claimsintakebotplus.techvantagesystems.com Open in urlscan Pro
184.105.238.192  Public Scan

URL: https://claimsintakebotplus.techvantagesystems.com/
Submission: On December 29 via automatic, source certstream-suspicious — Scanned from DE

Form analysis 1 forms found in the DOM

<form class="space-y-4">
  <div class="space-y-2"><label class="text-sm font-medium leading-none peer-disabled:cursor-not-allowed peer-disabled:opacity-70" for=":Ralbqkq:-form-item">Username</label><input
      class="flex h-10 w-full rounded-md border border-input bg-background px-3 py-2 text-sm ring-offset-background file:border-0 file:bg-transparent file:text-sm file:font-medium placeholder:text-muted-foreground focus-visible:outline-none focus-visible:ring-2 focus-visible:ring-ring focus-visible:ring-offset-2 disabled:cursor-not-allowed disabled:opacity-50"
      placeholder="jsmith" id=":Ralbqkq:-form-item" aria-describedby=":Ralbqkq:-form-item-description" aria-invalid="false" name="username"></div>
  <div class="space-y-2"><label class="text-sm font-medium leading-none peer-disabled:cursor-not-allowed peer-disabled:opacity-70" for=":Rilbqkq:-form-item">Password</label><input type="password"
      class="flex h-10 w-full rounded-md border border-input bg-background px-3 py-2 text-sm ring-offset-background file:border-0 file:bg-transparent file:text-sm file:font-medium placeholder:text-muted-foreground focus-visible:outline-none focus-visible:ring-2 focus-visible:ring-ring focus-visible:ring-offset-2 disabled:cursor-not-allowed disabled:opacity-50"
      placeholder="password" id=":Rilbqkq:-form-item" aria-describedby=":Rilbqkq:-form-item-description" aria-invalid="false" name="password"></div><button
    class="inline-flex items-center justify-center rounded-md text-sm font-medium ring-offset-background transition-colors focus-visible:outline-none focus-visible:ring-2 focus-visible:ring-ring focus-visible:ring-offset-2 disabled:pointer-events-none disabled:opacity-50 bg-primary text-primary-foreground hover:bg-primary/90 h-10 px-4 py-2 w-full"
    type="submit">Login</button>
  <div class="forgt-wrapper text-right"><a class="font-medium text-blue-600 dark:text-blue-500 hover:underline " href="/forgot">Forgot Password?</a></div>
</form>

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