www.cobraandbillingservices.com Open in urlscan Pro
192.160.101.20  Public Scan

Form analysis
1 forms found in the DOM

POST /Home/IdentifyUser

<form action="/Home/IdentifyUser" method="post" novalidate="novalidate"><input name="__RequestVerificationToken" type="hidden" value="Sgug43BCImrBlA1czJM08t1_8txi6H0o52FgWr-yRKVU9nHIRINO3sCVtzroNrfn_uPi3btQpNbsyzKL0PKxdJ6to581">
  <fieldset>
    <label for="txtUsername">Username</label>
    <div class="form-group">
      <input aria-label="Enter User Name." aria-required="true" autocomplete="off" class="form-control aria-input" data-val="true" data-val-required="Username is required." id="txtUsername" maxlength="50" name="UserName" role="textbox" type="text"
        value="">
      <span class="field-validation-valid" data-valmsg-for="UserName" data-valmsg-replace="true"></span>
    </div>
    <span class="instructional"> Forgot your <a aria-label="Forgot Username" href="/Home/ForgotUsername">username</a> or <a aria-label="Forgot Password" href="/Home/ForgotPassword">password</a><span>?</span>
    </span>
    <div class="form-group row">
      <div class="col-5">
        <button id="btnNext" type="submit" class="btn btn-primary no-state">Next</button>
      </div>
      <div class="col-7 remember-me">
        <input data-val="true" data-val-required="The Remember Me field is required." id="RememberMe" name="RememberMe" type="checkbox" value="true"><input name="RememberMe" type="hidden" value="false">
        <label for="RememberMe">Remember Me</label>
      </div>
    </div>
  </fieldset>
</form>

Text Content

 * 


SIGN IN

Username

Forgot your username or password?
Next
Remember Me
Redirecting to the Employer Portal


NEW TO BILLING SERVICES?

New User Registration
UI: 2023.1.0.0
API: 2018.7.19.1 ©WEX Health Inc. 2004-2023