prepay.changehealthcare.com Open in urlscan Pro
170.138.34.167  Public Scan

Form analysis
1 forms found in the DOM

Name: frmLogin — POST ./Login.aspx?ReturnUrl=%2fportal%2fAppealDetailAll.aspx%3fAppealID%3d196431&AppealID=196431

<form name="frmLogin" method="post" action="./Login.aspx?ReturnUrl=%2fportal%2fAppealDetailAll.aspx%3fAppealID%3d196431&amp;AppealID=196431" onsubmit="javascript:return WebForm_OnSubmit();" id="frmLogin">
  <div>
    <input type="hidden" name="__EVENTTARGET" id="__EVENTTARGET" value="">
    <input type="hidden" name="__EVENTARGUMENT" id="__EVENTARGUMENT" value="">
    <input type="hidden" name="__VIEWSTATE" id="__VIEWSTATE"
      value="jBhXUzJHJHHfoN+MH6vXPjja8jmu1T+XBG0CILb5p/wxIaUTni58nurRrVGNfGsrfHYS7IDj+xPYWqDUIA1CAN5KncBwXWw0DMcMwFmtl5a5ZCMDccQUIkPdAaqLKe4yDpi78FQxVCfQTAEVQ5ujSrb/ZfU3IlFIr3hmTkk98BeqpJ1d926qQs6SUinqvm9Lq63+IvmQrf1Xg6VGSGPFlTTo79k8/+8zZmsXcqBO/elTeLef9MQ7kJgIen0yvLdLBUwyhc0jANggsLSYhr8OZh32bJecxd+DKhGIAYdof3e5zQXI+82AT0iqRmnirZqs47dw7U+mGixSPueh3ucKDO6qcoy/i19Ah43y0zPPMmI=">
  </div>
  <script type="text/javascript">
    //<![CDATA[
    var theForm = document.forms['frmLogin'];
    if (!theForm) {
      theForm = document.frmLogin;
    }

    function __doPostBack(eventTarget, eventArgument) {
      if (!theForm.onsubmit || (theForm.onsubmit() != false)) {
        theForm.__EVENTTARGET.value = eventTarget;
        theForm.__EVENTARGUMENT.value = eventArgument;
        theForm.submit();
      }
    }
    //]]>
  </script>
  <script src="/portal/WebResource.axd?d=pynGkmcFUV13He1Qd6_TZAPIMghg9k892df014KkSP7z61kradAnbTe87sc2h9HVDHsspiGbuP2VgnWh-yfHmQ2&amp;t=637814365746327080" type="text/javascript"></script>
  <script src="/portal/WebResource.axd?d=x2nkrMJGXkMELz33nwnakMEChCQfu9_gGRzZpUpwQh3bqUT8_mI8NFfFRMzQbEdC38KtLalGNVIjyxS0k5ztyhfA55qCT4xsPES7BFFh0Gk1&amp;t=637814365746327080" type="text/javascript"></script>
  <script src="/portal/WebResource.axd?d=JoBkLzP19aTuxbWOhHobYlaV_5UPpEv5M0JEw7Ovd1-hJJ-U6WwzQFw_4VhI8y6iemvJzQNG8RfTnCN2JB5r4g2&amp;t=637814365746327080" type="text/javascript"></script>
  <script type="text/javascript">
    //<![CDATA[
    function WebForm_OnSubmit() {
      if (typeof(ValidatorOnSubmit) == "function" && ValidatorOnSubmit() == false) return false;
      return true;
    }
    //]]>
  </script>
  <div>
    <input type="hidden" name="__VIEWSTATEGENERATOR" id="__VIEWSTATEGENERATOR" value="12090EC2">
  </div>
  <table class="main-content" height="93%" cellspacing="0" cellpadding="0" width="100%" border="0">
    <tbody>
      <tr class="brand-masthead brand-bg">
        <td width="121">
          <a href="http://www.changehealthcare.com" target="_blank">
                            <img alt="Change Healthcare" src="images/chc-logo-negative.svg" height="32" width="102" class="brand-logo">
                        </a>
        </td>
        <td width="99%">
          <table cellspacing="0" cellpadding="0" width="100%" class="HeaderNewFont">
            <tbody>
              <tr>
                <td id="HeaderSpacer" width="1%"></td>
                <td id="HeaderText" width="59%">PrePayment Insight &amp; Review</td>
                <td id="InfoText" align="right" width="39%"></td>
                <td id="HeaderSpacer2" width="1%"></td>
              </tr>
            </tbody>
          </table>
        </td>
      </tr>
    </tbody>
  </table>
  <table width="100%" height="100%">
    <tbody>
      <tr>
        <td width="100%" height="100%" align="center" valign="middle">
          <br>
          <br>
          <br>
          <br>
          <br>
          <br>
          <br>
          <br>
          <br>
          <br>
          <br>
          <table class="login-table">
            <tbody>
              <tr bgcolor="#000">
                <td class="login-panel-header">Welcome </td>
              </tr>
              <tr>
                <td align="left">
                  <table cellspacing="0" cellpadding="1" border="0" id="myLogin" style="border-collapse:collapse;">
                    <tbody>
                      <tr>
                        <td>
                          <table cellpadding="0" border="0" style="width:100%;">
                            <tbody>
                              <tr>
                                <td class="formLabel" align="right"><label for="myLogin_UserName">User Name:</label></td>
                                <td><input name="myLogin$UserName" type="text" id="myLogin_UserName" class="formData" style="width:180px;"><span id="myLogin_UserNameRequired" title="User Name is required."
                                    style="color:Red;visibility:hidden;">*</span></td>
                              </tr>
                              <tr>
                                <td class="formLabel" align="right"><label for="myLogin_Password">Password:</label></td>
                                <td><input name="myLogin$Password" type="password" id="myLogin_Password" class="formData" style="width:180px;"><span id="myLogin_PasswordRequired" title="Password is required."
                                    style="color:Red;visibility:hidden;">*</span></td>
                              </tr>
                              <tr>
                                <td align="right" colspan="2"><input type="submit" name="myLogin$LoginButton" value="Log In"
                                    onclick="javascript:WebForm_DoPostBackWithOptions(new WebForm_PostBackOptions(&quot;myLogin$LoginButton&quot;, &quot;&quot;, true, &quot;myLogin&quot;, &quot;&quot;, false, false))" id="myLogin_LoginButton"
                                    class="formButton primary"></td>
                              </tr>
                            </tbody>
                          </table>
                        </td>
                      </tr>
                    </tbody>
                  </table>
                </td>
              </tr>
            </tbody>
          </table>
        </td>
      </tr>
      <tr align="center">
        <td align="center">
          <table width="400px" style="margin-top: 35px;">
            <tbody>
              <tr>
                <td align="left"> The Change Healthcare Payment Accuracy Insight Portal application is optimized for Internet Explorer. Users accessing with Google Chrome or other internet browsers will likely encounter problems. We recommend use of
                  Internet Explorer version 11. Please enable popup in your browser. </td>
              </tr>
            </tbody>
          </table>
        </td>
      </tr>
    </tbody>
  </table>
  <div class="footer">Change Healthcare Portal : 254</div>
  <table class="login-footer">
    <tbody>
      <tr class="brand-bg">
        <td valign="middle" colspan="2" height="50">
          <div align="center"> Copyright © <span id="LabelYear">2000 - 2023</span>&nbsp;Change Healthcare LLC and/or one of its subsidiaries. All Rights Reserved. <br>
            <span id="LabelCPT">CPT copyright 2022 American Medical Association. All rights reserved. (1.1.8203.19963)</span>
            <br>
            <a href="https://www.changehealthcare.com/privacy-notice">Privacy Policy</a>
          </div>
        </td>
      </tr>
    </tbody>
  </table>
  <script type="text/javascript">
    //<![CDATA[
    var Page_Validators = new Array(document.getElementById("myLogin_UserNameRequired"), document.getElementById("myLogin_PasswordRequired"));
    //]]>
  </script>
  <script type="text/javascript">
    //<![CDATA[
    var myLogin_UserNameRequired = document.all ? document.all["myLogin_UserNameRequired"] : document.getElementById("myLogin_UserNameRequired");
    myLogin_UserNameRequired.controltovalidate = "myLogin_UserName";
    myLogin_UserNameRequired.errormessage = "User Name is required.";
    myLogin_UserNameRequired.validationGroup = "myLogin";
    myLogin_UserNameRequired.evaluationfunction = "RequiredFieldValidatorEvaluateIsValid";
    myLogin_UserNameRequired.initialvalue = "";
    var myLogin_PasswordRequired = document.all ? document.all["myLogin_PasswordRequired"] : document.getElementById("myLogin_PasswordRequired");
    myLogin_PasswordRequired.controltovalidate = "myLogin_Password";
    myLogin_PasswordRequired.errormessage = "Password is required.";
    myLogin_PasswordRequired.validationGroup = "myLogin";
    myLogin_PasswordRequired.evaluationfunction = "RequiredFieldValidatorEvaluateIsValid";
    myLogin_PasswordRequired.initialvalue = "";
    //]]>
  </script>
  <script type="text/javascript">
    //<![CDATA[
    var Page_ValidationActive = false;
    if (typeof(ValidatorOnLoad) == "function") {
      ValidatorOnLoad();
    }

    function ValidatorOnSubmit() {
      if (Page_ValidationActive) {
        return ValidatorCommonOnSubmit();
      } else {
        return true;
      }
    }
    WebForm_AutoFocus('myLogin_UserName'); //]]>
  </script>
</form>

Text Content

PrePayment Insight & Review














Welcome

User Name:* Password:*

The Change Healthcare Payment Accuracy Insight Portal application is optimized
for Internet Explorer. Users accessing with Google Chrome or other internet
browsers will likely encounter problems. We recommend use of Internet Explorer
version 11. Please enable popup in your browser.

Change Healthcare Portal : 254
Copyright © 2000 - 2023 Change Healthcare LLC and/or one of its subsidiaries.
All Rights Reserved.
CPT copyright 2022 American Medical Association. All rights reserved.
(1.1.8203.19963)
Privacy Policy