONTROL_LoginWidget$Btn_Login" value="Login" id="PageContent1_ctl00_CONTROL_LoginWidget_Btn_Login" class="button">
                                <div class="version">Version <span id="PageContent1_ctl00_CONTROL_LoginWidget_lblVersionNumber">1.5.3.497</span></div>
                                <div class="DigiCert_logo"></div>
                              </div>
                            </div>
                            <input type="hidden" name="PageContent1$ctl00$CONTROL_LoginWidget$oneSignalInfo" id="PageContent1_ctl00_CONTROL_LoginWidget_oneSignalInfo">
                            <script>
                              function gonative_onesignal_info(info) {
                                document.getElementById('PageContent1_ctl00_CONTROL_LoginWidget_oneSignalInfo').value = info.oneSignalUserId;
                              }
                              //PageMethods.SaveDeviceData('test', OnSuccess, OnFailure);
                              //function OnSuccess(result) {
                              //    if (result) {
                              //        alert(result);
                              //    }
                              //}
                              //function OnFailure(error) { }
                            </script>
                            <span id="simplemodal-placeholder" style="display: none;"></span>
                            <div class="clear"></div>
                          </div>
                          <div class="clear"></div>
                        </div><!--content-wrapper-->
                        <div id="MasterPagefooter" class="clear">
                          <div class="footer">
                            <div id="PageContent1_ctl00_phfooter" class="pagefooter">
                            </div>
                          </div>
                        </div>
                      </div><!--container-->
                    </div>
                  </section>
                </div>
              </div>
              <input type="hidden" name="hdnPageID" id="hdnPageID" value="2167">
              <script>
                var url = window.location.pathname;
                if (url.indexOf('Login') >= 0) {
                  var FooterText = "";
                } else {
                  var FooterText = "Having Trouble Logging in or Making a Payment?  Please Call 1-866-910-2607 during standard business hours to speak with an agent.";
                }
              </script>
              <div class="content-wrapper-footer ">
                <div id="footer">
                  <div class="col-lg-6"> © <script>
                      document.write(new Date().getFullYear())
                    </script>2024 <a href="http://www.PaymentVision.com" target="_blank">PaymentVision</a>, a division of Autoscribe Corporation. All rights reserved. |
                    <a href="https://www.miramedgs.com/privacy-policy" target="_blank">Privacy Policy</a> | <a href="../mmrgpayment/app_Themes/mmrgpayment/SMSTerms_Conditions.pdf" target="_blank">SMS Terms &amp; Conditions</a><br> </div>
                  <div class="col-lg-6">
                    <script>
                      document.write(FooterText);
                    </script>Having Trouble Logging in or Making a Payment? Please Call 1-866-910-2607 during standard business hours to speak with an agent.
                  </div>
                  <div class="col-lg-6"> <img src="APP_Themes/mmrgpayment/images/DigiCert-logo2.png" alt="DigiCert Logo"> </div>
                  <div class="clear"></div>
                </div>
              </div>
              <script>
                /* custom JS to load on pageload */
                $('#PageContent1_ctl00_CONTROL_VerifyInformation_lblPasswordTwoLabel').text('First Name: *');
                $('#PageContent1_ctl00_CONTROL_CustomerProfile_Btn_Update').val('Continue');
                $('#lblSingleUseNote').css("display", "none");
                $('#lblSingleUse').text('Would you like this bank account saved to your account?');
                $('#PageContent1_ctl00_CONTROL_CustomerProfile_Btn_Continue').after($('#PageContent1_ctl00_CONTROL_CustomerProfile_Btn_UpdateContactInfo'));
                if ($("#PageContent1_ctl00_CONTROL_CustomerProfile_Btn_Update") != null) {
                  $("#PageContent1_ctl00_CONTROL_CustomerProfile_Btn_Update").parent().prepend(
                    "<div style='font-style: italic;'>•	MiraMed Revenue Group operates an SMS short code to send subscribers notification of an outstanding balance due in our office.  This notification provides subscribers with our contact information and asks the recipient to call us or visit our website.<br>•	Message frequency will vary.<br>•	Our privacy policy can be found at <a href='https://www.miramedgs.com/privacy-policy' target='_blank'>https://www.miramedgs.com/privacy-policy</a><br>•	Message and data rates may apply.<br>•	By entering your phone number you agree to subscribe and to receive SMS messages from MiraMed Revenue Group.</div>"
                    );
                }
                $("a[title='Make Payments']").hide();
                if (window.location.href.indexOf('AccountHome.aspx') > -1 && ($('#PageContent1_ctl00_CONTROL_CustomerAccount_dynamicHeaderField_1').length > 0)) {
                  $('#PageContent1_ctl00_CONTROL_CustomerAccount_Btn_MakePayment').hide();
                  $("#customerProfileFooter").before(
                    "<input name='PageContent1$ctl00$CONTROL_CustomerAccount$btnPayAllAccounts' value='Pay Accounts' style='font-size:15px;'onclick='javascript:AbortUpdate(null);' id='btnPayAllAccounts' title='Make a Payment' type='submit'>");
                  var allElements = document.querySelectorAll('[id="btnPayAllAccounts"]');
                  allElements[1].style.display = 'none';
                  $("#PageContent1_ctl00_CONTROL_CustomerAccount_Btn_MakePayment").css("display", "none");
                  $("a[title='Make Payments']").text('');
                  $("a[title='Make Payments']").replaceWith(
                    '<input name="PageContent1$ctl00$CONTROL_CustomerAccount$btnPayAllAccounts" value="Make Payments" style="color: #666666;display: inline;font-weight: normal;font-size: 15px;padding: 10px 14px;text-decoration: none;background: transparent !important;padding-left: 0px !important;margin-top: 0px;padding-right: 0px !important;" onclick="javascript:AbortUpdate(null);" id="btnPayAllAccounts" title="Make a Payment" type="submit" >' +
                    $("a[title='Make Payments']").html() + '</input>');
                }

                function pageLoad(sender, args) {
                  $('#PageContent1_ctl00_CONTROL_LoginWidget_pnlSecondPassword').after($('<span>* Required Field</span>'));
                  $('#PageContent1_ctl00_CONTROL_LoginWidget_Txt_PasswordTwo').val('');
                  var acctNumber;
                  if ($('#PageContent1_ctl00_CONTROL_CustomerAccount_Lbl_AccountNumber') != null) {
                    replaceAcctNumber($('#PageContent1_ctl00_CONTROL_CustomerAccount_Lbl_AccountNumber'));
                  }
                  if ($('#PageContent1_ctl00_CONTROL_PaymentOptions_payTo_lblAccountReferenceCode') != null) {
                    replaceAcctNumber($('#PageContent1_ctl00_CONTROL_PaymentOptions_payTo_lblAccountReferenceCode'));
                  }
                  if ($('#PageContent1_ctl00_CONTROL_VerifyInformation_lblOneTimePayToAccount') != null) {
                    replaceAcctNumber($('#PageContent1_ctl00_CONTROL_VerifyInformation_lblOneTimePayToAccount'));
                  }
                  if ($('#PageContent1_ctl00_CONTROL_Response_lblRecurringPayToAccount') != null) {
                    replaceAcctNumber($('#PageContent1_ctl00_CONTROL_Response_lblRecurringPayToAccount'));
                  }
                  if ($('#PageContent1_ctl00_CONTROL_Response_lblOneTimePayToAccount') != null) {
                    replaceAcctNumber($('#PageContent1_ctl00_CONTROL_Response_lblOneTimePayToAccount'));
                  }
                  if ($('#PageContent1_ctl00_CONTROL_PaymentOptions_Lbl_SplitPaymentDisclosure')) {
                    replaceSplitPaymentAcctNumber($('#PageContent1_ctl00_CONTROL_PaymentOptions_Lbl_SplitPaymentDisclosure'));
                  }
                  if ($('#PageContent1_ctl00_CONTROL_VerifyInformation_Lbl_SplitPaymentDisclosure')) {
                    replaceSplitPaymentAcctNumber($('#PageContent1_ctl00_CONTROL_VerifyInformation_Lbl_SplitPaymentDisclosure'));
                  }
                  if ($('#PageContent1_ctl00_CONTROL_Response_Lbl_SplitPaymentDisclosure')) {
                    replaceSplitPaymentAcctNumber($('#PageContent1_ctl00_CONTROL_Response_Lbl_SplitPaymentDisclosure'));
                  }
                  if ($('#PageContent1_ctl00_CONTROL_VerifyInformation_lblRecurringPayToAccount') != null) {
                    replaceAcctNumber($('#PageContent1_ctl00_CONTROL_VerifyInformation_lblRecurringPayToAccount'));
                  }
                  $('.selectedAccountRef').each(function() {
                    var t = $(this).val();
                    t = t.replace("A_", "").replace("_A", "");
                    $(this).val(t);
                  });
                  $('.accountRef').each(function() {
                    var t = $(this).val();
                    t = t.replace("A_", "").replace("_A", "");
                    $(this).val(t);
                  });
                  $('.AccountReferenceCodeColumn').each(function() {
                    var t = $(this).text();
                    t = t.replace("A_", "").replace("_A", "");
                    $(this).text(t);
                  });
                };

                function replaceAcctNumber(label) {
                  var t = label.text();
                  t = t.replace("A_", "").replace("_A", "");
                  label.text(t);
                }

                function replaceSplitPaymentAcctNumber(label) {
                  var t = label.text();
                  t = t.replace(/A_/g, "").replace(/_A/g, "");
                  label.text(t);
                }
              </script>
            </div>
          </div>
        </div>
      </div>
    </div>
  </div>
  <input type="hidden" name="resolution" id="resolution">
  <input type="hidden" name="clientSideInfo" id="clientSideInfo">
</form>

Text Content

JavaScript is not enabled in your web browser, and is required to use this site.
Please enable JavaScript at your desktop browser using the steps provided here
and try the activity again.
If you are using a mobile device, see the manufacture on your device for how to
enable JavaScript within setting.




Content is loading...


Skip to main content
Toggle navigation
Menu
Welcome
To access your account you will need to have your reference number and your 5
digit zip code as found on the letter(s) we have sent you.
If you do not have a reference number for an account you wish to pay or if you
have trouble logging in, please contact us at 1-866-910-2607 or
contact@miramedrg.com.

Reference Number: *

Zip Code: *
 
First Name: *
 
* Required Field
Version 1.5.3.497




© 2024 PaymentVision, a division of Autoscribe Corporation. All rights reserved.
| Privacy Policy | SMS Terms & Conditions

Having Trouble Logging in or Making a Payment? Please Call 1-866-910-2607 during
standard business hours to speak with an agent.




Legal Notice


I understand MiraMed Revenue Group, LLC is a debt collector and that this is an
attempt to collect a debt. Any information obtained will be used for that
purpose. I confirm that I am the patient/guarantor or have the
patient/guarantor’s authorization to view the account information I am
attempting to access.



Click here to see state specific credit and collection notices.


I have read and understand the above notices.