pgip-qa.bcbsm.com Open in urlscan Pro
167.242.25.58  Public Scan

Submitted URL: http://pgip-qa.bcbsm.com/
Effective URL: https://pgip-qa.bcbsm.com/
Submission: On January 07 via api from US — Scanned from US

Form analysis 1 forms found in the DOM

Name: frmLoginPOST https://digsauth-qa.bcbsm.com/celogin/provider/

<form name="frmLogin" method="post" autocomplete="off" action="https://digsauth-qa.bcbsm.com/celogin/provider/">
  <table border="0" cellspacing="0" cellpadding="3" summary="">
    <tbody>
      <tr>
        <td id="userlbl" nowrap="nowrap"><span class="formLabel">Username:</span></td>
        <td id="userfld" nowrap="nowrap"><input type="text" name="username" class="input-block-level" tabindex="1" id="user" maxlength="20"></td>
      </tr>
      <tr>
        <td id="pwdlbl" nowrap="nowrap"><span class="formLabel">Password:</span></td>
        <td id="pwdfld" nowrap="nowrap"><input type="password" name="password" class="input-block-level" tabindex="2" id="pwd" maxlength="40" onchange="this.form.B1.focus()"></td>
      </tr>
      <tr>
        <td id="btnleft" nowrap="nowrap">&nbsp;</td>
        <td id="btnright" nowrap="nowrap">
          <input type="hidden" name="login-form-type" value="pwd">
          <input type="submit" name="B1" class="linkButton" tabindex="3" value="Login" id="loginbtn">
        </td>
      </tr>
    </tbody>
  </table>
</form>

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