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apps.availity.com Open in urlscan Pro
199.116.188.12  Public Scan

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Submitted URL: http://apps.availity.com/
Effective URL: https://apps.availity.com/web/onboarding/availity-fr-ui/?p:lm=1730339428
Submission: On November 06 via manual from US — Scanned from US

Form analysis 1 forms found in the DOM

#

<form action="#" data-testid="form-container" id="d1a57867-274e-4f9c-891a-da656c6abd03" class="">
  <div class="mb-3">
    <div>
      <div>
        <div class="form-group"><label for="03b3743d-7b02-409d-8670-01620d72f164" id="03b3743d-7b02-409d-8670-01620d72f164-label" data-testid="label" class="">User ID</label><input name="userId" aria-describedby=""
            id="03b3743d-7b02-409d-8670-01620d72f164" placeholder="Enter your user ID." type="text" class="is-untouched av-valid form-control" aria-invalid="false" value=""></div>
      </div>
      <div>
        <div class="password-with-icon d-relative">
          <div class="form-group"><label for="password-field" id="password-field-label" data-testid="label" class="">Password</label><input name="password" aria-describedby="" aria-required="false" id="password-field"
              placeholder="Enter your password." autocomplete="new-password" data-testid="password-field" type="password" class="password-input is-untouched av-valid form-control" aria-invalid="false" value=""></div><span role="button"
            id="password-eye" aria-label="Show password" label="password-visibility" class="icon icon-pos icon-eye-off" tabindex="0"></span>
        </div>
      </div>
    </div>
  </div>
  <div></div>
  <div class="d-flex mb-3"><button type="submit" class="flex-fill btn btn-primary">Sign In</button></div>
  <div class="d-flex justify-content-between"><button type="button" class="text-left pl-0 btn btn-link">Forgot your user ID?</button><button type="button" class="text-right pr-0 btn btn-link">Forgot your password?</button></div>
</form>

Text Content

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User ID
Password

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