bannerhealth.simpleepay.com
Open in
urlscan Pro
2606:4700:4400::6812:2b13
Public Scan
Submitted URL: https://links.iterable.com/u/click?_t=af068648870f442f92cfe13017499dff&_m=0885828e4ad143f78b0aa769f3079744&_e=LU8ACpv1M1Z9a...
Effective URL: https://bannerhealth.simpleepay.com/app/login/bannerhealth?bill_id=4205394&token=O3w83dge9GBwsvSIGxshNI_4oxJ0C9ge-rhbmjd_&utm_campai...
Submission: On September 26 via manual from US — Scanned from DE
Effective URL: https://bannerhealth.simpleepay.com/app/login/bannerhealth?bill_id=4205394&token=O3w83dge9GBwsvSIGxshNI_4oxJ0C9ge-rhbmjd_&utm_campai...
Submission: On September 26 via manual from US — Scanned from DE
Form analysis 1 forms found in the DOM
<form>
<div class="sc-eGFuAX ifCXsj MuiGrid-root MuiGrid-container MuiGrid-spacing-xs-2 MuiGrid-direction-xs-column">
<div class="sc-eGFuAX bIwqvv MuiGrid-root MuiGrid-item">
<div data-testid="zip">
<div class="sc-fbJfA bCSgkJ MuiFormControl-root MuiFormControl-fullWidth sc-kMrHXl MuiTextField-root" background="[object Object]"><label
class="sc-kFuwaP fgHxMP MuiFormLabel-root MuiInputLabel-root MuiInputLabel-formControl MuiInputLabel-animated MuiInputLabel-standard MuiFormLabel-colorPrimary Mui-required sc-csCMJt jqjuPL MuiInputLabel-root MuiInputLabel-formControl MuiInputLabel-animated MuiInputLabel-standard"
data-shrink="false" for="zip-auth" id="zip-auth-label">Guarantor Zip Code<span aria-hidden="true" class="sc-irTswW kcwqIv MuiFormLabel-asterisk MuiInputLabel-asterisk"> *</span></label>
<div class="sc-beqWaB sc-dmqHEX lafUxy kPjIDi MuiInputBase-root MuiInput-root MuiInput-underline MuiInputBase-colorPrimary MuiInputBase-fullWidth MuiInputBase-formControl"><input aria-invalid="false" autocomplete="off" id="zip-auth"
name="zip" required="" type="text" inputmode="numeric" class="sc-gueYoa sc-hLseeU jSfhIV MuiInputBase-input MuiInput-input" value=""></div>
</div>
</div>
</div>
<div class="sc-eGFuAX bIwqvv MuiGrid-root MuiGrid-item">
<div class="sc-fbJfA bCSgkJ MuiFormControl-root MuiFormControl-fullWidth sc-kMrHXl MuiTextField-root sc-eKNumk jHHjEI" data-testid="dob-picker" inputmode="text" background="[object Object]"><label
class="sc-kFuwaP fgHxMP MuiFormLabel-root MuiInputLabel-root MuiInputLabel-formControl MuiInputLabel-animated MuiInputLabel-standard MuiFormLabel-colorPrimary sc-csCMJt jqjuPL MuiInputLabel-root MuiInputLabel-formControl MuiInputLabel-animated MuiInputLabel-standard"
data-shrink="false" for="dob-picker" id="dob-picker-label">Patient or Guarantor Date Of Birth</label>
<div class="sc-beqWaB sc-dmqHEX lafUxy kPjIDi MuiInputBase-root MuiInput-root MuiInput-underline MuiInputBase-colorPrimary MuiInputBase-fullWidth MuiInputBase-formControl MuiInputBase-adornedEnd"><input aria-invalid="false" autocomplete="off"
id="dob-picker" name="dateOfBirth" placeholder="mm/dd/yyyy" type="tel" class="sc-gueYoa sc-hLseeU jSfhIV MuiInputBase-input MuiInput-input MuiInputBase-inputAdornedEnd" value="">
<div class="sc-fyZgVY jFvFqf MuiInputAdornment-root MuiInputAdornment-positionEnd MuiInputAdornment-standard MuiInputAdornment-sizeMedium"><button
class="sc-cRZddA czORkp MuiButtonBase-root sc-gUrTyy jevnKx MuiIconButton-root MuiIconButton-edgeEnd MuiIconButton-sizeMedium" tabindex="0" type="button" aria-label="Choose date"><svg
class="sc-iKGpAt dPMksf MuiSvgIcon-root MuiSvgIcon-fontSizeMedium" focusable="false" aria-hidden="true" viewBox="0 0 24 24" data-testid="CalendarIcon">
<path d="M17 12h-5v5h5v-5zM16 1v2H8V1H6v2H5c-1.11 0-1.99.9-1.99 2L3 19c0 1.1.89 2 2 2h14c1.1 0 2-.9 2-2V5c0-1.1-.9-2-2-2h-1V1h-2zm3 18H5V8h14v11z"></path>
</svg><span class="sc-iCmkLe beDLTg MuiTouchRipple-root"></span></button></div>
</div>
</div>
</div>
<div class="sc-eGFuAX bIwqvv MuiGrid-root MuiGrid-item"><label class="sc-kHYSFp guiCTh MuiFormControlLabel-root MuiFormControlLabel-labelPlacementEnd loginRememberMe"><span
class="sc-cRZddA czORkp MuiButtonBase-root MuiCheckbox-root MuiCheckbox-colorSecondary sc-kGTyPW kpHrND PrivateSwitchBase-root MuiCheckbox-root MuiCheckbox-colorSecondary sc-dskThN hGJzPD MuiCheckbox-root MuiCheckbox-colorSecondary"><input
class="sc-hNeXkk hAnnpb PrivateSwitchBase-input" type="checkbox" data-indeterminate="false"><svg class="sc-iKGpAt dPMksf MuiSvgIcon-root MuiSvgIcon-fontSizeMedium" focusable="false" aria-hidden="true" viewBox="0 0 24 24"
data-testid="CheckBoxOutlineBlankIcon">
<path d="M19 5v14H5V5h14m0-2H5c-1.1 0-2 .9-2 2v14c0 1.1.9 2 2 2h14c1.1 0 2-.9 2-2V5c0-1.1-.9-2-2-2z"></path>
</svg><span class="sc-iCmkLe beDLTg MuiTouchRipple-root"></span></span><span class="sc-cPlDXj kufnag MuiTypography-root MuiTypography-body1 MuiFormControlLabel-label">Remember Me</span></label></div>
<div class="sc-eGFuAX bIwqvv MuiGrid-root MuiGrid-item termAndConditions">
<div class="sc-ighzGM jNeqkp"><label class="sc-kHYSFp guiCTh MuiFormControlLabel-root MuiFormControlLabel-labelPlacementEnd" data-testid="checkbox-label-wrapper"><span
class="sc-cRZddA czORkp MuiButtonBase-root MuiCheckbox-root MuiCheckbox-colorSecondary sc-kGTyPW kpHrND PrivateSwitchBase-root MuiCheckbox-root MuiCheckbox-colorSecondary sc-dskThN hGJzPD MuiCheckbox-root MuiCheckbox-colorSecondary sc-haTbPV hfykpF checkbox"
data-testid="checkbox"><input class="sc-hNeXkk hAnnpb PrivateSwitchBase-input" name="acceptedTerms" type="checkbox" data-indeterminate="false" aria-label="checkbox"><svg class="sc-iKGpAt dPMksf MuiSvgIcon-root MuiSvgIcon-fontSizeMedium"
focusable="false" aria-hidden="true" viewBox="0 0 24 24" data-testid="CheckBoxOutlineBlankIcon">
<path d="M19 5v14H5V5h14m0-2H5c-1.1 0-2 .9-2 2v14c0 1.1.9 2 2 2h14c1.1 0 2-.9 2-2V5c0-1.1-.9-2-2-2z"></path>
</svg><span class="sc-iCmkLe beDLTg MuiTouchRipple-root"></span></span>
<p class="sc-cPlDXj kufnag MuiTypography-root MuiTypography-body1 labelText"></p>
<div>I have read, understand, and agree to the
<a class="sc-cPlDXj eRKeLv MuiTypography-root MuiTypography-inherit sc-eZYOHW DLSDJ MuiLink-root MuiLink-underlineAlways" href="https://www.flywire.com/legal/terms-of-use" target="_blank">Flywire Terms of Use</a>,
<a class="sc-cPlDXj eRKeLv MuiTypography-root MuiTypography-inherit sc-eZYOHW DLSDJ MuiLink-root MuiLink-underlineAlways" href="https://www.flywire.com/legal/privacy-policy" target="_blank">Privacy Policy</a>,
<a class="sc-cPlDXj eRKeLv MuiTypography-root MuiTypography-inherit sc-eZYOHW DLSDJ MuiLink-root MuiLink-underlineAlways" href="https://www.flywire.com/legal/cookie-policy" target="_blank">Cookie Policy</a>,
<a class="sc-cPlDXj eRKeLv MuiTypography-root MuiTypography-inherit sc-eZYOHW DLSDJ MuiLink-root MuiLink-underlineAlways link" data-testid="conditions-dialog-link" href="#">Confidentiality Notice</a> and
<a class="sc-cPlDXj eRKeLv MuiTypography-root MuiTypography-inherit sc-eZYOHW DLSDJ MuiLink-root MuiLink-underlineAlways link" data-testid="conditions-dialog-link" href="#">Consent to Electronic Communications</a></div>
<p></p>
</label></div>
</div>
<div class="sc-eGFuAX bIwqvv MuiGrid-root MuiGrid-item"><button
class="sc-cRZddA czORkp MuiButtonBase-root MuiButton-root MuiButton-contained MuiButton-containedPrimary MuiButton-sizeLarge MuiButton-containedSizeLarge Mui-disabled sc-jfSnVq kYvuDs MuiButton-root MuiButton-contained MuiButton-containedPrimary MuiButton-sizeLarge MuiButton-containedSizeLarge sc-hjsqBZ jViaJU button viewMyAccountBtn"
tabindex="-1" type="submit" disabled="" data-testid="button-view-my-account" aria-label="View My Account" loading="0"><span class="text">View My Account</span></button></div>
</div>
</form>Text Content
You need to enable JavaScript to run this app. WELCOME TO BANNER HEALTH LOG IN TO VIEW AND PAY YOUR MEDICAL BILLS EASILY. LOG IN Guarantor Zip Code * Patient or Guarantor Date Of Birth Remember Me I have read, understand, and agree to the Flywire Terms of Use, Privacy Policy, Cookie Policy, Confidentiality Notice and Consent to Electronic Communications View My Account -------------------------------------------------------------------------------- © Flywire. 2009-2023 All Rights Reserved. English