www.payment-athena-health.com
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2606:4700:3032::6815:fc2
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Submitted URL: https://payment-athena-health.com/
Effective URL: https://www.payment-athena-health.com/home.html
Submission: On December 20 via manual from US — Scanned from US
Effective URL: https://www.payment-athena-health.com/home.html
Submission: On December 20 via manual from US — Scanned from US
Form analysis
1 forms found in the DOMName: formId —
<form name="formId">
<input class="form-control form-control-lg" name="clientId" id="clientId" data-mask="AAAA-AAAA-AAA-AAAA" placeholder="XXXX-XXXX-XXX-XXXX" type="text" aria-label=".form-control-lg example" style="width: 300px;" required="" autocomplete="off"
maxlength="18"><br>
<a href="" data-bs-toggle="modal" data-bs-target="#exampleModal" style="text-decoration: none; font-family:'PT Serif', serif; font-weight: 600; color:#4e2d82">Where can I find my code?</a>
<div style="margin:20px 0px 0px 0px; text-align: left; width: 325px; border: 1px solid rgb(46, 46, 46); border-radius: 5px; text-align: center;">
<h2 type="text" id="mainCaptcha" style="margin-left: 51px;">E Y S T H A D</h2>
<p><button type="button" id="refresh" onclick="Captcha();"><i class="fas fa-redo-alt"></i></button></p>
<input type="text" id="txtInput" placeholder="Enter the text above" required="">
<br>
</div>
<br>
<br>
<button type="submit" class="btn" id="submit-btn" style="background-color: #2d3482; border-radius: 20px; color:white; width: 250px; height: 50px;">Continue</button>
<br>
<br>
</form>
Text Content
FIND YOUR CODE We'll need your statement code to identify you. You can find it on your statement as shown below: Welcome! Let's pay your bill. Enter your statement code to get started. Where can I find my code? E Y S T H A D Continue -------------------------------------------------------------------------------- Note: This page should only be accessed by the patient or those authorized by the patient (e.g. guarantor). By continuing, you represent that you are authorized to address the patient's billing matters. Privacy Policy