medicare.highmarkhealthplan.com
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67.221.0.214
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Submitted URL: http://highmarkvaccinecard.com/
Effective URL: https://medicare.highmarkhealthplan.com/2022roadmap?utm_campaign=n2m2021-0-3-n2mltmb2b&utm_source=directmail&utm_medium=print&offercode=...
Submission: On October 01 via manual from PH — Scanned from DE
Effective URL: https://medicare.highmarkhealthplan.com/2022roadmap?utm_campaign=n2m2021-0-3-n2mltmb2b&utm_source=directmail&utm_medium=print&offercode=...
Submission: On October 01 via manual from PH — Scanned from DE
Form analysis 1 forms found in the DOM
POST /2022roadmap/CodeGate
<form class="blueBackground stage" action="/2022roadmap/CodeGate" method="post">
<h1>Welcome</h1>
<p>Enter your ZIP code to get started.</p>
<input class="" id="ZipCode" maxlength="5" name="ZipCode" placeholder="(e.g., 15211)" type="text" value="">
<span class="field-validation-valid error" data-valmsg-for="ZipCode" data-valmsg-replace="true"></span>
<button type="submit" id="formSubmit">
<span>Continue <i class="fa fa-caret-right"></i></span>
</button>
</form>Text Content
WELCOME Enter your ZIP code to get started. Continue