hnbepay.payrighthealth.com Open in urlscan Pro
209.172.201.173  Public Scan

Form analysis
1 forms found in the DOM

POST /missionpointclawson/account/login

<form action="/missionpointclawson/account/login" class="login-form relative-position" method="post" novalidate="novalidate"><input name="__RequestVerificationToken" type="hidden"
    value="L2CZctv5v9n3vh3W8i6uWFHpnQKiFjGW7eruzJN59IpdudhVwIQwBEBuzOwoF_ppsxa-CvQtjHqewwHYjh33rW5SETimvnNvPm9cQ7N4zn41">
  <div class="relative-position">
  </div>
  <div class="relative-position">
    <input class="textbox materialize-textbox" data-val="true" data-val-email="Please provide a valid email" data-val-required="Please provide an email" id="Email" name="Email" type="text" value="">
    <span class="field-validation-valid" data-valmsg-for="Email" data-valmsg-replace="false">
      <span id="Email-error" class=""></span>
    </span>
    <label for="Email" class="materialize-label">Email</label>
  </div>
  <div class="relative-position">
    <input class="textbox materialize-textbox password" data-val="true" data-val-required="Please provide a password" id="Password" name="Password" type="password">
    <span class="field-validation-valid" data-valmsg-for="Password" data-valmsg-replace="true"></span>
    <label for="Password" class="materialize-label">Password</label>
    <span class="show-password">Show</span>
  </div>
  <div class="forgot-password margin-bottom-x10">
    <div class="row">
      <div class="col-sm-12"><a href="/missionpointclawson/account/forgot-password" class="mod-link">Forgot password?</a></div>
    </div>
  </div>
  <div class="text-center login-btn-wrapper">
    <input type="submit" class="btn mod-btn cta-button inactive" value="Sign In" id="loginbtn" disabled="">
  </div>
  <div class="row">
    <div class="col-sm-12">
      <div class="ready-to-register onboarding-bottom-action">
        <span class="onboarding-info">New to ePAY?</span>
        <a href="/missionpointclawson/register" class="mod-link">Register</a>
      </div>
    </div>
  </div>
</form>

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