health.bfm.bm Open in urlscan Pro
24.222.135.77  Public Scan

Submitted URL: https://health.bfm.bm/
Effective URL: https://health.bfm.bm/p321mesa/jv/cmpa/cmpalogin?aspID=P321&webEci=true&txnFlag=true
Submission: On January 28 via manual from IN — Scanned from CA

Form analysis 1 forms found in the DOM

Name: frm1POST

<form name="frm1" method="post" autocomplete="off" action="">
  <table cellspacing="0" cellpadding="0" class="popMain">
    <tbody>
      <tr class="trcontent">
        <td id="cBack" class="contentbg">
          <input name="LoginPageContent" type="hidden" value="<style>
div#bfmContent {
    font-family: Arial, Helvetica, sans-serif;
}

.bfmHeader {
    margin-bottom: 20px;
}

img.bfmImageLeft, img.bfmImageRight {
    width: 280px;
    border: 0;
    box-shadow: 3px 3px 8px grey;
}
 
img.bfmImageLeft {
    float: left;
    margin-right: 10px;
}
 
img.bfmImageRight {
    float: right;
    margin-left: 10px;
}
 
.bfmBlock {
    vertical-align: top;
    text-align: center;
}
 
div.clear {
    clear: both;
    margin-bottom: 20px;
}
 
.bfmSubtitle {
    display: block;
    font-weight: bold;
    font-size: 1.3em;
    margin-bottom: 8px;
    padding-top: 10px;
}
</style>

<div id=&quot;bfmContent&quot;>

<h1 class=&quot;bfmHeader&quot;>BF&amp;amp;M MESA Health Website</h1>

<div id=&quot;bfmLoginFirst&quot; class=&quot;bfmBlock&quot;>
    <span class=&quot;pic1&quot;><img src=&quot;../images/logos/MESA_front_members.jpg&quot; class=&quot;bfmImageRight&quot; /></span>
    <span class=&quot;bfmSubtitle&quot;>Insureds</span>
    <span class=&quot;bfmMessage&quot;>Access your health care and benefits information quickly and easily from just about anywhere. Check claim status and view explanation of benefits.</span>
</div>

 
<div class=&quot;clear&quot;>&amp;nbsp;</div>

<div id=&quot;bfmLoginSecond&quot; class=&quot;bfmBlock&quot;>
    <span class=&quot;pic1&quot;><img src=&quot;../images/logos/MESA_front_providers.jpg&quot; class=&quot;bfmImageRight&quot; /></span>
    <span class=&quot;bfmSubtitle&quot;>Providers</span>
    <span class=&quot;bfmMessage&quot;>Check Claim status, look up patient eligibility and view explanation of benefits.</span>
</div>


<div class=&quot;clear&quot;>&amp;nbsp;</div>
 
<div id=&quot;bfmLoginThird&quot; class=&quot;bfmBlock&quot;>
    <span class=&quot;pic1&quot;><img src=&quot;../images/logos/MESA_front_employers.jpg&quot; class=&quot;bfmImageRight&quot; /></span>
    <span class=&quot;bfmSubtitle&quot;>Group Administrators</span>
    <span class=&quot;bfmMessage&quot;>View your Health ebill quickly and easily.</span>
</div>



</div>" id="loginpgcnt">
          <input name="DefaultContent" type="hidden" id="defpgcnt">
          <input name="LoginPgContentType" type="hidden" value="HTML" id="cnttype">
          <input name="AutoLogin" type="hidden" value="True">
          <input name="ProvAutoLogin" type="hidden">
          <input name="SuppressProvAccRqstLnk" type="hidden" value="Y">
          <input name="InstanceID" type="hidden" value="9801c150-d57b-4b11-b19a-4499b1cf8cc3" defval="9801c150-d57b-4b11-b19a-4499b1cf8cc3">
          <input name="SuppressMaskInput" type="hidden">
          <input name="IsAccessBrowser" type="hidden" value="true" id="isaccessBrowserType" defval="true">
          <input name="About" type="hidden">
          <input name="Terms" type="hidden">
          <input name="Privacy" type="hidden">
          <input name="tempAspID" type="hidden" value="P321" id="tempAspID" defval="P321">
          <input name="UserDefinedLNF" type="hidden" value="DEF++DEF++I++1541437230595" defval="DEF++DEF++I++1541437230595">
          <input name="Disclaimer" type="hidden">
          <input name="B" type="hidden" id="spBlobID">
          <input name="C" type="hidden" id="spClientID">
          <input name="L" type="hidden" id="spLoc">
          <input name="ForgotPwdLbl" type="hidden" value="Forgot Username or Password?">
          <input name="FlowFrom" type="hidden" id="idFlowFrom">
          <table cellspacing="0" class="middleTable">
            <tbody>
              <tr>
                <td id="lnavContainer" class="lnav">
                  <!--left panel start -->
                  <div id="left">
                    <style>
                      div#bfmContent {
                        font-family: Arial, Helvetica, sans-serif;
                      }

                      .bfmHeader {
                        margin-bottom: 20px;
                      }

                      img.bfmImageLeft,
                      img.bfmImageRight {
                        width: 280px;
                        border: 0;
                        box-shadow: 3px 3px 8px grey;
                      }

                      img.bfmImageLeft {
                        float: left;
                        margin-right: 10px;
                      }

                      img.bfmImageRight {
                        float: right;
                        margin-left: 10px;
                      }

                      .bfmBlock {
                        vertical-align: top;
                        text-align: center;
                      }

                      div.clear {
                        clear: both;
                        margin-bottom: 20px;
                      }

                      .bfmSubtitle {
                        display: block;
                        font-weight: bold;
                        font-size: 1.3em;
                        margin-bottom: 8px;
                        padding-top: 10px;
                      }
                    </style>
                    <div id="bfmContent">
                      <h1 class="bfmHeader">BF&amp;M MESA Health Website</h1>
                      <div id="bfmLoginFirst" class="bfmBlock">
                        <span class="pic1"><img src="../images/logos/MESA_front_members.jpg" class="bfmImageRight"></span>
                        <span class="bfmSubtitle">Insureds</span>
                        <span class="bfmMessage">Access your health care and benefits information quickly and easily from just about anywhere. Check claim status and view explanation of benefits.</span>
                      </div>
                      <div class="clear">&nbsp;</div>
                      <div id="bfmLoginSecond" class="bfmBlock">
                        <span class="pic1"><img src="../images/logos/MESA_front_providers.jpg" class="bfmImageRight"></span>
                        <span class="bfmSubtitle">Providers</span>
                        <span class="bfmMessage">Check Claim status, look up patient eligibility and view explanation of benefits.</span>
                      </div>
                      <div class="clear">&nbsp;</div>
                      <div id="bfmLoginThird" class="bfmBlock">
                        <span class="pic1"><img src="../images/logos/MESA_front_employers.jpg" class="bfmImageRight"></span>
                        <span class="bfmSubtitle">Group Administrators</span>
                        <span class="bfmMessage">View your Health ebill quickly and easily.</span>
                      </div>
                    </div>
                    <!--left panel end -->
                  </div>
                </td>
                <td class="content" id="workArea">
                  <div id="login2">
                    <table class="fullWidth">
                      <tbody>
                        <tr>
                          <td colspan="2" class="txtError acenter">
                            <!-- displays if user enters incorrect login or password -->
                          </td>
                        </tr>
                        <tr>
                          <td colspan="2" id="isaccesstype"> <span class="divNone">Unsupported browser detected, please use FireFox or Internet Explorer for best results. You can download FireFox for free by clicking the link below.</span>
                          </td>
                        </tr>
                        <tr>
                          <td class="wd34 aright"><label for="CMPAUserID">Username :</label></td>
                          <td class="wd66"><input name="CMPAUserID" type="text" id="CMPAUserID" maxlength="30" class="size15 txtBox" autocomplete="off" onchange="checkECIUser();"></td>
                        </tr>
                        <tr>
                          <td class="wd34 aright"><label for="CMPAPassword">Password :</label></td>
                          <td class="wd66 noWrp"><input name="CMPAPassword" type="password" id="CMPAPassword" autocomplete="off" maxlength="32" class="size15 txtBox"> </td>
                        </tr>
                        <tr id="alias" style="visibility:hidden" class="divNone">
                          <td class="wd34 aright"><label>Username :</label></td>
                          <td class="wd66 noWrp"><input name="AKA" type="text" autocomplete="off" class="size15 txtBox"></td>
                        </tr>
                        <tr>
                          <td class="wd34 aright">&nbsp;</td>
                          <td class="txtsmall aright"> &nbsp; <a href="javascript:getCMPAURL('Forgot Pwd')" class="txtsmall aright" title="Forgot Username or Password?">Forgot Username or Password?</a></td>
                        </tr>
                        <tr>
                          <td colspan="2" class="nowrp">
                          </td>
                        </tr>
                      </tbody>
                    </table>
                    <table class="fullWidth">
                      <tbody>
                        <tr>
                          <td class="wd34">&nbsp;</td>
                          <td class="wd66 noWrp leftmargin">
                            <table>
                              <tbody>
                                <tr>
                                  <td>
                                    <input type="submit" class="login2_button" value="Login" title="Login">
                                  </td>
                                  <td>
                                  </td>
                                </tr>
                              </tbody>
                            </table>
                          </td>
                        </tr>
                      </tbody>
                    </table>
                    <table id="tbsignup" class="fullWidth">
                      <tbody>
                        <tr>
                          <td class="acenter">
                            <h2>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;Don't have a user account?</h2>
                          </td>
                        </tr>
                        <tr>
                          <td>
                            <table class="fullWidth">
                              <tbody>
                                <tr>
                                  <td class="acenter">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<a href="javascript:getCMPAURL('Sign Up Now')" class="txtbigLogin" title="Sign Up Now">Sign Up Now</a> </td>
                                </tr>
                              </tbody>
                            </table>
                          </td>
                        </tr>
                      </tbody>
                    </table>
                  </div>
                </td>
              </tr>
            </tbody>
          </table>
        </td>
      </tr>
      <tr>
        <td>&nbsp;</td>
      </tr>
    </tbody>
  </table>
  <input name="ChgTS" type="hidden">
  <input name="BrowserType" type="hidden" value="Chrome">
  <input name="BrowserVersion" type="hidden" value="97">
  <input name="LabelEmployee" type="hidden" value="Employee">
  <input name="LabelClient" type="hidden" value="Client">
  <input name="LabelPhysician" type="hidden" value="Physician">
  <input name="LabelClaim" type="hidden" value="Claim">
  <input name="B" type="hidden">
  <input name="C" type="hidden">
  <input name="L" type="hidden">
</form>

Text Content

BF&M MESA HEALTH WEBSITE

Insureds Access your health care and benefits information quickly and easily
from just about anywhere. Check claim status and view explanation of benefits.
 
Providers Check Claim status, look up patient eligibility and view explanation
of benefits.
 
Group Administrators View your Health ebill quickly and easily.

Unsupported browser detected, please use FireFox or Internet Explorer for best
results. You can download FireFox for free by clicking the link below. Username
: Password : Username :     Forgot Username or Password?

 




       DON'T HAVE A USER ACCOUNT?

        Sign Up Now

 

   

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Javelina ® by Eldorado, a division of MphasiS | Instance ID:
9801c150-d57b-4b11-b19a-4499b1cf8cc3