www.personapay.com
Open in
urlscan Pro
100.25.101.175
Public Scan
URL:
https://www.personapay.com/gnc
Submission: On November 07 via manual from HR — Scanned from CA
Submission: On November 07 via manual from HR — Scanned from CA
Form analysis 1 forms found in the DOM
<form _ngcontent-dcr-c139="" novalidate="" class="ng-untouched ng-pristine ng-invalid"><rs-ui _ngcontent-dcr-c139=""><rs-form class="ng-star-inserted"><!----><rs-consumer-group class="ng-star-inserted">
<fieldset><rs-input _nghost-dcr-c264="" class="ng-star-inserted">
<div _ngcontent-dcr-c264="" class="has-float-label ng-untouched ng-pristine ng-invalid"><!---->
<div _ngcontent-dcr-c264="" class="has-float-label ng-star-inserted"><input _ngcontent-dcr-c264="" autocomplete="off" placeholder=" " name="undefined" id="Validation1-3" type="Text" aria-invalid="true"
class="form-control form-control-lg rounded-0 ng-untouched ng-pristine ng-invalid"><!----><label _ngcontent-dcr-c264="" for="Validation1-3" class="ng-star-inserted"> Record Locator # <!----></label><!---->
<div _ngcontent-dcr-c264="" class="input-err text-danger" id="Validation1_error"><!----></div>
</div><!----><!---->
</div>
</rs-input><!----><!----><!----><!----></fieldset>
</rs-consumer-group><!----><rs-consumer-group class="ng-star-inserted">
<fieldset><!----><!----></fieldset>
</rs-consumer-group><!----><!----><!----><!----><rs-consumer-group class="ng-star-inserted">
<fieldset><!----><rs-dropdown-consumer-group class="ng-star-inserted">
<fieldset><rs-dropdown wrapclass="btn-group" triggerwrapclass="rs-btn-link fs-18 fw-700" _nghost-dcr-c13="">
<div _ngcontent-dcr-c13="" class="dropdown btn-group"><button _ngcontent-dcr-c13="" type="button" data-toggle="dropdown" aria-haspopup="true" role="combobox" id="undefined" aria-expanded="false"
class="rs-btn-link text-left d-flex justify-content-between align-items-center dropdown-toggle fs-18 fw-700 p-0"><span _ngcontent-dcr-c13="" class="label ng-star-inserted">ZIP code</span><!----><!----><span _ngcontent-dcr-c13=""
class="value ng-star-inserted"> ZIP code </span><!----><!----><!----><!----></button>
<div _ngcontent-dcr-c13="" role="listbox" class="dropdown-menu py-0 px-2"><button _ngcontent-dcr-c13="" type="button" role="option" class="dropdown-item ng-star-inserted" id="menu-item-ZIP code" aria-selected="false">ZIP
code</button><!----><!----><button _ngcontent-dcr-c13="" type="button" role="option" class="dropdown-item ng-star-inserted" id="menu-item-Patient Date Of Birth (MM/DD/YYYY)" aria-selected="false">Patient Date Of Birth
(MM/DD/YYYY)</button><!----><!----><!----></div>
</div>
</rs-dropdown>
<div class="form-group"><rs-input _nghost-dcr-c264="" class="ng-star-inserted">
<div _ngcontent-dcr-c264="" class="has-float-label ng-untouched ng-pristine ng-invalid"><!---->
<div _ngcontent-dcr-c264="" class="has-float-label ng-star-inserted"><input _ngcontent-dcr-c264="" autocomplete="off" placeholder=" " name="undefined" id="Validation3-4" type="Text" aria-invalid="true"
class="form-control form-control-lg rounded-0 ng-untouched ng-pristine ng-invalid"><!----><label _ngcontent-dcr-c264="" for="Validation3-4" class="ng-star-inserted"> ZIP code <!----></label><!---->
<div _ngcontent-dcr-c264="" class="input-err text-danger" id="Validation3_error"><!----></div>
</div><!----><!---->
</div>
</rs-input><!----><!----><!----><!----><!----><!----></div>
</fieldset>
</rs-dropdown-consumer-group><!----><!----></fieldset>
</rs-consumer-group><!----><rs-consumer-group class="ng-star-inserted">
<fieldset><!----><!----></fieldset>
</rs-consumer-group><!----><!----><!----><!----><!----><!----><!----><!----></rs-form><!----><!----><!----></rs-ui>
<div _ngcontent-dcr-c139="" class="captcha-container"><!----></div>
<div _ngcontent-dcr-c139="" class="col-md-12 p-0"><rs-loading-button _ngcontent-dcr-c139="" css="btn-main btn-lg-font-md mb-4 mt-2" class="card-bottom pt-4 mt-custom mb-4" _nghost-dcr-c79=""><button _ngcontent-dcr-c79="" clickdirective=""
class="align-items-center btn btn-block btn-lg-font-md btn-lg-font-sm btn-lg-loader btn-main d-flex justify-content-center mb-4 mt-2 position-relative" type="button" id="rs-loading-button">Continue<!----><!----></button></rs-loading-button>
</div><!---->
</form>Text Content
* English English EnglishEspañol ACCESS YOUR ACCOUNT SECURELY * 1 Review your account * 2 Choose a payment option that is right for you * 3 Pay easily and quickly SECURE AUTHENTICATION ACCESS YOUR ACCOUNT WITH THE RECORD LOCATOR NUMBER FOUND ON YOUR LAST STATEMENT. Record Locator # ZIP code ZIP code ZIP codePatient Date Of Birth (MM/DD/YYYY) ZIP code Continue Need help locating your record locator number? WE'RE HERE TO HELP! FREQUENTLY ASKED QUESTIONS View FAQs CONTACT OUR SUPPORT SPECIALISTS Contact us CALL OUR SUPPORT SPECIALISTS 877-501-1247 -------------------------------------------------------------------------------- WE'RE HERE TO HELP! * Frequently asked questions View FAQs * Call our support specialists 877-501-1247 * Contact our support specialists Contact us ABOUT BILL PAY * Terms & Conditions * Privacy Policy * Powered by RevSpring™ SECURED BY *