emr.cnc-claimsource.com
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54.225.200.246
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URL:
https://emr.cnc-claimsource.com/
Submission: On December 16 via automatic, source certstream-suspicious — Scanned from DE
Submission: On December 16 via automatic, source certstream-suspicious — Scanned from DE
Form analysis 1 forms found in the DOM
POST /index.php
<form id="" class="csLogin" action="/index.php" method="post">
<input type="hidden" name="LES" id="LES" value="1702743259">
<fieldset>
<legend>
<h1>Log in to Claimsource</h1>
</legend>
<div class="formGroup textField">
<input type="text" id="username" accesskey="u" name="LOGIN_UNAME" required="">
<label for="username">username</label>
</div>
<div class="formGroup textField">
<input type="password" id="password" accesskey="u" name="LOGIN_PWD" required="">
<label for="password">password</label>
</div>
<div class="formGroup d-flex align-items-center">
<input type="checkbox" name="LOGIN_COOKIE" value="1" id="rememberMe">
<label for="rememberMe">Remember me</label>
</div>
<div class="formGroup">
<input type="submit" name="Submit" value="Submit" id="loginBtn">
</div>
</fieldset>
</form>Text Content
LOG IN TO CLAIMSOURCE username password Remember me Forgot password? PolicyholdersView your claim AdjustersView class schedule AdjustersApply to join our team Download AdjustMint Visit our website CORPORATE CAMPUS 2928 North McVay Drive Mobile, AL 36606 Phone: 800-843-0170 Fax: 251-478-3257 HUMAN RESOURCES Phone: 800-843-0170 option 4 Fax: 251-445-4775 © 2020 Copyright CNC Catastrophe & National Claims • Privacy Policy • 800-843-0170