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healthalliancehospital.ellucid.com Open in urlscan Pro
44.233.57.207  Public Scan

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Submitted URL: https://healthalliancehospital.ellucid.com/
Effective URL: https://healthalliancehospital.ellucid.com/userLogin
Submission: On June 25 via api from US — Scanned from DE

Form analysis 1 forms found in the DOM

Name: loginForm — POST /userLogin

<form name="loginForm" enctype="multipart/form-data" class="form" method="POST" action="/userLogin" data-reauth="">
  <div class="control-group">
    <label class="control-label bold" for="username">Username</label>
    <div class="controls">
      <input type="text" name="username" id="username" value="" alt="Please Enter your Policy Manager Username" title="Please Enter your Policy Manager Username" required="">
    </div>
  </div>
  <div class="control-group">
    <label class="control-label bold" for="password">Password</label>
    <div class="controls">
      <input type="password" name="password" id="password" value="" alt="Please Enter your Policy Manager Password" title="Please Enter your Policy Manager Password" required="">
    </div>
  </div>
  <div class="control-group">
    <div class="controls">
      <input id="ldapLoginButton" name="login" alt="Press 'LDAP Login' button to login to LDAP!" title="Press 'LDAP Login' button to login to LDAP!" type="submit" value="LDAP Login" class="btn btn-primary">
    </div>
  </div>
  <input type="hidden" name="pman_token" value="934f7897038b94aa2df42c6f822bb12613634f14e4565f52bc838171616a0a89">
</form>

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