payments.easternhealth.ca
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urlscan Pro
209.128.15.18
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URL:
https://payments.easternhealth.ca/
Submission: On July 04 via automatic, source certstream-suspicious — Scanned from CA
Submission: On July 04 via automatic, source certstream-suspicious — Scanned from CA
Form analysis 1 forms found in the DOM
POST ./
<form method="post" action="./" onsubmit="javascript:return WebForm_OnSubmit();" id="ctl01">
<div class="aspNetHidden">
<input type="hidden" name="__EVENTTARGET" id="__EVENTTARGET" value="">
<input type="hidden" name="__EVENTARGUMENT" id="__EVENTARGUMENT" value="">
<input type="hidden" name="__VIEWSTATE" id="__VIEWSTATE" value="/iaLKeC5qTnJvJL9vxTPzTUwknPlWmFt/RC09NOS7nUtjOJJSXfHdDNa4uFLMyq4cjPJHlEBJ8Iq9XrfZpTHCsrgMuQV8KCfeW4CATIK9V4=">
</div>
<script type="text/javascript">
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<script src="/bundles/MsAjaxJs?v=c42ygB2U07n37m_Sfa8ZbLGVu4Rr2gsBo7MvUEnJeZ81" type="text/javascript"></script>
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<script src="Scripts/bootstrap.min.js" type="text/javascript"></script>
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<script src="Scripts/scripts.js" type="text/javascript"></script>
<script type="text/javascript">
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function WebForm_OnSubmit() {
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<div class="aspNetHidden">
<input type="hidden" name="__VIEWSTATEGENERATOR" id="__VIEWSTATEGENERATOR" value="D08B0A68">
<input type="hidden" name="__EVENTVALIDATION" id="__EVENTVALIDATION"
value="T5GJV63oA6H1RcNCUh4/AB6GKxjGX4cwsfauH7tfbj+QLOLngFvYHrlTc67vYVPV0pIdoazK3KWxFrxMsNVxgl33m9QYvgUcuPxvxQVEAO9h67nML2QOOFD3H3MeSCY09/0yrl7gDmbTRXoAJHRfM0gIpHaAaZe1BrXBoe9MPUQ7Oy8O1RFbRlZI8fSrhXkQZE0i18SX7lpMJkdxzTUUZ1/+B3AkUHyw5q0seD0ej50t20rTOkLDCUXJrc7a7bCOZgEb1F8yxOZhIUSAkpg91VsDSbFfCvwwgo5W53QSpaw=">
</div>
<script type="text/javascript">
//<![CDATA[
Sys.WebForms.PageRequestManager._initialize('ctl00$ctl09', 'ctl01', ['tctl00$MainContent$upPaymentForm', 'MainContent_upPaymentForm'], [], [], 90, 'ctl00');
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</script>
<div class="navbar navbar-fixed-topq">
<div class="container">
<div class="navbar-header">
<a class="navbar-brand">
<img src="Content/images/main-logo.png" class="header-logo" alt="<%= SiteTitle %>">
<span>Eastern Health - Online Payment System</span>
</a>
</div>
</div>
</div>
<div class="container body-content">
<div id="MainContent_upPaymentForm">
<div class="row form-row">
<div id="ehform">
<div id="instructions" class="col-lg-5 col-md-6 form-text">
<p><strong>Eastern Health Online Payment</strong></p>
<p> Welcome to Eastern Health’s online payment system. We accept online payment by Visa, MasterCard and American Express. </p>
<p>We also accept payment by mail at:</p>
<address>
<strong>Eastern Health</strong><br> Accounts Receivable<br> 760 Topsail Road<br> Mount Pearl, NL A1N 3J5<br> Canada
</address>
<address>
<strong>Hours of Operation</strong><br> Monday to Friday<br> 8:30am - 4:30pm<br>
</address>
<p>
<strong>Phone:</strong> 709-777-1480 <span class="subtext">(press option 1 to make payment by phone)</span>
</p>
<p>
<strong>Fax:</strong> 709-752-6892
</p>
<p>
<strong>Email:</strong> <a href="mailto:accounts.receivable@easternhealth.ca">accounts.receivable@easternhealth.ca</a>
</p>
<p>
<strong>Web:</strong> <a href="http://www.easternhealth.ca/billing" target="_blank">http://www.easternhealth.ca/billing</a>
</p>
</div>
<div id="paymentform" class="col-lg-7 col-md-6">
<h2 class="form-title">Make a Payment</h2>
<div class="row form">
<div class="col-lg-12">
<div data-val-headertext="<strong>Please correct the following:</strong>" id="MainContent_formValidationSummary" class="alert alert-danger" data-valsummary="true" style="display:none;">
</div>
<div id="validationerror" style="display: none;">
<div class="alert alert-danger">
<strong>Unable to process your payment:</strong>
<ul>
<li>Please call 709-777-1480 and press option 1 to make a payment by phone</li>
<li><strong>Email:</strong> <a href="mailto:accounts.receivable@easternhealth.ca">accounts.receivable@easternhealth.ca</a></li>
</ul>
</div>
</div>
<div class="row margin-top-20">
<div class="col-lg-12 form-group">
<label for="CustomerId">Account Number</label> <span id="mouseOverAcctNumber" class="glyphicon glyphicon-question-sign"><img src="Content/images/accountNumber.png"></span>
<span class="help-block"><label for="AccountWarning">Please enter your account number exactly as it appears on your invoice or statement.</label></span>
<input name="ctl00$MainContent$customerIdTextBox" type="text" maxlength="12" id="customerIdTextBox" class="form-control" placeholder="Account Number">
<span data-val-controltovalidate="customerIdTextBox" data-val-errormessage="<strong>Account Number</strong> is required" data-val-display="None" id="MainContent_rfvAccountNumber" data-val="true"
data-val-evaluationfunction="RequiredFieldValidatorEvaluateIsValid" data-val-initialvalue="" style="display:none;"></span>
</div>
</div>
<div class="row">
<div class="col-lg-6 form-group">
<label for="FirstName">First Name</label>
<input name="ctl00$MainContent$FirstName" type="text" id="FirstName" class="form-control" placeholder="First Name">
<span data-val-controltovalidate="FirstName" data-val-errormessage="<strong>First Name</strong> is required" data-val-display="None" id="MainContent_rfvFirstName" data-val="true"
data-val-evaluationfunction="RequiredFieldValidatorEvaluateIsValid" data-val-initialvalue="" style="display:none;"></span>
</div>
<div class="col-lg-6 form-group">
<label for="LastName">Last Name</label>
<input name="ctl00$MainContent$LastName" type="text" id="LastName" class="form-control" placeholder="Last Name">
</div>
<span data-val-controltovalidate="LastName" data-val-errormessage="<strong>Last Name</strong> is required" data-val-display="None" id="MainContent_rfvLastName" data-val="true"
data-val-evaluationfunction="RequiredFieldValidatorEvaluateIsValid" data-val-initialvalue="" style="display:none;"></span>
</div>
<div class="row">
<div class="col-lg-6 form-group">
<label for="Amount">Amount</label>
<input name="ctl00$MainContent$Amount" type="text" id="Amount" class="form-control" placeholder="Amount">
<span data-val-controltovalidate="Amount" data-val-errormessage="<strong>Amount</strong> is not valid, please enter only numbers like 100 or 100.00 for the total" data-val-display="None" id="MainContent_revAmount" data-val="true"
data-val-evaluationfunction="RegularExpressionValidatorEvaluateIsValid" data-val-validationexpression="^\d+(\.\d\d)?$" style="display:none;"></span>
<span data-val-controltovalidate="Amount" data-val-errormessage="<strong>Amount</strong> is required" data-val-display="None" id="MainContent_rfvAmount" data-val="true"
data-val-evaluationfunction="RequiredFieldValidatorEvaluateIsValid" data-val-initialvalue="" style="display:none;"></span>
</div>
<div class="col-lg-6 form-group">
<label for="">Bill Date </label> <span id="mouseOverBillDate" class="mouseOver glyphicon glyphicon-question-sign"><img src="Content/images/billDate.png"></span>
<input name="ctl00$MainContent$tbBillDate" type="text" maxlength="100" id="tbBillDate" class="form-control datepicker" placeholder="dd/mm/yy" autocomplete="off">
<span data-val-controltovalidate="tbBillDate" data-val-errormessage="<b>Bill Date</b> is required" data-val-display="None" id="MainContent_rfvBillDate" data-val="true"
data-val-evaluationfunction="RequiredFieldValidatorEvaluateIsValid" data-val-initialvalue="" style="display:none;"></span>
</div>
</div>
<div class="row">
<div class="col-lg-6 form-group">
<label for="EmailAddress">Email Address</label>
<input name="ctl00$MainContent$EmailAddress" type="text" id="EmailAddress" class="form-control" placeholder="Email Address">
<span data-val-controltovalidate="EmailAddress" data-val-errormessage="Invalid <strong>Email Address</strong> format" data-val-display="None" id="MainContent_regexEmailValid" data-val="true"
data-val-evaluationfunction="RegularExpressionValidatorEvaluateIsValid" data-val-validationexpression="\w+([-+.]\w+)*@\w+([-.]\w+)*\.\w+([-.]\w+)*" style="display:none;"></span>
<span data-val-controltovalidate="EmailAddress" data-val-errormessage="<strong>Email Address</strong> is required" data-val-display="None" id="MainContent_rfvEmail" data-val="true"
data-val-evaluationfunction="RequiredFieldValidatorEvaluateIsValid" data-val-initialvalue="" style="display:none;"></span>
</div>
<div class="col-lg-6 form-group">
<label for="EmailAddressConfirm">Confirm Email Address</label>
<input name="ctl00$MainContent$EmailAddressConfirm" type="text" id="MainContent_EmailAddressConfirm" class="form-control" placeholder="Confirm Email Address">
<span data-val-controltovalidate="MainContent_EmailAddressConfirm" data-val-errormessage="<strong>Email</strong> and <strong>Confirm Email Addresses</strong> do not match" data-val-display="None" id="MainContent_cvEmail"
data-val="true" data-val-evaluationfunction="CompareValidatorEvaluateIsValid" data-val-controltocompare="EmailAddress" data-val-controlhookup="EmailAddress" style="display:none;"></span>
<span data-val-controltovalidate="MainContent_EmailAddressConfirm" data-val-errormessage="<strong>Confirm Email Address</strong> is required" data-val-display="None" id="MainContent_rfvConfirmEmail" data-val="true"
data-val-evaluationfunction="RequiredFieldValidatorEvaluateIsValid" data-val-initialvalue="" style="display:none;"></span>
</div>
</div>
<div class="row">
<div class="col-lg-12">
<input type="submit" name="ctl00$MainContent$ShowCheckout" value="SUBMIT"
onclick="javascript:WebForm_DoPostBackWithOptions(new WebForm_PostBackOptions("ctl00$MainContent$ShowCheckout", "", true, "", "", false, false))" id="ShowCheckout" class="btn btn-primary">
</div>
</div>
</div>
</div>
</div>
</div>
<div id="monerisform" style="display:none;">
<div id="outerDiv" class="col-lg-12" style="height:900px;">
<div id="monerisCheckout"></div>
</div>
</div>
<input type="hidden" id="g-recaptcha-response" name="g-recaptcha-response">
</div>
<div class="overlay"></div>
<script src="https://gateway.moneris.com/chkt/js/chkt_v1.00.js"></script>
<script src="Scripts/loading.js"></script>
<script src="https://www.google.com/recaptcha/api.js?render=6LdfluIcAAAAAN5COWunDJtuIdlhhiMh2iMgLqw3"></script>
<script>
$("#ShowCheckout").click(function() {
event.preventDefault();
grecaptcha.ready(function() {
grecaptcha.execute('6LdfluIcAAAAAN5COWunDJtuIdlhhiMh2iMgLqw3', {
action: 'EHPayment'
}).then(function(token) {
if (Page_IsValid == true) {
$("body").addClass("loading");
var dataString = JSON.stringify({
cust_id: $("#customerIdTextBox").val(),
first_name: $("#FirstName").val(),
last_name: $("#LastName").val(),
txn_total: $("#Amount").val(),
email: $("#EmailAddress").val(),
bill_date: $("#tbBillDate").val(),
recaptcha_token: token
})
$.ajax({
type: "POST",
url: "EhOnlinePayment.aspx/MonerisPreload",
dataType: 'json',
data: dataString,
contentType: "application/json; charset=utf-8",
success: function(result) {
myCheckout.startCheckout(result.d);
$("#monerisform").show();
},
/*error: function (status) {
location.href = "Error.aspx";
console.log(status);
},*/
error: function(jqXHR, error, errorThrown) {
if (jqXHR.status && jqXHR.status == 400) {
myValidationError();
} else {
location.href = "Error.aspx";
}
}
});
} else {
//alert("we have an error");
}
}); // end of execute
}); // End of ready
})
var myCheckout = new monerisCheckout();
myCheckout.setMode("prod");
myCheckout.setCheckoutDiv("monerisCheckout")
$("#validationerror").hide();
//var myCheckout = new monerisCheckout();
myCheckout.setCallback("page_loaded", myPageLoad);
myCheckout.setCallback("cancel_transaction", myCancelTransaction);
myCheckout.setCallback("error_event", myErrorEvent);
myCheckout.setCallback("payment_receipt", myPaymentReceipt);
myCheckout.setCallback("payment_complete", myPaymentComplete);
function myPageLoad() {
$("body").removeClass("loading");
$("#ehform").hide();
}
function myValidationError() {
$("body").removeClass("loading");
$("#monerisform").hide();
$("#ehform").show();
$("#validationerror").show();
}
function myCancelTransaction() {
$("body").removeClass("loading");
$("#monerisform").hide();
$("#validationerror").hide();
$("#ehform").show();
}
function myErrorEvent() {}
function myPaymentReceipt() {
// this is when receipt is shown
}
function myPaymentComplete() {
// this is when you hit the back button on the moneris receipt
location.reload();
}
</script>
</div>
<input type="hidden" name="ctl00$MainContent$hfPosition" id="MainContent_hfPosition">
<script type="text/javascript">
$(function() {
var f = $("#MainContent_hfPosition");
window.onload = function() {
var position = parseInt(f.val());
if (!isNaN(position)) {
$(window).scrollTop(position);
}
};
window.onscroll = function() {
var position = $(window).scrollTop();
f.val(position);
};
});
</script>
<hr>
<footer>
<p>© 2023 - Eastern Health</p>
</footer>
</div>
</form>Text Content
Eastern Health - Online Payment System Eastern Health Online Payment Welcome to Eastern Health’s online payment system. We accept online payment by Visa, MasterCard and American Express. We also accept payment by mail at: Eastern Health Accounts Receivable 760 Topsail Road Mount Pearl, NL A1N 3J5 Canada Hours of Operation Monday to Friday 8:30am - 4:30pm Phone: 709-777-1480 (press option 1 to make payment by phone) Fax: 709-752-6892 Email: accounts.receivable@easternhealth.ca Web: http://www.easternhealth.ca/billing MAKE A PAYMENT Unable to process your payment: * Please call 709-777-1480 and press option 1 to make a payment by phone * Email: accounts.receivable@easternhealth.ca Account Number Please enter your account number exactly as it appears on your invoice or statement. First Name Last Name Amount Bill Date Email Address Confirm Email Address -------------------------------------------------------------------------------- © 2023 - Eastern Health July January February March April May June July August September October November December 2023 1900 1901 1902 1903 1904 1905 1906 1907 1908 1909 1910 1911 1912 1913 1914 1915 1916 1917 1918 1919 1920 1921 1922 1923 1924 1925 1926 1927 1928 1929 1930 1931 1932 1933 1934 1935 1936 1937 1938 1939 1940 1941 1942 1943 1944 1945 1946 1947 1948 1949 1950 1951 1952 1953 1954 1955 1956 1957 1958 1959 1960 1961 1962 1963 1964 1965 1966 1967 1968 1969 1970 1971 1972 1973 1974 1975 1976 1977 1978 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 2021 2022 2023 2024 2025 2026 2027 2028 2029 2030 2031 2032 2033 2034 2035 2036 2037 2038 2039 2040 2041 2042 2043 2044 2045 2046 2047 2048 2049 2050 SunMonTueWedThuFriSat 25 26 27 28 29 30 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 1 2 3 4 5 Save Selected 00:00 01:00 02:00 03:00 04:00 05:00 06:00 07:00 08:00 09:00 10:00 11:00 12:00 13:00 14:00 15:00 16:00 17:00 18:00 19:00 20:00 21:00 22:00 23:00