services2.ctsmartdesk.com
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204.16.248.98
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URL:
https://services2.ctsmartdesk.com/SSP/admin/FormBuilder/FormEngine/FormEngine.aspx?urlkey=7ed0ebb4-753f-4804-81c3-416b7880be54&...
Submission: On April 24 via manual from US — Scanned from US
Submission: On April 24 via manual from US — Scanned from US
Form analysis 1 forms found in the DOM
POST ./FormEngine.aspx?urlkey=7ed0ebb4-753f-4804-81c3-416b7880be54&%3bpid=418&%3bsid=113002&%3bmspg=anonymous&%3bClientInstance=Shared
<form method="post" action="./FormEngine.aspx?urlkey=7ed0ebb4-753f-4804-81c3-416b7880be54&amp%3bpid=418&amp%3bsid=113002&amp%3bmspg=anonymous&amp%3bClientInstance=Shared" id="aspnetForm">
<div class="aspNetHidden">
<input type="hidden" name="__VIEWSTATE" id="__VIEWSTATE"
value="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">
</div>
<div class="aspNetHidden">
<input type="hidden" name="__VIEWSTATEGENERATOR" id="__VIEWSTATEGENERATOR" value="CB7B4EBE">
<input type="hidden" name="__VIEWSTATEENCRYPTED" id="__VIEWSTATEENCRYPTED" value="">
<input type="hidden" name="__EVENTVALIDATION" id="__EVENTVALIDATION"
value="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">
</div>
<div class="container">
<header class="main-header custom-header"><!--<header class="header-master header-master-white">
<div class="col-sm-4 col-md-3 col-lg-3">
<div class="logo logo-master">
<img class="img-responsive">
</div>
</div>
<div class="col-sm-4 col-md-6 col-lg-6 text-center">
<h2 class="header-heading">Self Service Portal</h2>
</div><div class="col-sm-4 col-md-3 col-lg-3 ">
<nav class="navbar navbar-static-top" role="navigation">
<div class="navbar-header-right">
<ul class="nav navbar-nav navbar-right"><li>
<label class="user-name"> Welcome
<span id="cmsusersfullname" class="logged-user">CTS-Anonymous</span>
</label><div><span></span><span class="pull-right">
<a href="/Admin/SSPLogOut.aspx" class="profile-menu">
<i class="fa fa-power-off" aria-hidden="true" alt="" title="Log Out" class="icon-header-right"></i> Log Out</a>
</span></div></li></ul></div></nav></div></header>-->
<!--New UI -->
<!-- Logo -->
<div class="logo">
<!-- mini logo for sidebar mini 50x50 pixels -->
<span class="logo-mini logo-master">
<img class="Center-block " src="..\Templates\ACP1\Logo.png">
</span>
<!-- logo for regular state and mobile devices -->
<span class="logo-lg logo-master">
<img class="Center-block" src="..\Templates\ACP1\Logo.png">
</span>
</div>
<!-- Header Navbar -->
<nav class="navbar navbar-static-top" role="navigation">
<!-- Sidebar toggle button-->
<!-- Navbar Right Menu -->
<a href="#" class="sidebar-toggle sidebar-toggle-mobile" data-toggle="offcanvas" role="button" style="display: inline;">
<span class="sr-only">Toggle navigation</span>
</a>
<!--<div class="navbar-custom-menu">
<ul class="nav navbar-nav navbar-right">
<li>
<label class="user-name">
<strong>Welcome !</strong>
<span id="cmsusersfullname" class="logged-user">CTS-Anonymous</span>
</label>
<br />
<div>
<span>
<img src="../Images/icon_clock.png" />
<b id=''><small id='LiveClock'>00:00:01</small></b>
</span>
<span class="pull-right">
<a href="../../SSPLogOut.aspx" class="profile-menu">
<i class="fa fa-power-off" aria-hidden="true" alt="" title="Log Out" class="icon-header-right"></i> Log Out
</a>
</span>
</div>
</li>
</ul>
</div>-->
</nav>
</header>
</div>
<div class="container">
<!--<div class="custom-banner"></div> -->
</div>
<div class="container">
<div class="main-content-wrapper">
<div>
<section class="content">
<div class="row">
<div class="col-lg-12 col-md-12 col-sm-12 paddingleft7">
<div class="col-lg-12 col-md-12 col-sm-12 create-right">
<div class="right-contentarea" style="overflow: hidden auto; min-height: 1075px; height: 1075px;">
<!-- global ajax loader -->
<!-- global ajax loader -->
<div id="ctl00_FBEngineContentPlaceHolder_divScriptsRef" class="script-ref-div"></div>
<div id="fbUserForm">
</div>
</div>
</div>
</div>
<input id="processCode" type="hidden" value="">
<input id="formId" name="formId" type="hidden">
<input id="hdnIsLastForm" type="hidden">
<input id="hdnListsk" type="hidden"> <!-- For storing WorkflowlistSk -->
<div class="dirtyignore">
<input type="hidden" name="ctl00$FBEngineContentPlaceHolder$hdnHstryId" id="hdnHstryId">
<input type="hidden" name="ctl00$FBEngineContentPlaceHolder$hdnUserFormData" id="hdnUserFormData" value="">
<input type="hidden" name="ctl00$FBEngineContentPlaceHolder$fid" id="fid">
<input type="hidden" name="ctl00$FBEngineContentPlaceHolder$pid" id="pid">
<input type="hidden" name="ctl00$FBEngineContentPlaceHolder$sId" id="sId">
<input type="hidden" name="ctl00$FBEngineContentPlaceHolder$key" id="key">
<input type="hidden" name="ctl00$FBEngineContentPlaceHolder$pcode" id="pcode">
<input type="hidden" name="ctl00$FBEngineContentPlaceHolder$formid" id="formid">
<input type="hidden" name="ctl00$FBEngineContentPlaceHolder$IsUserCanPromoteProcess" id="IsUserCanPromoteProcess">
</div>
</div>
</section>
</div>
<!-- Popup modal -->
<div id="popup-modal" class="modal fade popUpModal" role="dialog">
<div class="modal-dialog">
<!-- Modal content-->
<div class="modal-content">
<div class="modal-header text-center">
<h4 id="titleh" class="modal-title">Preview</h4>
</div>
<div class="modal-body">
<iframe class="popUpContent"></iframe>
</div>
</div>
</div>
<div class="bb-alert alert alert-info" style="display: none;">
<span>This was logged in the callback!</span>
</div>
</div>
<!-- Promote modal -->
<div id="Promote-modal" class="modal fade " role="dialog">
<div class="modal-dialog modal-lg">
<!-- Modal content-->
<div class="modal-content">
<div class="modal-header text-center">
<button type="button" class="close" onclick="resetPromotemodel();" data-dismiss="modal">×</button>
<h4 class="modal-title">Promote Process</h4>
</div>
<div class="modal-body" id="divPromoteProcessDetails">
</div>
</div>
</div>
</div>
</div>
</div>
<div class="container footer-wrapper">
<footer class="main-footer" style="width: 1140px;">
<div class="powered-by" title="Powered by HTC Global Service, Inc.">Powered By:
<a href="https://www.htcinc.com" target="_blank"><img src="../../Images/icons/footer-ct-logo.png" alt="HTC Global Service" title="Powered by HTC Global Service, Inc." class="img-pwb-logo"></a></div>
<!--<footer class=footer-master><p>If you have difficulties, contact the CareTech Solutions Shared Services at 248-823-0124 or x30124<p>© 2024 CareTech Solutions, Inc.All Rights Reserved
</footer>-->
<p align="center"></p>
<h5>If you have difficulties, contact the Advantage Care Physicians Service Desk at 646-680-5555 <br>© 2024 HTC Global Services, Inc. All Rights Reserved</h5>
<p></p>
</footer>
</div>
<input type="hidden" name="ctl00$hdnUId" id="ctl00_hdnUId" value="69">
<input type="hidden" name="ctl00$hdnUName" id="ctl00_hdnUName" value="CTS-Anonymous">
<input type="hidden" name="ctl00$hdnRequestString" id="ctl00_hdnRequestString" value="PR">
<input type="hidden" name="ctl00$hdnAccountId" id="ctl00_hdnAccountId" value="489">
<input type="hidden" name="ctl00$hdnAccountCode" id="ctl00_hdnAccountCode" value="ACP1">
<input type="hidden" name="ctl00$hdnAccountName" id="ctl00_hdnAccountName" value="Advantage Care Physicians">
<input type="hidden" name="ctl00$hdnAuthToken" id="ctl00_hdnAuthToken">
<input type="hidden" name="ctl00$hdnAuthRefreshToken" id="ctl00_hdnAuthRefreshToken">
<input type="hidden" name="ctl00$hdnIsSuperAdmin" id="ctl00_hdnIsSuperAdmin" value="False">
<input type="hidden" name="ctl00$hdnIsImpersonate" id="ctl00_hdnIsImpersonate" value="False">
<input type="hidden" name="ctl00$hdnPreviousImpersonateuser" id="ctl00_hdnPreviousImpersonateuser">
<input type="hidden" name="ctl00$hdnPageUrlKey" id="ctl00_hdnPageUrlKey" value="7ed0ebb4-753f-4804-81c3-416b7880be54">
<input type="hidden" name="ctl00$hdnuserprofileinfo" id="ctl00_hdnuserprofileinfo">
</form>Text Content
This portal requires JavaScript to be enabled. Please check your browser settings and enable JavaScript to continue. Loading... Toggle navigation PREVIEW This was logged in the callback! × PROMOTE PROCESS Powered By: IF YOU HAVE DIFFICULTIES, CONTACT THE ADVANTAGE CARE PHYSICIANS SERVICE DESK AT 646-680-5555 © 2024 HTC GLOBAL SERVICES, INC. ALL RIGHTS RESERVED