aih-mesa.javelinaweb.com
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urlscan Pro
205.159.99.210
Public Scan
URL:
https://aih-mesa.javelinaweb.com/
Submission: On November 21 via manual from IN — Scanned from DE
Submission: On November 21 via manual from IN — Scanned from DE
Form analysis 1 forms found in the DOM
Name: frm1 — POST
<form name="frm1" method="post" autocomplete="off" action="">
<table cellspacing="0" cellpadding="0" class="popMain">
<tbody>
<tr class="trcontent">
<td id="cBack" class="contentbg">
<input name="LoginPageContent" type="hidden" value="<img src="https://aitherhealth.com/assets/img/login2.png" width="480px"/>
<br>
<br>
<p></p>" id="loginpgcnt">
<input name="DefaultContent" type="hidden" id="defpgcnt">
<input name="LoginPgContentType" type="hidden" value="HTML" id="cnttype">
<input name="AutoLogin" type="hidden" value="True">
<input name="ProvAutoLogin" type="hidden">
<input name="SuppressProvAccRqstLnk" type="hidden">
<input name="InstanceID" type="hidden" value="f6489958-1603-409a-8ef4-ad9d7a40df0b" defval="f6489958-1603-409a-8ef4-ad9d7a40df0b">
<input name="SuppressMaskInput" type="hidden">
<input name="IsAccessBrowser" type="hidden" value="true" id="isaccessBrowserType" defval="true">
<input name="About" type="hidden">
<input name="Terms" type="hidden">
<input name="Privacy" type="hidden">
<input name="tempAspID" type="hidden" value="P328" id="tempAspID" defval="P328">
<input name="UserDefinedLNF" type="hidden" value="DEF++DEF++I++1676055696902" defval="DEF++DEF++I++1676055696902">
<input name="Disclaimer" type="hidden">
<input name="B" type="hidden" id="spBlobID">
<input name="C" type="hidden" id="spClientID">
<input name="L" type="hidden" id="spLoc">
<input name="ForgotPwdLbl" type="hidden" value="Forgot Username or Password?">
<input name="FlowFrom" type="hidden" id="idFlowFrom">
<input name="idFromPage" type="hidden" id="idFromPage">
<input name="OtpVerified" type="hidden" id="idOtpVerified">
<input name="MaxOTPLength" type="hidden" id="idMaxOTPLength">
<input name="IsEmailPresent" type="hidden" id="IsEmailPresent">
<table cellspacing="0" class="middleTable">
<tbody>
<tr>
<td id="lnavContainer" class="lnav">
<!--left panel start -->
<div id="left"><img src="https://aitherhealth.com/assets/img/login2.png" width="480px">
<br>
<br>
<p></p>
<!--left panel end -->
</div>
</td>
<td class="content" id="workArea">
<div id="login2">
<table class="fullWidth">
<tbody>
<tr>
<td colspan="2" class="txtError acenter">
<!-- displays if user enters incorrect login or password -->
<script>
var strDisableMsg = '';
document.getElementById("login_alert").innerHTML = strDisableMsg;
</script>
</td>
</tr>
<tr>
<td colspan="2" id="isaccesstype"> <span class="divNone">Unsupported browser detected, please use FireFox or Internet Explorer for best results. You can download FireFox for free by clicking the link below.</span>
</td>
</tr>
<tr>
<td class="wd34 aright"><label for="CMPAUserID">Username :</label></td>
<td class="wd66"><input name="CMPAUserID" type="text" id="CMPAUserID" maxlength="30" class="size15 txtBox" autocomplete="off" onchange="checkECIUser();"></td>
</tr>
<tr>
<td class="wd34 aright"><label for="CMPAPassword">Password :</label></td>
<td class="wd66 noWrp"><input name="CMPAPassword" type="password" id="CMPAPassword" autocomplete="off" maxlength="32" class="size15 txtBox"> </td>
</tr>
<tr id="alias" style="visibility:hidden" class="divNone">
<td class="wd34 aright"><label>Username :</label></td>
<td class="wd66 noWrp"><input name="AKA" type="text" autocomplete="off" class="size15 txtBox"></td>
</tr>
<tr>
<td class="wd34 aright"> </td>
<td class="txtsmall aright"> <a href="javascript:getCMPAURL('Forgot Pwd')" class="txtsmall aright" title="Forgot Username or Password?">Forgot Username or Password?</a></td>
</tr>
<tr>
<td colspan="2" class="nowrp">
</td>
</tr>
</tbody>
</table>
<table class="fullWidth">
<tbody>
<tr>
<td class="wd34"> </td>
<td class="wd66 noWrp leftmargin">
<table>
<tbody>
<tr>
<td>
<input type="submit" class="login2_button" value="Login" title="Login">
</td>
<td>
</td>
</tr>
</tbody>
</table>
</td>
</tr>
</tbody>
</table>
<table id="tbsignup" class="fullWidth">
<tbody>
<tr>
<td class="acenter">
<h2> Don't have a user account?</h2>
</td>
</tr>
<tr>
<td>
<table class="fullWidth">
<tbody>
<tr>
<td class="acenter"> <a href="javascript:getCMPAURL('Sign Up Now')" class="txtbigLogin" title="Sign Up Now">Sign Up Now</a>
<a href="javascript:getCMPAURL('Provider Request')" class="txtbigLogin" title="Physician Access Request">Physician Access Request</a></td>
</tr>
</tbody>
</table>
</td>
</tr>
</tbody>
</table>
</div>
</td>
</tr>
</tbody>
</table>
</td>
</tr>
<tr>
<td> </td>
</tr>
</tbody>
</table>
<input name="ChgTS" type="hidden">
<input name="BrowserType" type="hidden" value="Chrome">
<input name="BrowserVersion" type="hidden" value="130">
<input name="LabelEmployee" type="hidden" value="Employee">
<input name="LabelClient" type="hidden" value="Client">
<input name="LabelPhysician" type="hidden" value="Physician">
<input name="LabelClaim" type="hidden" value="Claim">
<input name="B" type="hidden">
<input name="C" type="hidden">
<input name="L" type="hidden">
</form>Text Content
Unsupported browser detected, please use FireFox or Internet Explorer for best results. You can download FireFox for free by clicking the link below. Username : Password : Username : Forgot Username or Password? DON'T HAVE A USER ACCOUNT? Sign Up Now Physician Access Request Contact Us| Terms & Conditions| Privacy Policy| Disclaimer Javelina ® by Eldorado, a division of MphasiS | Instance ID: f6489958-1603-409a-8ef4-ad9d7a40df0b