horizon-dental.mydentalapps.com Open in urlscan Pro
162.95.220.221  Public Scan

Form analysis
1 forms found in the DOM

Name: loginForm — POST /siteminderagent/forms/login.fcc

<form action="/siteminderagent/forms/login.fcc" method="post" style="margin: 0" name="loginForm" id="loginForm" onsubmit="return validateForm()">
  <div class="PanelWidget loginview_main">
    <input type="hidden" name="smenc" value="UTF-8"> <input type="hidden" name="smlocale" value="US-EN"> <input type="hidden" name="target" value="-SM-/hppapp/MainApp"> <input type="hidden" name="smquerydata" value=""> <input type="hidden"
      name="smauthreason" value="0"> <input type="hidden" name="smagentname" value=""> <input type="hidden" name="postpreservationdata" value="">
    <div class="loginMsg"> First time users will need to register for the portal. If you have questions please call 1-800-4-DENTAL (1-800-433-6825). Representatives are available Monday through Friday, between 8 A.M. and 8 P.M., Eastern Time. You may
      also e-mail your questions to <a href="mailto:dentalprovider@horizondentaladmin.com">dentalprovider@horizondentaladmin.com</a>.<br>
    </div>
    <div class="TitleLabelWidget">Sign On</div>
    <div class="msg">
      <div id="formerror"></div>
    </div>
    <div>Please enter your User ID and Password and click CONTINUE.</div>
    <div class="InputWidget TextInputWidget">
      <span class="FormLabelWidget userid">User ID: </span> <input style="width: 150px" class="gwt-TextBox" type="text" name="USER" maxlength="25">
    </div>
    <div class="InputWidget TextInputWidget">
      <span class="FormLabelWidget password">Password: </span> <input style="width: 150px" class="gwt-PasswordTextBox" type="password" name="PASSWORD" maxlength="32" autocomplete="off">
    </div>
    <div style="text-align: center; margin: 15px"> Forgot <a class="forgotuseridlink" style="font-size: 12px;" href="/hppreg/RegistrationApp#AdminTools/ForgotUserId">User
							ID</a> or <a class=" forgotpasswordlink" style="font-size: 12px;" href="/hppreg/RegistrationApp#AdminTools/ForgotPassword/39259">Password</a>? <br> <br> <a class=" unlockaccountlink" style="font-size: 12px;" href="/hppreg/RegistrationApp#AdminTools/ForgotPassword/39259">Unlock
							Account</a> <br> <br> <a class="registerlink" style="font-size: 12px;" href="/hppreg/RegistrationApp#Registration/ProviderRegistration">Not
							Registered</a>? </div>
    <div style="text-align: center">
      <div class="ButtonWidget" onfocus="this.style.background='url(/hpp/images/button_bg_sec.png) no-repeat right -81px'" onblur="this.style.background='url(/hpp/images/button_bg_sec.png) no-repeat right -27px'"
        onmouseover="this.style.background='url(/hpp/images/button_bg_sec.png) no-repeat right -81px'" onmouseout="this.style.background='url(/hpp/images/button_bg_sec.png) no-repeat right -27px'">
        <input class="html-face" type="button" id="clear" onclick="clearForm()" value="Clear" onfocus="this.style.background='url(/hpp/images/button_bg_sec.png) no-repeat left -54px'"
          onblur="this.style.background='url(/hpp/images/button_bg_sec.png) no-repeat left 0'" onmouseover="this.style.background='url(/hpp/images/button_bg_sec.png) no-repeat left -54px'"
          onmouseout="this.style.background='url(/hpp/images/button_bg_sec.png) no-repeat left 0'">
      </div>
      <div class="ButtonWidget primary continue" onfocus="this.style.background='url(/hpp/images/button_bg_pri.png) no-repeat right -81px'" onblur="this.style.background='url(/hpp/images/button_bg_pri.png) no-repeat right -27px'"
        onmouseover="this.style.background='url(/hpp/images/button_bg_pri.png) no-repeat right -81px'" onmouseout="this.style.background='url(/hpp/images/button_bg_pri.png) no-repeat right -27px'">
        <input class="html-face" type="submit" id="continue" value="Continue" onfocus="this.style.background='url(/hpp/images/button_bg_pri.png) no-repeat left -54px'"
          onblur="this.style.background='url(/hpp/images/button_bg_pri.png) no-repeat left 0'" onmouseover="this.style.background='url(/hpp/images/button_bg_pri.png) no-repeat left -54px'"
          onmouseout="this.style.background='url(/hpp/images/button_bg_pri.png) no-repeat left 0'">
      </div>
    </div>
  </div>
</form>

Text Content

Contact Us
Sign On
First time users will need to register for the portal. If you have questions
please call 1-800-4-DENTAL (1-800-433-6825). Representatives are available
Monday through Friday, between 8 A.M. and 8 P.M., Eastern Time. You may also
e-mail your questions to dentalprovider@horizondentaladmin.com.

Sign On

Please enter your User ID and Password and click CONTINUE.
User ID:
Password:
Forgot User ID or Password?

Unlock Account

Not Registered?

Contact Us
x
For further assistance, please contact the Helpdesk via email at
dentalprovider@horizondentaladmin.com or you may contact us at 1-800-4DENTAL
between 8 a.m. and 8 p.m. ET, Monday through Friday.

Please be sure to include any of the following:
Your First and Last Name, your Office Name, description or screenshot of the
error message and steps taken before encountering issue.