bcbstest.lkempi.com Open in urlscan Pro
2606:4700::6812:6bb  Public Scan

Form analysis
1 forms found in the DOM

POST /

<form action="/" class="form-signin" defaultbutton="btnSignIn" method="post" novalidate="novalidate"><input name="__RequestVerificationToken" type="hidden"
    value="-NJG7nkQZ2yeS7dTjo3paZesoRddv9LzYW9Y9wt-TuhXaFwYhoopBQvyAYQN85o-D3hOsySDF2kvOXV3aWzSOvZaU-IM2YQ5jqKnXZganqs1">
  <div class="wraper-login fixedwidth mg-t-10 border-radius-8px login-screen">
    <div class="header">
      <div class="logo">
        <img src="/Content/images/EMPI-icon-3.png" height="60">
        <input type="text" style="visibility: hidden; width:0px; height:0px;">
        <input type="password" style="visibility: hidden; width:0px; height:0px;">
      </div>
      <div class="clearfix"></div>
    </div>
    <div class="maindiv1">
      <div class="seconddiv1">
        <div class="detailbox1">
          <div class="signin"> Sign-In: </div>
          <div class="form-group">
            <label for="Username">User Name</label>
            <input autofocus="autofocus" class="form-control form-control-sm" data-val="true" data-val-required="User Name" id="Username" name="UserName" placeholder="User Name" type="text" value="">
            <span class="field-validation-valid" data-valmsg-for="UserName" data-valmsg-replace="true"></span>
          </div>
          <div class="form-group">
            <label for="Password">Password</label>
            <input class="form-control form-control-sm" data-val="true" data-val-required="Password" id="Password" maxlength="20" name="Password" placeholder="Password" type="password">
            <span class="field-validation-valid" data-valmsg-for="Password" data-valmsg-replace="true"></span>
          </div>
          <div class="form-group">
            <label for="Username">Organization</label>
            <input autofocus="autofocus" class="form-control form-control-sm" data-val="true" data-val-required="Client" id="Client" name="Client" placeholder="Organization" type="text" value="">
            <span class="field-validation-valid" data-valmsg-for="Client" data-valmsg-replace="true"></span>
          </div>
          <div class="text-right">
            <a class="pull-left" href="/Login/Forgot">Forgot Password?</a>
            <input id="btnSignIn" class="btn btn-sm btn-primary validate-before-save pull-right" type="submit" value="Sign In">
            <div class="clearfix"></div>
          </div>
        </div>
      </div>
      <div class="thirddiv">
        <div class="lktransferdetails1">
          <p>
            <strong>LKeMPI</strong> is ELLKAY’s robust enterprise master patient index solution that uniquely identifies and merges patients across multiple systems using a proven process of data matching and deduplication, ensuring accuracy and
            supporting the coordination of care for all patients.
          </p>
        </div>
      </div>
      <div class="clearfix"></div>
      <div class="footer"> © 2002 - 2024 ELLKAY, LLC. All rights reserved | v.2.0 </div>
      <div class="clearfix"></div>
    </div>
  </div>
  <div id="pnlalert" class="alert alerttop" role="alert" style="display:none;">
    <label id="lblmessage"></label>
    <button type="button" class="close" onclick="$('#pnlalert').hide();" aria-label="Close">
      <span aria-hidden="true">×</span>
    </button>
  </div>
  <script type="text/javascript">
    //function successFailureClose() {
    //    $('.SuccessOrFailure-overlay-bg').hide();
    //    $('.autohide-notification').hide();
    //    $('select, input, textarea, button, a').removeAttr('tabindex');
    //}
    function showNotificationMessage(data) {
      try {
        data = JSON.parse(data);
      } catch (error) {}
      if (data.Success != true) {
        $('#lblmessage').text(data.ResponseString);
        $('#pnlalert').removeClass('alert-success').addClass('alert-danger').show();
        //$('select, input, textarea, button, a').attr('tabindex', '-1');
        //setTimeout(function () { $('#pnlalert').removeAttr('tabindex').focus(); }, 100);
      } else {
        $('#lblmessage').text(data.ResponseString);
        $('#pnlalert').removeClass('alert-danger').addClass('alert-success');
        $('#pnlalert').show();
        setTimeout(function() {
          $('#pnlalert').fadeOut(500);
        }, 3500);
      }
      return data.Success;
    }
  </script>
</form>

Text Content

Sign-In:
User Name
Password
Organization
Forgot Password?


LKeMPI is ELLKAY’s robust enterprise master patient index solution that uniquely
identifies and merges patients across multiple systems using a proven process of
data matching and deduplication, ensuring accuracy and supporting the
coordination of care for all patients.


© 2002 - 2024 ELLKAY, LLC. All rights reserved | v.2.0

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