bluecrossprovideradvisorypanel.instinct.gongos.com Open in urlscan Pro
2606:4700:10::6816:10cb  Public Scan

Form analysis
1 forms found in the DOM

POST /Login

<form action="/Login" class="form-horizontal" id="createAccountForm" method="post" role="form" novalidate="novalidate"><input name="__RequestVerificationToken" type="hidden"
    value="Fal-hQYdOZeR5_Tcb-vZCqTQwqe8Ms-egb23RRHOEnwthFJIum01we-av3kJCly-lI8DJm6lAukLoevqQIQ63ttzTocD1nthBAiI_0E_uPk1"> <!-- Custom Content -->
  <!-- Language Selection -->
  <!-- Username -->
  <div class="form-group">
    <div class="col-md-12">
      <input autocomplete="Off" class="form-control" data-val="true" data-val-length="The field Username must be a string with a maximum length of 1024." data-val-length-max="1024" data-val-required="Please enter your username." id="Username"
        name="Username" placeholder="Username" type="text" value="">
      <span class="field-validation-valid" data-valmsg-for="Username" data-valmsg-replace="true"></span>
    </div>
  </div>
  <!-- Password -->
  <div class="form-group">
    <div class="col-md-12">
      <input autocomplete="Off" class="form-control" data-val="true" data-val-length="The field Password must be a string with a maximum length of 256." data-val-length-max="256" data-val-required="Please enter your password." id="Password"
        name="Password" placeholder="Password" type="password">
      <span class="field-validation-valid" data-valmsg-for="Password" data-valmsg-replace="true"></span>
    </div>
  </div>
  <!-- RememberMe -->
  <div class="form-group">
    <div class="col-md-6">
      <div class="checkbox">
        <input checked="checked" data-val="true" data-val-required="The Keep me signed in field is required." id="RememberMe" name="RememberMe" type="checkbox" value="true"><input name="RememberMe" type="hidden" value="false">
        <label for="RememberMe">Keep me signed in</label>
      </div>
    </div>
    <div class="col-md-6 text-right">
      <a href="/Account/ResetPassword?languageId=9">I forgot my password</a>
    </div>
  </div>
  <div class="form-group">
    <div class="col-md-6">
      <button type="submit" class="btn btn-primary btn-block btn-lg" id="btnSubmit">Login</button>
    </div>
    <div class="col-md-6">
      <h4>No account? <a href="#" onclick="window.location.href='/Join/9'">Sign up</a></h4>
    </div>
  </div>
  <!-- Hidden Fields -->
  <input data-val="true" data-val-number="The field Id must be a number." data-val-required="The Id field is required." id="Language_Id" name="Language.Id" type="hidden" value="9"><input data-val="true"
    data-val-required="The IsWiki field is required." id="IsWiki" name="IsWiki" type="hidden" value="False">
</form>

Text Content

 * 

 * 
 * 
 *  


×Close


SIGN IN

Keep me signed in
I forgot my password
Login

NO ACCOUNT? SIGN UP


Privacy & Policy
Cookie Preferences
When visiting our website we retrieve information from your browser, in the form
of a cookie to allow for you to stay logged into the site as your participate.
This information does not directly identify you in any way, but helps improve
your experience on our site. Because we respect your right to privacy, you can
choose not to allow some types of cookies.

You can manage your cookies at any time by editing your user profile and viewing
this "Cookie Preferences" window under the Account Settings tab. For additional
information please see our Privacy Policy.

REQUIRED COOKIES

These cookies are necessary for the website to function and cannot be turned
off. These cookies do not store any personally identifiable information and are
used to keep you logged into the site as your participate.
Enabled

PERFORMANCE COOKIES

These cookies allow us to count visits and traffic to our site we can continue
to improve the performance of our site. Any data collected via this tracking is
anonymous and reported in aggregate. If you do not allow these cookies we will
not share your visit information with other services such as Google Analytics.
Enabled
Save

This website uses cookies to ensure you have the best experience while visiting.
To learn more and to change your cookie settings, click "Cookie Preferences". By
clicking OK, you will be accepting all cookies. For more information see our
Privacy Policy.

Cookie Preferences Got it!