verifyhcp.lexisnexisrisk.com Open in urlscan Pro
198.62.62.9 Public Scan

Back to summary

Submitted URL:
https://click.csmail.lexisnexisrisk.com/?qs=30e1d671bac1de94420f4dc13c276350337b2e58d18fc89ab755cb33af5dd5b71258b6a1ba41e6809e369ad1f377...
Effective URL:
https://verifyhcp.lexisnexisrisk.com/verifyhcp/registration/validateToken?email=randi.kelly@ochsner.org&token=b2c690302ab64f378e8eda8...
Submission: On November 05 via manual (November 5th 2024, 9:09:15 pm UTC) from US — Scanned from CA

Form analysis
4 forms found in the DOM

Name: validateTokenForm — POST #

<form action="#" method="post" name="validateTokenForm" id="validateTokenForm" novalidate="novalidate">
  <!-- START: containerBody -->
  <div class="row">
    <div class="col-sm-12 welcomeText">Welcome to the VerifyHCP Portal</div>
  </div>
  <div class="row collapsibleSection">
    <div class="col-sm-12 pageHeader">
      <div class="container-fluid">
        <div class="row">
          <div class=" col-sm-10 ">Please confirm your identity in order to verify your payer directory details.</div>
          <div class="col-sm-2 text-end pageHeaderText text-red"> Already Registered? <br><a href="https://verifyhcp.lexisnexisrisk.com/lnhcportal/verify">Login Here</a>
          </div>
        </div>
      </div>
    </div>
  </div>
  <div class="row">
    <div class="col-sm-12 successMsg d-none text-center" id="successMsgInfo">Error</div>
  </div>
  <div class="row errorSection">
    <div class="col-sm-6 errorTextDiv"></div>
    <div class="col-sm-6 sendNewCodeDiv d-none">
      <a id="sendNewCodeLink" class="sendNewCodeLink">Send New Code</a>
    </div>
  </div>
  <div class="row collapsibleSection">
    <div class="mb-3 col-sm-12">
      <ol class="signupList">
        <li class="borderList" id="infoSection">
          <div class="row">
            <div class="mb-3 col-sm-3 labelNumber">
              <input type="hidden" id="registrationId" name="registrationId" value="8336411"> <input type="hidden" id="token" name="token" value="b2c690302ab64f378e8eda809cf6064a926815c61d6b4f41be234789bbf76291"> <input type="hidden" id="email"
                name="email" value="randi.kelly@ochsner.org"> <label class="formLabelNormal purpleLabel fw-bold" for="email" id="emailLabel">Email</label>
            </div>
            <div class="mb-3 col-sm-4 emailText">
              <span>randi.kelly@ochsner.org</span>
            </div>
          </div>
        </li>
        <li id="roleSelection">
          <div class="row">
            <div class="mb-3  col-sm-3 labelNumber">
              <span class="formLabelNormal purpleLabel">Your Role</span>
            </div>
            <div class="mb-3  col-sm-4" id="selectRoleDiv">
              <div class="form-control userRoleDiv" id="radProviderDiv">
                <input type="radio" name="userRole" id="radProviderRole" align="right" value="PROVIDER" class="dialogRadio"> <label for="radProvider"><span class="fw-bold">I am a clinician </span></label>
              </div>
            </div>
            <div class="mb-3  col-sm-4">
              <div class="form-control userRoleDiv" id="radAdminDiv">
                <input type="radio" name="userRole" id="radAdminRole" align="right" value="ADMIN" class="dialogRadio">
                <label for="radAdmin"><span class="fw-bold">I manage multiple clinicians</span></label>
              </div>
            </div>
          </div>
          <div class="row d-none" id="adminSection">
            <div class="container-fluid adminSectionContainer">
              <div class="row">
                <div class="mb-3  col-sm-3"></div>
                <div class="mb-3 col-sm-3">
                  <span>Please provide your name and email address.</span>
                </div>
              </div>
              <div class="row">
                <div class="mb-3  col-sm-3"></div>
                <div class="mb-3 col-sm-4 form-floating">
                  <input type="text" maxlength="45" id="adminFirstName" class="form-control formInput" data-error="First Name" required="required" placeholder="" name="adminFirstName" value=""><label class="formLabelNormal"
                    for="adminFirstName"><span>First Name</span> </label>
                </div>
                <div class="mb-3 col-sm-4 form-floating">
                  <input type="text" maxlength="45" id="adminLastName" class="form-control formInput" data-error="Last Name" required="required" placeholder="" name="adminLastName" value=""><label class="formLabelNormal"
                    for="adminLastName"><span>Last Name</span> </label>
                </div>
              </div>
              <div class="row">
                <div class="mb-3  col-sm-3"></div>
                <div class="mb-3  col-sm-4 form-floating">
                  <input type="text" maxlength="100" id="adminEmail" class="form-control formInput" data-error="Email" required="required" placeholder="" name="adminEmail" value=""><label class="formLabelNormal" for="adminEmail"><span>Email(will be
                      used for future contact) </span>
                  </label>
                </div>
              </div>
            </div>
          </div>
        </li>
        <input type="hidden" value="true" id="hidReCaptcha" name="hidReCaptcha">
        <input type="hidden" id="reCaptchaVersion" name="reCaptchaVersion" value="3">
        <div>
          <input type="hidden" id="reCaptchaV3SiteKey" name="reCaptchaV3SiteKey" value="6Lf_eK8bAAAAALJ9Y6qFHgM5fJv2dc1VVI2t8PDl">
        </div>
        <li class="collapsibleSection">
          <div class="row">
            <div class="col-sm-12 formLabelNormal termsHeader">Please review the Terms and Conditions below.</div>
          </div>
          <div class="row">
            <div class="mb-3 col-sm-12">
              <input type="checkbox" id="confirmSubmit" class="confirmCheck" data-error="Confirm Terms" autocomplete="off" name="confirmSubmit" value="true"><input type="hidden" name="_confirmSubmit" value="on"> <span class="formLabelNormal">By
                clicking “Submit” below, I understand that the information I provide through this website is being collected by LexisNexis Risk Solutions. I agree to the LexisNexis Risk Solutions
                <a class="privacyLink" href="../public/terms" target="_blank">Terms &amp; Conditions</a> and <a class="privacyLink" href="../public/privacy" target="_blank">Privacy Policy</a>, including the provisions related to information practices
                in connection with this website, the incorporation of clinician practice and personal data into the LexisNexis Risk Solutions healthcare clinician databases and communications. </span>
            </div>
          </div>
          <div class="row">
            <div class="mb-3 col-sm-12">
              <button type="submit" id="submitBtn" class="btn btn-ln-primary float-end disabled">SUBMIT</button>
            </div>
          </div>
        </li>
      </ol>
    </div>
  </div>
</form>

Name: confirmIdentityForm — POST

<form method="post" name="confirmIdentityForm" id="confirmIdentityForm" novalidate="novalidate">
  <div class="row">
    <div class="mb-3 col-sm-12">
      <span class="modalProviderContent">Confirm the information below to create your account.</span>
      <span class="modalAdminContent d-none">Confirm the information below to create your account. Note that for security reasons, the email address is the address where the registration code was sent. You can update the administrator email address
        in the portal for future communications.</span>
    </div>
  </div>
  <div class="row">
    <div class="mb-3 col-sm-3 purpleModalLabel">
      <span>First Name</span>
    </div>
    <div class="mb-3 col-sm-6">
      <span id="confirmFirstName" class="labelValues">name</span>
    </div>
  </div>
  <div class="row">
    <div class="mb-3 col-sm-3 purpleModalLabel">
      <span>Last Name</span>
    </div>
    <div class="mb-3 col-sm-6">
      <span id="confirmLastName" class="labelValues">name</span>
    </div>
  </div>
  <div class="row">
    <div class="mb-3 col-sm-3 purpleModalLabel">
      <span>Email</span>
    </div>
    <div class="mb-3 col-sm-6">
      <span id="confirmEmail" class="labelValues">email</span>
    </div>
  </div>
  <div class="row" id="confirmNpiSection">
    <div class="mb-3 col-sm-3 purpleModalLabel">
      <span>Your NPI</span>
    </div>
    <div class="mb-3 col-sm-6">
      <span id="confirmNpi" class="labelValues">npi</span>
    </div>
  </div>
  <div class="row d-none" id="adminNpiList">
    <div class="mb-3 col-sm-3 purpleModalLabel">
      <span>NPIs you Manage</span>
    </div>
    <div class="mb-3 col-sm-7 " id="adminNpiScrollList"></div>
  </div>
  <div class="row">
    <div class="mb-3 col-sm-3 purpleModalLabel">
      <span>Create Password</span>
    </div>
    <div class="mb-3 col-sm-6 form-floating">
      <input type="password" maxlength="30" id="password" class="form-control formInput" data-error="Password" required="required" placeholder="" name="password" value=""><label class="formLabelNormal" for="password"><span>Create new password</span>
      </label>
    </div>
    <div class="col-sm-3 pwdRqmtsDiv">
      <a id="pwdRqmtsLink">Password Requirements</a>
    </div>
  </div>
  <div class="row">
    <div class="mb-3 col-sm-3"></div>
    <div class="mb-3 col-sm-6 form-floating">
      <input type="password" maxlength="30" id="confirmPassword" class="form-control formInput" data-error="Verify new password" required="required" placeholder="" name="confirmPassword" value=""><label class="formLabelNormal"
        for="confirmPassword"><span>Verify new password</span> </label>
    </div>
  </div>
</form>

Name: userDetailsForm — POST

<form method="post" name="userDetailsForm" id="userDetailsForm" novalidate="novalidate">
  <div class="row">
    <div class="col-sm-12 mb-3">
      <span class="modalContent">Modal Content</span>
    </div>
  </div>
  <div class="row">
    <div class="col-sm-12 mb-3 purpleModalLabel">
      <input type="radio" name="confirmUserRole" id="radAdmin" value="ADMIN" align="right"><span class="userRoleLabel">Office Manager</span>
    </div>
  </div>
  <div class="row" id="adminNameSection">
    <div class="col-sm-12">
      <div class="container-fluid">
        <div class="row">
          <div class="mb-3 col-sm-6 form-floating">
            <input type="text" maxlength="45" id="confirmAdminFirstName" class="form-control formInput" data-error="First Name" required="required" placeholder="" name="confirmAdminFirstName" value=""><label class="formLabelNormal"
              for="confirmAdminFirstName"><span>First Name</span> </label>
          </div>
          <div class="mb-3 col-sm-6 form-floating">
            <input type="text" maxlength="45" id="confirmAdminLastName" class="form-control formInput" data-error="Last Name" required="required" placeholder="" name="confirmAdminLastName" value=""><label class="formLabelNormal"
              for="confirmAdminLastName"><span>Last Name</span> </label>
          </div>
        </div>
        <div class="row">
          <div class="mb-3 col-sm-2 purpleModalLabel">
            <span class="formLabelNormal">Email </span>
          </div>
          <div class="mb-3 col-sm-8">
            <span>randi.kelly@ochsner.org</span>
          </div>
        </div>
      </div>
    </div>
  </div>
  <div class="row">
    <div class="col-sm-12 mb-3 purpleModalLabel">
      <input type="radio" name="confirmUserRole" id="radProvider" class="dialogRadio" value="PROVIDER" align="right"><span class="userRoleLabel">Clinician</span>
    </div>
  </div>
  <div class="row">
    <div class="col-sm-8 mb-3 providerNpiList selectedProviderDropdown">
      <div class="dropdown bootstrap-select form-control"><select name="selectedProviderNpi" id="modalDropdown" class="form-control selectpicker"></select><button type="button" tabindex="-1" class="btn dropdown-toggle bs-placeholder btn-light"
          data-bs-toggle="dropdown" role="combobox" aria-owns="bs-select-1" aria-haspopup="listbox" aria-expanded="false" title="Nothing selected" data-id="modalDropdown">
          <div class="filter-option">
            <div class="filter-option-inner">
              <div class="filter-option-inner-inner">Nothing selected</div>
            </div>
          </div>
        </button>
        <div class="dropdown-menu ">
          <div class="inner show" role="listbox" id="bs-select-1" tabindex="-1">
            <ul class="dropdown-menu inner show" role="presentation"></ul>
          </div>
        </div>
      </div>
    </div>
  </div>
</form>

<form>
  <div class="row">
    <div class="col-sm-10 mb-3">
      <span>Please select the email to which token needs to be sent.</span>
    </div>
  </div>
  <div class="row">
    <div class="col-sm-5 mb-3 mt-3">
      <input type="radio" name="optradio" id="radProviderEmail" align="right"> Clinician Email ID:
    </div>
    <div class="col-sm-7 mb-3 mt-3">
      <label id="providerEmail" for="radProviderEmail" class="breakWord">providerEmail</label>
    </div>
  </div>
  <div class="row">
    <div class="col-sm-5 mb-3  mt-3">
      <input type="radio" name="optradio" id="radPreferredEmail" align="right"> Office Manager Email ID: <label for="radPreferredEmail" hidden="hidden">preferredEmail</label>
    </div>
    <div class="col-sm-7 mb-3">
      <div class="dropdown bootstrap-select noLabel" style="width: 100%;"><select id="preferredEmail" class="selectpicker noLabel" data-width="100%" data-error="Office Manager Email ID" tabindex="9">
        </select><button type="button" tabindex="-1" class="btn dropdown-toggle bs-placeholder btn-light" data-bs-toggle="dropdown" role="combobox" aria-owns="bs-select-2" aria-haspopup="listbox" aria-expanded="false" title="Nothing selected"
          data-id="preferredEmail">
          <div class="filter-option">
            <div class="filter-option-inner">
              <div class="filter-option-inner-inner">Nothing selected</div>
            </div>
          </div>
        </button>
        <div class="dropdown-menu ">
          <div class="inner show" role="listbox" id="bs-select-2" tabindex="-1">
            <ul class="dropdown-menu inner show" role="presentation"></ul>
          </div>
        </div>
      </div>
    </div>
  </div>
  <div class="row">
    <div class="col-sm-5 mb-3  mt-3">
      <input type="radio" name="optradio" id="radAdditionalEmail" align="right"> Additional Email ID:
    </div>
    <div class="col-sm-7 mb-3">
      <input type="text" name="additionalEmail" id="additionalEmail" class="form-control formInput" data-error="Additional Email">
    </div>
  </div>
  <input type="hidden" name="hidRowId" id="hidRowId"> <input type="hidden" name="hidProviderEmail" id="hidProviderEmail"> <input type="hidden" name="hidPreferredEmail" id="hidPreferredEmail">
</form>

Text Content

VerifyHCP® Portal

1.888.245.4619 |
Welcome to the VerifyHCP Portal
Please confirm your identity in order to verify your payer directory details.
Already Registered?
Login Here
Error
Send New Code
 1. Email
    randi.kelly@ochsner.org
 2. Your Role
    I am a clinician
    I manage multiple clinicians
    Please provide your name and email address.
    First Name
    Last Name
    Email(will be used for future contact)
    
    
    
 3. Please review the Terms and Conditions below.
    By clicking “Submit” below, I understand that the information I provide
    through this website is being collected by LexisNexis Risk Solutions. I
    agree to the LexisNexis Risk Solutions Terms & Conditions and Privacy
    Policy, including the provisions related to information practices in
    connection with this website, the incorporation of clinician practice and
    personal data into the LexisNexis Risk Solutions healthcare clinician
    databases and communications.
    SUBMIT

  Copyright © 2024 LexisNexis Risk Solutions.    Terms & Conditions   |  
Privacy & Security   |  Do Not Sell or Share My Personal Information

CONFIRMATION

X
Confirm the information below to create your account. Confirm the information
below to create your account. Note that for security reasons, the email address
is the address where the registration code was sent. You can update the
administrator email address in the portal for future communications.
First Name
name
Last Name
name
Email
email
Your NPI
npi
NPIs you Manage

Create Password
Create new password
Password Requirements
Verify new password
CANCEL SUBMIT



X

Modal Content
Office Manager
First Name
Last Name
Email
randi.kelly@ochsner.org
Clinician
Nothing selected

CONTINUE

CONFIRM

X
Message

CANCEL Button 2 Button 1

HEALTHCARE PORTAL

X

CLOSE

CONFIRMATION

X

CANCEL CONFIRM

CONFIRM

X

Discard Submit

CONFIRMATION

X

CANCEL CONFIRM

CONFIRMATION

X

UPDATE ALL UPDATE THIS LOCATION

SECOND MODAL TITLE

X

Content for the dialog / modal goes here.
CLOSE

SECOND MODAL TITLE

X

Content for the dialog / modal goes here.
CLOSE

SECOND MODAL TITLE

X

Content for the dialog / modal goes here.
CLOSE



X

Please select the email to which token needs to be sent.
Clinician Email ID:
providerEmail
Office Manager Email ID: preferredEmail
Nothing selected

Additional Email ID:

CANCEL SEND TOKEN
VerifyHCP Portal X

LOADING, PLEASE WAIT...


CANCEL

CONFIRM

X
Message
Button 2 Button 1

HEALTHCARE PORTAL

X


CANCEL SAVE

CONFIRM



SECOND MODAL TITLE

X

Content for the dialog / modal goes here.
OK
Your session is about to expire!

You will be logged off in seconds.

Do you want to continue your session?

Log Out NowStay Connected