eqrs.cms.gov
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54.90.185.125
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URL:
https://eqrs.cms.gov/globalapp/
Submission: On December 30 via api from AE — Scanned from US
Submission: On December 30 via api from AE — Scanned from US
Form analysis
1 forms found in the DOMPOST /globalapp/
<form novalidate="novalidate" method="POST" action="/globalapp/" data-se="o-form" slot="content" id="form21" class="primary-auth-form o-form o-form-edit-mode">
<div data-se="o-form-content" class="o-form-content o-form-theme clearfix">
<h2 data-se="o-form-head" class="okta-form-title o-form-head">Log into EQRS</h2>
<div class="o-form-error-container" data-se="o-form-error-container"></div>
<div class="o-form-fieldset-container" data-se="o-form-fieldset-container">
<div data-se="o-form-fieldset" class="o-form-fieldset o-form-label-top margin-btm-5">
<div data-se="o-form-label" class="okta-form-label o-form-label"><label for="okta-signin-username">Username </label></div>
<div data-se="o-form-input-container" class="o-form-input"><span data-se="o-form-input-username" class="o-form-input-name-username o-form-control okta-form-input-field input-fix focused-input"><input type="text" placeholder="" name="username"
id="okta-signin-username" value="" aria-label="" autocomplete="username" aria-invalid="false" aria-required="true" required=""></span></div>
</div>
<div data-se="o-form-fieldset" class="o-form-fieldset o-form-label-top margin-btm-30">
<div data-se="o-form-label" class="okta-form-label o-form-label"><label for="okta-signin-password">Password </label></div>
<div data-se="o-form-input-container" class="o-form-input"><span data-se="o-form-input-password" class="o-form-input-name-password o-form-control okta-form-input-field input-fix"><input type="password" placeholder="" name="password"
id="okta-signin-password" value="" aria-label="" autocomplete="current-password" aria-invalid="false" aria-required="true" required=""></span></div>
</div>
</div>
<ul _ngcontent-ng-c1572351608="">
<li _ngcontent-ng-c1572351608="" class="custom-tc-link-item"><input _ngcontent-ng-c1572351608="" type="checkbox" name="termsconditions" id="termsconditions"><label _ngcontent-ng-c1572351608="" for="termsconditions"
data-se-for-name="termsconditions">Agree to our <a _ngcontent-ng-c1572351608="" tabindex="0">Terms and Conditions</a></label></li>
</ul>
</div>
<div class="o-form-button-bar"><input class="button button-primary" type="submit" value="Sign In" id="okta-signin-submit" data-type="save" disabled="true"></div>
</form>
Text Content
Back to home LOG INTO EQRS Username Password * Agree to our Terms and Conditions Need help signing in? * Forgot password? * Help * Forgot username/password * Manage Two-Factor Authentication Device * Don't have an account?Sign Up A federal government website managed and paid for by the U.S Centers for Medicare & Medicaid Services. 7500 Security Boulevard, Baltimore MD 21244