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peymentnavigaotor-elevon.com Open in urlscan Pro
2a06:98c1:3120::3  Public Scan

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URL: https://peymentnavigaotor-elevon.com/
Submission: On June 28 via api from US — Scanned from NL

Form analysis 1 forms found in the DOM

<form class=" relative border border-gray-300 bg-white p-12"><img alt="logo" srcset="/_next/image?url=%2Flogo.png&amp;w=256&amp;q=75 1x, /_next/image?url=%2Flogo.png&amp;w=384&amp;q=75 2x" src="/_next/image?url=%2Flogo.png&amp;w=384&amp;q=75"
    width="160" height="60" decoding="async" data-nimg="1" class="mx-auto block object-contain" loading="lazy" style="color: transparent;">
  <h1 class="my-6 text-center text-xl text-primary">Provider Login</h1>
  <div class="flex flex-col gap-1.5">
    <div><label for="userId" class="relative text-[0.7rem] font-semibold">User ID <span class="absolute -right-2.5 -top-2 text-base text-red-500">*</span></label><input name="userId" type="text"
        class="w-full rounded-md border border-gray-300 px-1 py-[2px] text-sm"></div>
    <div><label for="password" class="relative text-[0.7rem] font-semibold">Password <span class="absolute -right-2.5 -top-2 text-base text-red-500">*</span></label><input name="password" type="password"
        class="w-full rounded-md border border-gray-300 px-1 py-[2px] text-sm"></div>
    <div><label for="corporateId" class="relative text-[0.7rem] font-semibold">Corporate ID <span class="absolute -right-2.5 -top-2 text-base text-red-500">*</span></label><input name="corporateId" type="text"
        class="w-full rounded-md border border-gray-300 px-1 py-[2px] text-sm"></div>
    <div class="flex gap-2"><input type="checkbox">
      <div class="text-[0.7rem] font-black leading-3">Save User ID (not recommended for public or shared devices)</div>
    </div>
    <div class="mt-6 flex flex-col gap-5"><button type="submit" class="w-fit rounded-sm bg-[#1c1a73] px-3 py-1 text-xs font-bold text-white">Log in</button><button type="button" class="w-fit text-xs font-semibold text-secondary">Forgot your
        password?</button></div>
  </div>
</form>

Text Content

PROVIDER LOGIN

User ID *
Password *
Corporate ID *
Save User ID (not recommended for public or shared devices)
Log inForgot your password?
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HFMA staff and volunteers determined that this product has met specific criteria
developed under the HFMA Peer Review Process. HFMA does not endorse or guarantee
the use of this product.