baystatehealth.ci.healthpay24.cloud Open in urlscan Pro
2606:4700::6812:aa4  Public Scan

Form analysis
1 forms found in the DOM

POST /actionlink/emailaction/thisisnotme/4b53c140-82dc-4d5f-a351-08da6ab525d9/

<form method="post" action="/actionlink/emailaction/thisisnotme/4b53c140-82dc-4d5f-a351-08da6ab525d9/">
  <div class="card-header">
    <div class="card-title">
      <div class="title">Confirm Removal</div>
      <div class="sub-title">Click the link below to remove your email address from our system. This action cannot be undone.</div>
    </div>
    <div style="flex-grow:2;"></div>
    <div class="card-setting">
    </div>
  </div>
  <input type="hidden" id="Id" name="Id" value="4b53c140-82dc-4d5f-a351-08da6ab525d9">
  <input type="hidden" id="Token" name="Token" value="c9798a5a-3e83-48d2-9d13-3dcbbc9f3a9c">
  <div class="validation-summary" style="display:none;">
    <div class="validation-summary-content"></div>
  </div>
  <div style="display:flex; flex-direction:row;">
    <div style="flex-grow:1;"></div>
    <button type="submit" class="btn primary-accent-background" data-auto-disabled="true">REMOVE MY EMAIL FROM YOUR SYSTEM</button>
  </div>
  <input name="__RequestVerificationToken" type="hidden" value="CfDJ8PM_3guwYyBOqTU11S72onDUA6AKlrlZaA4pDyMAgugodRLFnN-CIAxGz4k1aeQoAxPA1aqKLL9mRSsQswkrxoaCP8rJMhYaFsP3DL88iaEluuivry76zHJZWP9nIzhYeyyxEDNqFUuEow-BH-UKGTM">
</form>

Text Content

Need Help? Call...
p 877-461-1931


Email Address Removal



Confirm Removal
Click the link below to remove your email address from our system. This action
cannot be undone.




REMOVE MY EMAIL FROM YOUR SYSTEM
If you have a billing inquiry or concern about a refund, please contact customer
service at 717-555-0117.





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