events.kisacoresearch.com
Open in
urlscan Pro
3.248.123.157
Public Scan
Submitted URL: https://events.kisacoresearch.com/healthcare-payment-revenue-integrity-congress-east/register?code=CS
Effective URL: https://events.kisacoresearch.com/healthcare-payment-revenue-integrity-congress-east/begin?code=CS
Submission: On August 24 via api from US — Scanned from DE
Effective URL: https://events.kisacoresearch.com/healthcare-payment-revenue-integrity-congress-east/begin?code=CS
Submission: On August 24 via api from US — Scanned from DE
Form analysis
1 forms found in the DOMPOST /healthcare-payment-revenue-integrity-congress-east/begin?code=CS
<form id="registrant-form" class="form-vertical" action="/healthcare-payment-revenue-integrity-congress-east/begin?code=CS" method="post" autocomplete="off" enctype="multipart/form-data">
<input type="hidden" name="_csrf" value="YxO2fKrdza8KcvXQWTHwkdAh9gagwIq5u5wILOLZgA9OS8EO-7Ga6CcCgLkvXb6phELBPtW66N7NxF9Kqe_HfQ=="><input type="hidden" id="registrant-device" name="Registrant[device]" value="pc"> <noscript>
<input type="hidden" name="Registrant[js_disabled]" value="1"> </noscript>
<div id="nav-wrap">
<nav class="navbar navbar-static-top">
<div class="container">
<div class="navbar-header">
<button aria-controls="navbar" aria-expanded="false" data-target="#navbar" data-toggle="collapse" class="navbar-toggle collapsed" type="button">
<span class="icon-bar"></span>
<span class="icon-bar"></span>
<span class="icon-bar"></span>
<span class="icon-bar"></span>
<span class="icon-bar"></span>
<span class="icon-bar"></span>
<span class="hidden">Menu</span>
</button>
<div id="w_28192825" class="widget v_35781577 swoogo-logo logo desktop-logo" data-single-click-settings="on" data-resize-widget="on">
<div>
<a class="mobile-logo-img" href="/healthcare-payment-revenue-integrity-congress-east/register?code=CS"><img class="img-responsive resize-target " src="//assets.swoogo.com/uploads/medium/2615581-6465ec24f2060.jpg" alt="Healthcare Payment & Revenue Integrity Congress East 2023" style="margin: 0 auto;display:block; max-height:103px;"></a>
</div>
</div>
<div id="w_28192826" class="widget v_35781578 swoogo-mobile-logo logo mobile-logo" data-single-click-settings="on">
<div class="text-logo "><span><a href="/healthcare-payment-revenue-integrity-congress-east?code=CS">Healthcare Payment & Revenue Integrity Congress East 2023</a></span></div>
</div>
</div>
<div class="collapse navbar-collapse" id="navbar">
<ul id="w0" class="navbar-nav swoogo-nav nav">
<li class="v_35781543 homepage" data-id="3219415"><a href="/healthcare-payment-revenue-integrity-congress-east/3219415?code=CS">Homepage</a></li>
</ul>
</div>
</div>
</nav>
</div>
<div id="header-wrap" class="jumbotron site-background">
<div class="container">
<div class="banner-wrap header">
<div id="banner">
<div id="banner-content" class="header">
<div class="clearfix">
<div id="w_28192831" class="widget v_35781583 swoogo-title clearfix">
<h2 class="mt-none mb-none title" style="">
<div style="text-align:center;"><strong>REGISTRATION</strong></div>
</h2>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
<div class="content-section">
<div class="container">
<div class="swoogo-reg-progress hidden-print step-begin">
<ul class="nav nav-pills nav-justified steps">
<li class="active " data-id="3219391">
<a class="step" href="/healthcare-payment-revenue-integrity-congress-east/begin?code=CS"><span class="number">1</span><span class="desc">Begin Registration</span></a>
</li>
<li class="disabled v_35781520" data-id="3219392">
<a class="step"><span class="number">2</span><span class="desc">Personal Information</span></a>
</li>
<li class="disabled v_35781542" data-id="3219414">
<a class="step"><span class="number">3</span><span class="desc">Networking Profile Update</span></a>
</li>
<li class="disabled v_35781521" data-id="3219393">
<a class="step"><span class="number">4</span><span class="desc">Additional People</span></a>
</li>
<li class="disabled v_35781523" data-id="3219395">
<a class="step"><span class="number">5</span><span class="desc">Confirmation</span></a>
</li>
</ul>
</div>
<div class="content clearfix" role="main">
<div id="w_28192839" class="widget v_35781591 swoogo-form form-widget">
<div class="mt-medium mb-medium clearfix">
<div id="w_28192862" class="widget v_35781614 swoogo-question form-horizontal">
<div class="form-group required field-registrant-email">
<label class="col-sm-3 control-label" for="registrant-email">Email Address</label>
<div class="col-sm-9"><input type="email" id="registrant-email" class="form-control" name="Registrant[email]" aria-describedby="error-registrant-email" autocomplete="email" aria-required="true"></div>
<div class="col-sm-offset-3 col-sm-9"></div>
<div class="col-sm-offset-3 col-sm-9">
<div id="error-registrant-email" class="help-block"></div>
</div>
</div>
</div>
<div id="w_28192864" class="widget v_35781616 swoogo-question form-horizontal">
<div class="form-group field-registrant-cc_email">
<label class="col-sm-3 control-label" for="registrant-cc_email">CC Email</label>
<div class="col-sm-9"><input type="email" id="registrant-cc_email" class="form-control" name="Registrant[cc_email]" aria-describedby="error-registrant-cc_email"></div>
<div class="col-sm-offset-3 col-sm-9">
<div class="hint-block">If you are registering on behalf of someone else and want to receive a copy of the registration confirmation, add your email here.</div>
</div>
<div class="col-sm-offset-3 col-sm-9">
<div id="error-registrant-cc_email" class="help-block"></div>
</div>
</div>
</div>
<div id="w_28192863" class="widget v_35781615 swoogo-question form-horizontal">
<div class="form-group required hide-parent field-registrant-reg_type_id" data-inline-updates="true" data-refresh-selector=".registrant-fees" data-refresh-fees="true" data-conditional-fees="true">
<label id="field-registrant-reg_type_id-label" class="col-sm-3 control-label">Registrant Type</label>
<div class="col-sm-9"><input type="hidden" name="Registrant[reg_type_id]" value="">
<div id="registrant-reg_type_id" prompt="" aria-labelledby="field-registrant-reg_type_id-label" role="radiogroup">
<div class="radio v_35781454 ">
<label>
<input type="radio" class="sw_input" name="Registrant[reg_type_id]" value="379025" aria-label="Guest">
<span>Guest</span>
</label>
</div>
<div class="radio v_35781731 ">
<label>
<input type="radio" class="sw_input" name="Registrant[reg_type_id]" value="379034" aria-label="Healthcare Payers &amp; Providers">
<span>Healthcare Payers & Providers</span>
</label>
</div>
</div>
</div>
<div class="col-sm-offset-3 col-sm-9"></div>
<div class="col-sm-offset-3 col-sm-9">
<div id="error-registrant-reg_type_id" class="help-block"></div>
</div>
</div>
</div>
<div id="w_28192938" class="widget v_35781690 swoogo-question form-horizontal">
<div class="form-group field-registrant-c_2474587">
<label id="field-registrant-c_2474587-label" class="col-sm-3 control-label">Please keep me updated on future events on this topic and closely related topics</label>
<div class="col-sm-9"><input type="hidden" name="Registrant[c_2474587]" value="">
<div id="registrant-c_2474587" prompt="" aria-labelledby="field-registrant-c_2474587-label">
<div class="checkbox ">
<label>
<input type="checkbox" class="sw_input" name="Registrant[c_2474587][]" value="12532201" aria-label="YES">
<span>YES</span>
</label>
</div>
</div>
</div>
<div class="col-sm-offset-3 col-sm-9"></div>
<div class="col-sm-offset-3 col-sm-9">
<div id="error-registrant-c_2474587" class="help-block"></div>
</div>
</div>
</div>
<div id="w_28192939" class="widget v_35781691 swoogo-question form-horizontal">
<div class="form-group field-registrant-c_2474588">
<label id="field-registrant-c_2474588-label" class="col-sm-3 control-label">I give my consent for you to share my contact details with the sponsors and Headline Partner AMS of this event to receive further information on relevant
product and service offerings.</label>
<div class="col-sm-9"><input type="hidden" name="Registrant[c_2474588]" value="">
<div id="registrant-c_2474588" prompt="" aria-labelledby="field-registrant-c_2474588-label">
<div class="checkbox ">
<label>
<input type="checkbox" class="sw_input" name="Registrant[c_2474588][]" value="12532202" aria-label="YES">
<span>YES</span>
</label>
</div>
</div>
</div>
<div class="col-sm-offset-3 col-sm-9">
<div class="hint-block">Please note that your name, job title and organisation details will be visible to our sponsors and to other attendees. For further information regarding this and how to contact us if you do not want your
details to be shared, visit https://bit.ly/30yCOQ8</div>
</div>
<div class="col-sm-offset-3 col-sm-9">
<div id="error-registrant-c_2474588" class="help-block"></div>
</div>
</div>
</div>
<div id="w_28192950" class="widget v_35781702 swoogo-question form-horizontal">
<div class="form-group field-registrant-discount_code">
<label class="col-sm-3 control-label" for="registrant-discount_code">Enter discount code</label>
<div class="col-sm-9">
<div class="input-group"><input type="text" id="registrant-discount_code" class="form-control" name="Registrant[discount_code]" value="CS" disabled="disabled" aria-describedby="error-registrant-discount_code"><span
class="input-group-btn"><button type="button" class="btn btn-default apply-btn remove" data-add-text="Apply" data-remove-text="Remove" data-checking-text="Checking" data-removing-text="Removing">Remove</button></span></div>
</div>
<div class="col-sm-offset-3 col-sm-9"></div>
<div class="col-sm-offset-3 col-sm-9">
<div id="error-registrant-discount_code" class="help-block"></div>
</div>
</div><input type="hidden" id="hidden-discount-code" name="Registrant[discount_code]" value="CS">
</div>
</div>
</div>
<div id="w_28192840" class="widget v_35781592 swoogo-button-group text-center hidden-print">
<div class="swoogo-btn-group mt-medium mb-medium">
<div id="w_28192865" class="widget v_35781617 swoogo-button text-center" style="display:inline-block;"></div>
<div id="w_28192866" class="widget v_35781618 swoogo-button text-center" style="display:inline-block;"><button type="submit" class="btn btn-standard registration-check-alert" name="continue" value="continue"
role="button"><span>Continue</span> <i class="fa fa-arrow-circle-right "></i></button></div>
</div>
</div>
<div id="w_28192934" class="widget v_35781686 swoogo-text clearfix">
<div class=" paragraph" style="">
<div>
<div><span style="font-size:20px;"><strong>Need assistance with your registration? </strong></span>Please call us on +44 (0)20 3696 2920 or email events@kisacoresearch.com</div>
<div> </div>
</div>
</div>
</div>
<div id="w_28192838" class="widget v_35781590 swoogo-text clearfix">
<div class=" paragraph" style="">
<div>
<div>
<p><span style="font-size:18px;"><strong>NETWORKING & PRIVACY</strong> </span></p>
<p>Please note that for guests joining us for the main event, your name, job title and organisation details will be visible to our sponsors and to other attendees within the networking section of the virtual event platform to
facilitate open and efficient networking. For further information regarding this and how to contact us if you do not want your details to be shared, visit
our <a href="https://kisacoresearch.com/content/website-privacy-notice">Privacy Policy here</a></p>
</div>
<div> </div>
</div>
</div>
</div>
<div id="w_28192837" class="widget v_35781589 swoogo-cols">
<div class="row " style="">
<div class="col-sm-6">
<div id="w_28192860" class="widget v_35781612 swoogo-text clearfix">
<div class=" paragraph" style="">
<div><span style="font-size:20px;"><strong>Payment Terms</strong></span></div>
<div>
<ul>
<li>All Prices are in USD</li>
<li>If you are a UK based company VAT will be added.</li>
<li>All Early Bird discount prices, including Group Discounts, must be paid in full by deadlines provided above.</li>
<li>Kisaco Research reserves the right to ensure that the correct pricing categories are applied to all registrants</li>
<li>Discounts cannot be combined with any other offer</li>
<li>Please view our <a href="https://kisacoresearch.com/content/cancellation">Cancellation Policy</a></li>
</ul>
</div>
</div>
</div>
</div>
<div class="col-sm-6">
<div id="w_28192861" class="widget v_35781613 swoogo-text clearfix">
<div class=" paragraph" style="">
<div>
<p style="margin:0in 0in .0001pt;"><span style="font-size:20px;"><span style="font-family:Calibri, sans-serif;"><span><span style="font-style:normal;"><span><span style="font-weight:normal;"><span
style="letter-spacing:normal;"><span style="text-transform:none;"><span style="white-space:normal;"><span style="word-spacing:0px;"><span
style="text-decoration:none;"><b>Sending Your Team? Group Discounts Available!</b></span></span></span></span></span></span></span></span></span></span></span></p>
<p style="margin:0in 0in .0001pt;"><span><span style="font-size:medium;"><span style="font-family:Calibri, sans-serif;"><span><span style="font-style:normal;"><span><span style="font-weight:normal;"><span
style="letter-spacing:normal;"><span style="text-transform:none;"><span style="white-space:normal;"><span style="word-spacing:0px;"><span
style="text-decoration:none;"><b><span style="font-size:11pt;">Book a Team of 3+</span></b><span style="font-size:11pt;"> - Save an Additional 10%
Off<br><b>Book a Team of 5+</b> - Save an Additional 15% Off</span></span></span></span></span></span></span></span></span></span></span></span></span></p>
<p style="margin:0in 0in .0001pt;"><span style="font-size:medium;"><span style="font-family:Calibri, sans-serif;"><span><span style="font-style:normal;"><span><span style="font-weight:normal;"><span
style="letter-spacing:normal;"><span><span style="text-transform:none;"><span style="white-space:normal;"><span><span style="word-spacing:0px;"><span><span style="text-decoration:none;"><span
style="font-size:11pt;"><span>If you would like to register a team of 3 or more, please
email </span><a href="mailto:events@kisacoresearch.com" style="color:#954f72;text-decoration:underline;" target="_blank"><span>events@kisacoresearch.com</span></a><span> for your
discount coupon code before registering. </span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></p>
<p style="margin:0in 0in .0001pt;"><span><span style="font-size:medium;"><span style="font-family:Calibri, sans-serif;"><span><span style="font-style:normal;"><span><span style="font-weight:normal;"><span
style="letter-spacing:normal;"><span style="text-transform:none;"><span style="white-space:normal;"><span style="word-spacing:0px;"><span
style="text-decoration:none;"><b><span style="font-size:11pt;">PLEASE NOTE:</span></b><span style="font-size:11pt;"> Discounts cannot be combined with Early Bird Pricing or any other discount or
offer.</span></span></span></span></span></span></span></span></span></span></span></span></span></p>
<p style="margin:0in 0in .0001pt;"> </p>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
<footer class="footer-container">
<div class="container">
<div class="footer">
<div id="w_28192899" class="widget v_35781651 swoogo-text clearfix">
<div class=" paragraph" style="">
<div>
<p><strong><a href="https://www.kisacoresearch.com/content/cookies" target="_blank"><span style="color:#ffffff;">Cookies</span></a></strong></p>
<p><strong><a href="https://www.kisacoresearch.com/content/cancellation" target="_blank"><span style="color:#ffffff;">Cancellation</span></a></strong></p>
<p><strong><a href="https://www.kisacoresearch.com/content/website-privacy-notice" target="_blank"><span style="color:#ffffff;">Privacy</span></a></strong></p>
<p><span style="color:#ffffff;"><strong>Kisaco Research | </strong>Registered office address: 41a Maltby Street, London, SE1 3PA<br> +44 (0)20 3696 2920
|</span><a href="mailto:events@kisacoresearch.com?Subject=Query%20from%20OCTS%202021"><span style="color:#ffffff;">events@kisacoresearch.com</span></a><br><span style="color:#ffffff;">Place of registration: London, United
Kingdom<br> Company number: 09316521</span></p>
</div>
</div>
</div>
<div id="w_28192828" class="widget v_35781580 swoogo-powered-by-swoogo text-center">
<div class="paragraph"><a href="https://swoogo.events">Event management software</a> powered by Swoogo</div>
</div>
</div>
</div>
</footer>
</form>
Text Content
Menu Healthcare Payment & Revenue Integrity Congress East 2023 * Homepage REGISTRATION * 1Begin Registration * 2Personal Information * 3Networking Profile Update * 4Additional People * 5Confirmation Email Address CC Email If you are registering on behalf of someone else and want to receive a copy of the registration confirmation, add your email here. Registrant Type Guest Healthcare Payers & Providers Please keep me updated on future events on this topic and closely related topics YES I give my consent for you to share my contact details with the sponsors and Headline Partner AMS of this event to receive further information on relevant product and service offerings. YES Please note that your name, job title and organisation details will be visible to our sponsors and to other attendees. For further information regarding this and how to contact us if you do not want your details to be shared, visit https://bit.ly/30yCOQ8 Enter discount code Remove Continue Need assistance with your registration? Please call us on +44 (0)20 3696 2920 or email events@kisacoresearch.com NETWORKING & PRIVACY Please note that for guests joining us for the main event, your name, job title and organisation details will be visible to our sponsors and to other attendees within the networking section of the virtual event platform to facilitate open and efficient networking. For further information regarding this and how to contact us if you do not want your details to be shared, visit our Privacy Policy here Payment Terms * All Prices are in USD * If you are a UK based company VAT will be added. * All Early Bird discount prices, including Group Discounts, must be paid in full by deadlines provided above. * Kisaco Research reserves the right to ensure that the correct pricing categories are applied to all registrants * Discounts cannot be combined with any other offer * Please view our Cancellation Policy Sending Your Team? Group Discounts Available! Book a Team of 3+ - Save an Additional 10% Off Book a Team of 5+ - Save an Additional 15% Off If you would like to register a team of 3 or more, please email events@kisacoresearch.com for your discount coupon code before registering. PLEASE NOTE: Discounts cannot be combined with Early Bird Pricing or any other discount or offer. Cookies Cancellation Privacy Kisaco Research | Registered office address: 41a Maltby Street, London, SE1 3PA +44 (0)20 3696 2920 |events@kisacoresearch.com Place of registration: London, United Kingdom Company number: 09316521 Event management software powered by Swoogo