www.payment-athena-health.com Open in urlscan Pro
2606:4700:3032::6815:fc2  Public Scan

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

Form analysis 1 forms found in the DOM

Name: 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





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