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claim-submission-tool-oracle.dev.onemedtest.com Open in urlscan Pro
102.223.37.51  Public Scan

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URL: https://claim-submission-tool-oracle.dev.onemedtest.com/
Submission: On August 21 via automatic, source certstream-suspicious — Scanned from DE

Form analysis 1 forms found in the DOM

<form>
  <h3 data-v-520a5288="" class="SignIn__title"> Sign In </h3>
  <div data-v-520a5288="" class="row"><label data-v-539a3c3e="" data-v-520a5288="" for="email" class="AlmightyInput__label" data-cy="SignIn__email-field"> Email * <input data-v-539a3c3e="" name="email" placeholder="Your Email" type="text"
        class="AlmightyInput__field untouched pristine"><!----></label></div>
  <div data-v-520a5288="" class="row"><label data-v-539a3c3e="" data-v-520a5288="" for="password" class="AlmightyInput__label" data-cy="SignIn__password-field"> Password * <input data-v-539a3c3e="" name="password" placeholder="Your Password"
        type="password" class="AlmightyInput__field untouched pristine"><!----></label></div>
  <div data-v-520a5288="" class="row SignIn__actions"><button data-v-520a5288="" type="submit" data-cy="SignIn__submit" class="button--red stretch ripple"> Sign In </button></div>
  <p data-v-520a5288="" class="SignIn__caption"><a data-v-520a5288="" href="/reset-password" class="SignIn__caption-link"> Forgot Your Password? </a></p>
</form>

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