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medihelper.pages.dev Open in urlscan Pro
2606:4700:310c::ac42:2edd  Public Scan

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URL: https://medihelper.pages.dev/
Submission Tags: @ecarlesi possiblethreat phishing Search All
Submission: On November 07 via api from IT — Scanned from IT

Form analysis 1 forms found in the DOM

<form>
  <div><label for="insurance_name">Insurance:</label><select id="insurance_name" name="insurance_name" placeholder="Insurance Name">
      <option value="Independence">Independence</option>
      <option value="Aetna">Aetna</option>
      <option value="United Health Care">United Health Care</option>
    </select></div>
  <div></div>
  <div><label for="medication_name">Medication:</label><input type="text" id="medication_name" name="medication_name" placeholder="Medication Name" value=""></div>
  <div><button type="submit">Submit</button></div>
</form>

Text Content

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MEDICATION COVERAGE CHECK

Insurance:IndependenceAetnaUnited Health Care

Medication:
Submit
;