providers.iehp.org Open in urlscan Pro
50.59.20.18  Public Scan

Form analysis
5 forms found in the DOM

Name: actionForm —

<form id="actions.actionForm" name="actionForm" ng-submit="actions.actionSubmit(actionForm)" novalidate="" class="ng-pristine ng-valid">
  <div class="modal-body">
    <div class="modal-provider-container">
      <uib-alert ng-hide="!alert" type="success" class="ng-hide"></uib-alert>
      <!-- ngIf: actions.data[actions.current].EmailStatus ===
									 'Confirmation pending' -->
      <!-- ngIf: actions.data[actions.current].ActionTypeName === 'EmailAddressConfirmation' && !alert && actions.data[actions.current].EmailStatus !== 
									 'Confirmation pending' -->
      <!-- ngIf: actions.data[actions.current].ActionTypeName === 'PasswordChangeDue' -->
      <!-- ngIf: actions.data[actions.current].ActionTypeName === 'SecurityQuestionSubmission' -->
      <!-- ngIf: actions.data[actions.current].ActionTypeName === 'DirectoryUpdate' -->
    </div>
  </div>
  <div class="modal-footer">
    <!-- ngIf: actions.data[actions.current].IsDismissibleByUser === true || isThere -->
    <!-- ngIf: actions.data[actions.current].EmailStatus == 'Confirmation pending' -->
    <button class="btn btn-primary" ng-show="!alert &amp;&amp; actions.data[actions.current].EmailStatus !==
									 'Confirmation pending'" type="submit">
      <!-- ngIf: actions.data[actions.current].ActionTypeName === 'EmailAddressConfirmation' -->
      <!-- ngIf: actions.data[actions.current].ActionTypeName !== 'EmailAddressConfirmation' --><span
        ng-if="actions.data[actions.current].ActionTypeName !== 'EmailAddressConfirmation'">Update</span><!-- end ngIf: actions.data[actions.current].ActionTypeName !== 'EmailAddressConfirmation' -->
    </button>
  </div>
</form>

---

Name: login —

<form class="form login-form ng-pristine ng-valid ng-valid-maxlength ng-valid-minlength" name="login" ng-submit="submit()" novalidate="novalidate" role="form">
  <div class="row">
    <div class="col-xs-12">
      <div class="form-group">
        <label class="control-label" for="username">Login ID</label>
        <input class="form-control ng-pristine ng-untouched ng-valid ng-valid-maxlength" maxlength="20" name="username" ng-maxlength="20" id="username" ng-model="username" type="text">
      </div>
      <div class="form-group">
        <label class="control-label" for="password"> Password </label>
        <input class="form-control ng-pristine ng-untouched ng-valid ng-valid-minlength ng-valid-maxlength" id="password" maxlength="20" name="password" ng-maxlength="20" ng-minlength="6" ng-model="password" type="password">
      </div>
      <div class="form-group">
        <button class="btn btn-primary w100" type="submit">Log In</button>
      </div>
    </div>
  </div>
</form>

---

Name: changePasswordForm —

<form class="pp-form text-left ng-pristine ng-invalid ng-invalid-required ng-valid-maxlength ng-valid-match ng-invalid-check" name="changePasswordForm" ng-submit="submitChangePw(changePasswordForm)" novalidate="">
  <div class="form-section">
    <ol class="list-group">
      <li class="clearfix list-group-item with-background">
        <div class="col-md-6 col-xs-12 text-left">
          <label class="bold-lbl req">New Password:</label>
        </div>
        <div class="col-sm-6 col-xs-12">
          <input name="newPassword" ng-model="form.newPassword" ng-required="true" maxlength="20" tabindex="2" type="password" class="ng-pristine ng-untouched ng-invalid ng-invalid-required ng-valid-maxlength ng-invalid-check" required="required">
          <div class="invalid-text"> Please enter a valid password.</div>
          <pp-password-strength ng-trim="false" input="form.newPassword" form="changePasswordForm.newPassword"><!-- ngRepeat: checker in passwordchecker.Checkers -->
            <div ng-repeat="checker in passwordchecker.Checkers" class="validation-block">
              <label class="md-checkbox block">
                <input type="checkbox" disabled="" ng-checked="checker.Result" readonly="">
                <span class="md-checkbox--fake"></span>
                <small class="checkbox-small">8 or more characters</small>
              </label>
            </div><!-- end ngRepeat: checker in passwordchecker.Checkers -->
            <div ng-repeat="checker in passwordchecker.Checkers" class="validation-block">
              <label class="md-checkbox block">
                <input type="checkbox" disabled="" ng-checked="checker.Result" readonly="">
                <span class="md-checkbox--fake"></span>
                <small class="checkbox-small">1 uppercase character</small>
              </label>
            </div><!-- end ngRepeat: checker in passwordchecker.Checkers -->
            <div ng-repeat="checker in passwordchecker.Checkers" class="validation-block">
              <label class="md-checkbox block">
                <input type="checkbox" disabled="" ng-checked="checker.Result" readonly="">
                <span class="md-checkbox--fake"></span>
                <small class="checkbox-small">1 lowercase character</small>
              </label>
            </div><!-- end ngRepeat: checker in passwordchecker.Checkers -->
            <div ng-repeat="checker in passwordchecker.Checkers" class="validation-block">
              <label class="md-checkbox block">
                <input type="checkbox" disabled="" ng-checked="checker.Result" readonly="">
                <span class="md-checkbox--fake"></span>
                <small class="checkbox-small">1 special character</small>
              </label>
            </div><!-- end ngRepeat: checker in passwordchecker.Checkers -->
            <div ng-repeat="checker in passwordchecker.Checkers" class="validation-block">
              <label class="md-checkbox block">
                <input type="checkbox" disabled="" ng-checked="checker.Result" readonly="">
                <span class="md-checkbox--fake"></span>
                <small class="checkbox-small">1 number</small>
              </label>
            </div><!-- end ngRepeat: checker in passwordchecker.Checkers -->
            <div ng-repeat="checker in passwordchecker.Checkers" class="validation-block">
              <label class="md-checkbox block">
                <input type="checkbox" disabled="" ng-checked="checker.Result" readonly="">
                <span class="md-checkbox--fake"></span>
                <small class="checkbox-small">No white space allowed</small>
              </label>
            </div><!-- end ngRepeat: checker in passwordchecker.Checkers -->
          </pp-password-strength>
        </div>
      </li>
      <li class="clearfix list-group-item with-background">
        <div class="col-md-6 col-xs-12 text-left">
          <label class="bold-lbl req">Confirm New Password:</label>
        </div>
        <div class="col-sm-6 col-xs-12">
          <input name="confirmNewPassword" ng-model="form.chkNewPassword" ng-required="true" maxlength="20" same-as="form.newPassword" tabindex="3" type="password"
            class="ng-pristine ng-untouched ng-valid-match ng-invalid ng-invalid-required ng-valid-maxlength" required="required">
          <div class="invalid-text">Password does not match</div>
        </div>
      </li>
    </ol>
  </div>
  <div class="center-block col-md-3 float-none form-group">
    <button class="btn btn-block btn-lg btn-primary" tabindex="4" type="submit">Update</button>
  </div>
</form>

---

Name: login —

<form class="form form-horizontal ng-pristine ng-valid ng-valid-maxlength ng-valid-minlength" name="login" ng-submit="submit()" novalidate="novalidate" role="form">
  <div class="formHeader row">
    <div class="col-md-12">
      <h4> Secure Provider Web Portal </h4>
    </div>
  </div>
  <!-- ngIf: referrerSite == 'SiteCore' -->
  <div style="height: 12px;"></div>
  <message-boxes error-message="" info-message="" success-message="">
    <div><danger-box message="">
        <div class="danger bg-danger alert alert-danger ng-hide" ng-show="message != ''"></div>
      </danger-box><info-box message="">
        <div class="info bg-info alert alert-info ng-hide" ng-show="message != ''"></div>
      </info-box><success-box message="">
        <div class="success bg-success alert alert-success ng-hide" ng-show="message != ''"></div>
      </success-box></div>
  </message-boxes>
  <div class=" clearfix " show-errors="">
    <label class="col-sm-11 col-sm-offset-2 col-xs-12  col-xs-offset-1 control-label padLeft0" for="username"> Login ID </label>
    <input class="col-sm-8 col-sm-offset-2 col-xs-10 col-xs-offset-1 newFormControl ng-pristine ng-untouched ng-valid ng-valid-maxlength" maxlength="15" name="username" ng-maxlength="15" ng-model="username" type="text">
  </div>
  <div class=" clearfix" show-errors="">
    <label class="col-sm-9 col-sm-offset-2 col-xs-12  col-xs-offset-1 control-label padLeft0" for="password"> Password </label>
    <input class="col-sm-8 col-sm-offset-2 col-xs-10 col-xs-offset-1 newFormControl ng-pristine ng-untouched ng-valid ng-valid-minlength ng-valid-maxlength" maxlength="20" name="password" ng-maxlength="20" ng-minlength="6" ng-model="password"
      type="password">
  </div>
  <div style="height: 47px;"></div>
  <div class="alignRight col-xs-12 padRight0 signInCont">
    <!--<div class="btn btn-primary newButton" n="submit()" ng-disabled="loading" type="submit">{{'form_go' | translate}}</div>-->
    <input class="btn btn-primary newButton" type="submit" value="Go">
  </div>
</form>

---

Name: changePasswordForm —

<form id="submitNewPasswordForm" role="form" name="changePasswordForm" class="form-horizontal form ng-pristine ng-invalid ng-invalid-required ng-valid-pattern ng-valid-minlength ng-valid-maxlength" novalidate="" ng-submit="SubmitNewPassword()">
  <div class="row formHeader">
    <div class="col-md-12">
      <h4> Change Your Password </h4>
    </div>
  </div>
  <div style="height:25px;"></div>
  <message-boxes info-message="" success-message="" error-message="">
    <div><danger-box message="">
        <div class="danger bg-danger alert alert-danger ng-hide" ng-show="message != ''"></div>
      </danger-box><info-box message="">
        <div class="info bg-info alert alert-info ng-hide" ng-show="message != ''"></div>
      </info-box><success-box message="">
        <div class="success bg-success alert alert-success ng-hide" ng-show="message != ''"></div>
      </success-box></div>
  </message-boxes>
  <div class="clearfix">
    <label class="col-sm-11 col-sm-offset-2 col-xs-12  col-xs-offset-1 control-label padLeft0"> New Password </label>
    <i id="passwordStrengthIcon" class=" glyphicon glyphicon-ok  glyphIconAfter"></i>
    <input id="txtPassword1" ng-keyup="checkPasswordStrength($event)" ng-blur="checkPasswordStrength($event)"
      class="newFormControl col-xs-10 col-xs-offset-1 col-sm-offset-2 col-sm-8 ng-pristine ng-untouched ng-invalid ng-invalid-required ng-valid-pattern ng-valid-minlength ng-valid-maxlength" ng-model="newPassword" name="newPassword" type="password"
      placeholder="Password" ng-minlength="6" maxlength="20" ng-pattern="/(?=.*[0-9])(?=.*[A-Z])(?=.*[!@#$&amp;*])(?=.*[a-z]).{6}/" ng-required="true" required="required">
    <!--<label id="passwordStrengthString" class="col-lg-offset-5 hideTemporarily"></label>-->
    <!--<div id="passwordStrengthBar" class="col-xs-11 pad0 passwordStrength_0">
            <label id="passwordStrengthString" class="col-xs-11  col-lg-offset-5  pad0 padTop10 hideTemporarily margin0 alignCenter"></label>
        </div>-->
    <div id="passwordStrengthBar" class=" pad0 passwordStrength_0 col-xs-10 col-xs-offset-1 col-sm-offset-2 col-sm-8">
      <label id="passwordStrengthString" class="col-xs-11  col-lg-offset-5  pad0 padTop10 hideTemporarily margin0 alignCenter"></label>
    </div>
  </div>
  <div class="clearfix">
    <label class="col-sm-11 col-sm-offset-2 col-xs-12  col-xs-offset-1 control-label padLeft0"> Confirm </label>
    <i id="passwordMatchIcon" class=" glyphicon glyphicon-ok  glyphIconAfter" ng-class="{colorGreen :changePasswordForm.newPassword.$viewValue == changePasswordForm.newPasswordConfirmation.$viewValue &amp;&amp; changePasswordForm.newPassword.$viewValue.length >0 }"></i>
    <input id="matchPassword" class="newFormControl col-xs-10 col-xs-offset-1 col-sm-offset-2 col-sm-8 ng-pristine ng-untouched ng-invalid ng-invalid-required ng-valid-maxlength" ng-model="newPasswordConfirmation" ng-keyup="checkIfPasswordsMatch()"
      name="newPasswordConfirmation" type="password" maxlength="20" placeholder="Re-Enter" input-match="newPassword" ng-required="true" required="required">
    <label id="passwordMatchString" class="col-lg-offset-5 hideTemporarily"></label>
  </div>
  <div style="height:47px;"></div>
  <div class="signInCont col-xs-12 padRight0 alignRight">
    <input type="submit" value="Update" ng-disabled="formSubmitButtonDisabled" class="newButton btn btn-primary" disabled="disabled">
  </div>
  <img id="btnChangePassClose" ng-click="closeChangePass()" src="Content/Images/btn_close.png">
</form>

---

Text Content

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PROVIDER PORTAL

 * Welcome
 * 
 * 
 * 
 * My Account
 * 0 Actions
      
      
    * There are currently no action items.
      
   
   USER ACTION
   
   Update
   
   
   
   
 * Sign Out


SECURE PROVIDER WEB PORTAL



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Password
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UPDATE YOUR PASSWORD

 1. New Password:
    Please enter a valid password.
    8 or more characters
    1 uppercase character
    1 lowercase character
    1 special character
    1 number
    No white space allowed
 2. Confirm New Password:
    Password does not match

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For Questions, Comments, or Password Information, Call IEHP's Provider Relations
Team at (909) 890-2054 or E-Mail us at ProviderServices@iehp.org.


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