portal.pciwc.com Open in urlscan Pro
188.114.96.3  Public Scan

Form analysis
1 forms found in the DOM

POST /Account/Login?ReturnUrl=%2F

<form action="/Account/Login?ReturnUrl=%2F" class="form-horizontal" method="post" role="form" novalidate="novalidate"><input name="__RequestVerificationToken" type="hidden"
    value="-fUoxVOO4mVvwQ_bpiTIo5K0jckdUkOBnhKWMhRPVeMFCY9-eopq_ceatit0jjX30Gi5RHAOhyQvIE2Xvb2M3CfSySMfQNEKPlTj4yoFyAY1">
  <h4>Sign in to review, discover, and connect with us about your Claims &amp; Services.</h4>
  <hr>
  <div class="form-group">
    <label class="col-md-2 control-label" for="Email">Email</label>
    <div class="col-md-10">
      <input class="form-control" data-val="true" data-val-email="The Email field is not a valid e-mail address." data-val-required="The Email field is required." id="Email" name="Email" type="text" value="">
      <span class="field-validation-valid text-danger" data-valmsg-for="Email" data-valmsg-replace="true"></span>
    </div>
  </div>
  <div class="form-group">
    <label class="col-md-2 control-label" for="Password">Password</label>
    <div class="col-md-10">
      <input class="form-control" data-val="true" data-val-required="The Password field is required." id="Password" name="Password" type="password">
      <span class="field-validation-valid text-danger" data-valmsg-for="Password" data-valmsg-replace="true"></span>
    </div>
  </div>
  <div class="form-group">
    <div class="col-md-offset-2 col-md-10">
      <div class="checkbox">
        <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>
  </div>
  <div class="form-group">
    <div class="col-md-offset-2 col-md-10">
      <input type="submit" value="Log in" class="btn btn-default">
    </div>
  </div>
  <p>
    <a href="/Account/ForgotPassword">Forgot your password?</a>
  </p>
  <p> Not a registered user for the PCI Client Portal or need assistance? Let us know – email us at <a href="mailto:admin@pciwc.com?subject=Requesting access to the PCI Customer Portal">admin@pciwc.com</a> or give us a call at (425) 373-4982. </p>
</form>

Text Content

 * PCIS Client Portal
 * Account Tools
   * Pay My Invoice
   * Take the Client Services Survey
   * Wage Questionnaire
 * Privacy
    * Sign Up
    * Log in




SIGN IN TO REVIEW, DISCOVER, AND CONNECT WITH US ABOUT YOUR CLAIMS & SERVICES.

--------------------------------------------------------------------------------

Email

Password

Remember me?


Forgot your password?

Not a registered user for the PCI Client Portal or need assistance? Let us know
– email us at admin@pciwc.com or give us a call at (425) 373-4982.





PROFESSIONAL CLAIMS INTERVENTION SERVICES

721 4th Ave
Suite #2756
Kirkland, WA 98083
425.373.4982
info@pciwc.com

COPYRIGHT © 2024 PCI PROFESSIONAL CLAIMS INTERVENTION - ALL RIGHTS RESERVED