SQL Injection String Tests Summary (643280 results recorded)
Failures: | 0 |
Warnings: | 0 |
Passes: | 643280 |
SQL Injection String Test Results
mode
Submitted Form State:- unnamed field: undefined
- choose_this_page_criteria:
- date_master_criteria_form_encounter_date: today
- master_from_date_form_encounter_date: 2013-05-13
- master_to_date_form_encounter_date: 2013-05-13
- date_master_criteria_billing_date: all
- master_from_date_billing_date:
- master_to_date_billing_date:
- date_master_criteria_claims_process_time: all
- master_from_date_claims_process_time:
- master_to_date_claims_process_time:
- radio_claims_target: all
- radio_claims_target: standard
- radio_claims_target: hcfa
- text_master_patient_data_fname:
- text_master_form_encounter_pid:
- unnamed field:
- type_code:
- description:
- hidden_type_code:
- text_master_form_encounter_encounter:
- radio_insurance_data_provider: all
- radio_insurance_data_provider: 1
- radio_insurance_data_provider: 0
- radio_billing_id: all
- radio_billing_id: not null
- radio_billing_id: null
- radio_billing_billed: all
- radio_billing_billed: 0
- radio_billing_billed: 1
- radio_billing_billed: 7
- radio_billing_authorized: %
- radio_billing_authorized: 1
- radio_billing_authorized: 0
- radio_form_encounter_last_level_billed: all
- radio_form_encounter_last_level_billed: 0
- radio_form_encounter_last_level_billed: 1
- radio_form_encounter_last_level_billed: 2
- query_drop_down_master_billing_x12_partner_id: all
- unnamed field: undefined
- final_this_page_criteria[]:
- final_this_page_criteria_text[]:
Results:This
field passed 14620 tests. To see all the passed results, go to
Tools->SQL Inject Me->Options and click 'Show passed results in
final report' and rerun this test.
unnamed field
Submitted Form State:- mode: change
- choose_this_page_criteria:
- date_master_criteria_form_encounter_date: today
- master_from_date_form_encounter_date: 2013-05-13
- master_to_date_form_encounter_date: 2013-05-13
- date_master_criteria_billing_date: all
- master_from_date_billing_date:
- master_to_date_billing_date:
- date_master_criteria_claims_process_time: all
- master_from_date_claims_process_time:
- master_to_date_claims_process_time:
- radio_claims_target: all
- radio_claims_target: standard
- radio_claims_target: hcfa
- text_master_patient_data_fname:
- text_master_form_encounter_pid:
- unnamed field:
- type_code:
- description:
- hidden_type_code:
- text_master_form_encounter_encounter:
- radio_insurance_data_provider: all
- radio_insurance_data_provider: 1
- radio_insurance_data_provider: 0
- radio_billing_id: all
- radio_billing_id: not null
- radio_billing_id: null
- radio_billing_billed: all
- radio_billing_billed: 0
- radio_billing_billed: 1
- radio_billing_billed: 7
- radio_billing_authorized: %
- radio_billing_authorized: 1
- radio_billing_authorized: 0
- radio_form_encounter_last_level_billed: all
- radio_form_encounter_last_level_billed: 0
- radio_form_encounter_last_level_billed: 1
- radio_form_encounter_last_level_billed: 2
- query_drop_down_master_billing_x12_partner_id: all
- unnamed field: undefined
- final_this_page_criteria[]:
- final_this_page_criteria_text[]:
Results:This
field passed 14620 tests. To see all the passed results, go to
Tools->SQL Inject Me->Options and click 'Show passed results in
final report' and rerun this test.
choose_this_page_criteria
Submitted Form State:- mode: change
- unnamed field: undefined
- date_master_criteria_form_encounter_date: today
- master_from_date_form_encounter_date: 2013-05-13
- master_to_date_form_encounter_date: 2013-05-13
- date_master_criteria_billing_date: all
- master_from_date_billing_date:
- master_to_date_billing_date:
- date_master_criteria_claims_process_time: all
- master_from_date_claims_process_time:
- master_to_date_claims_process_time:
- radio_claims_target: all
- radio_claims_target: standard
- radio_claims_target: hcfa
- text_master_patient_data_fname:
- text_master_form_encounter_pid:
- unnamed field:
- type_code:
- description:
- hidden_type_code:
- text_master_form_encounter_encounter:
- radio_insurance_data_provider: all
- radio_insurance_data_provider: 1
- radio_insurance_data_provider: 0
- radio_billing_id: all
- radio_billing_id: not null
- radio_billing_id: null
- radio_billing_billed: all
- radio_billing_billed: 0
- radio_billing_billed: 1
- radio_billing_billed: 7
- radio_billing_authorized: %
- radio_billing_authorized: 1
- radio_billing_authorized: 0
- radio_form_encounter_last_level_billed: all
- radio_form_encounter_last_level_billed: 0
- radio_form_encounter_last_level_billed: 1
- radio_form_encounter_last_level_billed: 2
- query_drop_down_master_billing_x12_partner_id: all
- unnamed field: undefined
- final_this_page_criteria[]:
- final_this_page_criteria_text[]:
Results:This
field passed 14620 tests. To see all the passed results, go to
Tools->SQL Inject Me->Options and click 'Show passed results in
final report' and rerun this test.
date_master_criteria_form_encounter_date
Submitted Form State:- mode: change
- unnamed field: undefined
- choose_this_page_criteria:
- master_from_date_form_encounter_date: 2013-05-13
- master_to_date_form_encounter_date: 2013-05-13
- date_master_criteria_billing_date: all
- master_from_date_billing_date:
- master_to_date_billing_date:
- date_master_criteria_claims_process_time: all
- master_from_date_claims_process_time:
- master_to_date_claims_process_time:
- radio_claims_target: all
- radio_claims_target: standard
- radio_claims_target: hcfa
- text_master_patient_data_fname:
- text_master_form_encounter_pid:
- unnamed field:
- type_code:
- description:
- hidden_type_code:
- text_master_form_encounter_encounter:
- radio_insurance_data_provider: all
- radio_insurance_data_provider: 1
- radio_insurance_data_provider: 0
- radio_billing_id: all
- radio_billing_id: not null
- radio_billing_id: null
- radio_billing_billed: all
- radio_billing_billed: 0
- radio_billing_billed: 1
- radio_billing_billed: 7
- radio_billing_authorized: %
- radio_billing_authorized: 1
- radio_billing_authorized: 0
- radio_form_encounter_last_level_billed: all
- radio_form_encounter_last_level_billed: 0
- radio_form_encounter_last_level_billed: 1
- radio_form_encounter_last_level_billed: 2
- query_drop_down_master_billing_x12_partner_id: all
- unnamed field: undefined
- final_this_page_criteria[]:
- final_this_page_criteria_text[]:
Results:This
field passed 14620 tests. To see all the passed results, go to
Tools->SQL Inject Me->Options and click 'Show passed results in
final report' and rerun this test.
master_from_date_form_encounter_date
Submitted Form State:- mode: change
- unnamed field: undefined
- choose_this_page_criteria:
- date_master_criteria_form_encounter_date: today
- master_to_date_form_encounter_date: 2013-05-13
- date_master_criteria_billing_date: all
- master_from_date_billing_date:
- master_to_date_billing_date:
- date_master_criteria_claims_process_time: all
- master_from_date_claims_process_time:
- master_to_date_claims_process_time:
- radio_claims_target: all
- radio_claims_target: standard
- radio_claims_target: hcfa
- text_master_patient_data_fname:
- text_master_form_encounter_pid:
- unnamed field:
- type_code:
- description:
- hidden_type_code:
- text_master_form_encounter_encounter:
- radio_insurance_data_provider: all
- radio_insurance_data_provider: 1
- radio_insurance_data_provider: 0
- radio_billing_id: all
- radio_billing_id: not null
- radio_billing_id: null
- radio_billing_billed: all
- radio_billing_billed: 0
- radio_billing_billed: 1
- radio_billing_billed: 7
- radio_billing_authorized: %
- radio_billing_authorized: 1
- radio_billing_authorized: 0
- radio_form_encounter_last_level_billed: all
- radio_form_encounter_last_level_billed: 0
- radio_form_encounter_last_level_billed: 1
- radio_form_encounter_last_level_billed: 2
- query_drop_down_master_billing_x12_partner_id: all
- unnamed field: undefined
- final_this_page_criteria[]:
- final_this_page_criteria_text[]:
Results:This
field passed 14620 tests. To see all the passed results, go to
Tools->SQL Inject Me->Options and click 'Show passed results in
final report' and rerun this test.
master_to_date_form_encounter_date
Submitted Form State:- mode: change
- unnamed field: undefined
- choose_this_page_criteria:
- date_master_criteria_form_encounter_date: today
- master_from_date_form_encounter_date: 2013-05-13
- date_master_criteria_billing_date: all
- master_from_date_billing_date:
- master_to_date_billing_date:
- date_master_criteria_claims_process_time: all
- master_from_date_claims_process_time:
- master_to_date_claims_process_time:
- radio_claims_target: all
- radio_claims_target: standard
- radio_claims_target: hcfa
- text_master_patient_data_fname:
- text_master_form_encounter_pid:
- unnamed field:
- type_code:
- description:
- hidden_type_code:
- text_master_form_encounter_encounter:
- radio_insurance_data_provider: all
- radio_insurance_data_provider: 1
- radio_insurance_data_provider: 0
- radio_billing_id: all
- radio_billing_id: not null
- radio_billing_id: null
- radio_billing_billed: all
- radio_billing_billed: 0
- radio_billing_billed: 1
- radio_billing_billed: 7
- radio_billing_authorized: %
- radio_billing_authorized: 1
- radio_billing_authorized: 0
- radio_form_encounter_last_level_billed: all
- radio_form_encounter_last_level_billed: 0
- radio_form_encounter_last_level_billed: 1
- radio_form_encounter_last_level_billed: 2
- query_drop_down_master_billing_x12_partner_id: all
- unnamed field: undefined
- final_this_page_criteria[]:
- final_this_page_criteria_text[]:
Results:This
field passed 14620 tests. To see all the passed results, go to
Tools->SQL Inject Me->Options and click 'Show passed results in
final report' and rerun this test.
date_master_criteria_billing_date
Submitted Form State:- mode: change
- unnamed field: undefined
- choose_this_page_criteria:
- date_master_criteria_form_encounter_date: today
- master_from_date_form_encounter_date: 2013-05-13
- master_to_date_form_encounter_date: 2013-05-13
- master_from_date_billing_date:
- master_to_date_billing_date:
- date_master_criteria_claims_process_time: all
- master_from_date_claims_process_time:
- master_to_date_claims_process_time:
- radio_claims_target: all
- radio_claims_target: standard
- radio_claims_target: hcfa
- text_master_patient_data_fname:
- text_master_form_encounter_pid:
- unnamed field:
- type_code:
- description:
- hidden_type_code:
- text_master_form_encounter_encounter:
- radio_insurance_data_provider: all
- radio_insurance_data_provider: 1
- radio_insurance_data_provider: 0
- radio_billing_id: all
- radio_billing_id: not null
- radio_billing_id: null
- radio_billing_billed: all
- radio_billing_billed: 0
- radio_billing_billed: 1
- radio_billing_billed: 7
- radio_billing_authorized: %
- radio_billing_authorized: 1
- radio_billing_authorized: 0
- radio_form_encounter_last_level_billed: all
- radio_form_encounter_last_level_billed: 0
- radio_form_encounter_last_level_billed: 1
- radio_form_encounter_last_level_billed: 2
- query_drop_down_master_billing_x12_partner_id: all
- unnamed field: undefined
- final_this_page_criteria[]:
- final_this_page_criteria_text[]:
Results:This
field passed 14620 tests. To see all the passed results, go to
Tools->SQL Inject Me->Options and click 'Show passed results in
final report' and rerun this test.
master_from_date_billing_date
Submitted Form State:- mode: change
- unnamed field: undefined
- choose_this_page_criteria:
- date_master_criteria_form_encounter_date: today
- master_from_date_form_encounter_date: 2013-05-13
- master_to_date_form_encounter_date: 2013-05-13
- date_master_criteria_billing_date: all
- master_to_date_billing_date:
- date_master_criteria_claims_process_time: all
- master_from_date_claims_process_time:
- master_to_date_claims_process_time:
- radio_claims_target: all
- radio_claims_target: standard
- radio_claims_target: hcfa
- text_master_patient_data_fname:
- text_master_form_encounter_pid:
- unnamed field:
- type_code:
- description:
- hidden_type_code:
- text_master_form_encounter_encounter:
- radio_insurance_data_provider: all
- radio_insurance_data_provider: 1
- radio_insurance_data_provider: 0
- radio_billing_id: all
- radio_billing_id: not null
- radio_billing_id: null
- radio_billing_billed: all
- radio_billing_billed: 0
- radio_billing_billed: 1
- radio_billing_billed: 7
- radio_billing_authorized: %
- radio_billing_authorized: 1
- radio_billing_authorized: 0
- radio_form_encounter_last_level_billed: all
- radio_form_encounter_last_level_billed: 0
- radio_form_encounter_last_level_billed: 1
- radio_form_encounter_last_level_billed: 2
- query_drop_down_master_billing_x12_partner_id: all
- unnamed field: undefined
- final_this_page_criteria[]:
- final_this_page_criteria_text[]:
Results:This
field passed 14620 tests. To see all the passed results, go to
Tools->SQL Inject Me->Options and click 'Show passed results in
final report' and rerun this test.
master_to_date_billing_date
Submitted Form State:- mode: change
- unnamed field: undefined
- choose_this_page_criteria:
- date_master_criteria_form_encounter_date: today
- master_from_date_form_encounter_date: 2013-05-13
- master_to_date_form_encounter_date: 2013-05-13
- date_master_criteria_billing_date: all
- master_from_date_billing_date:
- date_master_criteria_claims_process_time: all
- master_from_date_claims_process_time:
- master_to_date_claims_process_time:
- radio_claims_target: all
- radio_claims_target: standard
- radio_claims_target: hcfa
- text_master_patient_data_fname:
- text_master_form_encounter_pid:
- unnamed field:
- type_code:
- description:
- hidden_type_code:
- text_master_form_encounter_encounter:
- radio_insurance_data_provider: all
- radio_insurance_data_provider: 1
- radio_insurance_data_provider: 0
- radio_billing_id: all
- radio_billing_id: not null
- radio_billing_id: null
- radio_billing_billed: all
- radio_billing_billed: 0
- radio_billing_billed: 1
- radio_billing_billed: 7
- radio_billing_authorized: %
- radio_billing_authorized: 1
- radio_billing_authorized: 0
- radio_form_encounter_last_level_billed: all
- radio_form_encounter_last_level_billed: 0
- radio_form_encounter_last_level_billed: 1
- radio_form_encounter_last_level_billed: 2
- query_drop_down_master_billing_x12_partner_id: all
- unnamed field: undefined
- final_this_page_criteria[]:
- final_this_page_criteria_text[]:
Results:This
field passed 14620 tests. To see all the passed results, go to
Tools->SQL Inject Me->Options and click 'Show passed results in
final report' and rerun this test.
date_master_criteria_claims_process_time
Submitted Form State:- mode: change
- unnamed field: undefined
- choose_this_page_criteria:
- date_master_criteria_form_encounter_date: today
- master_from_date_form_encounter_date: 2013-05-13
- master_to_date_form_encounter_date: 2013-05-13
- date_master_criteria_billing_date: all
- master_from_date_billing_date:
- master_to_date_billing_date:
- master_from_date_claims_process_time:
- master_to_date_claims_process_time:
- radio_claims_target: all
- radio_claims_target: standard
- radio_claims_target: hcfa
- text_master_patient_data_fname:
- text_master_form_encounter_pid:
- unnamed field:
- type_code:
- description:
- hidden_type_code:
- text_master_form_encounter_encounter:
- radio_insurance_data_provider: all
- radio_insurance_data_provider: 1
- radio_insurance_data_provider: 0
- radio_billing_id: all
- radio_billing_id: not null
- radio_billing_id: null
- radio_billing_billed: all
- radio_billing_billed: 0
- radio_billing_billed: 1
- radio_billing_billed: 7
- radio_billing_authorized: %
- radio_billing_authorized: 1
- radio_billing_authorized: 0
- radio_form_encounter_last_level_billed: all
- radio_form_encounter_last_level_billed: 0
- radio_form_encounter_last_level_billed: 1
- radio_form_encounter_last_level_billed: 2
- query_drop_down_master_billing_x12_partner_id: all
- unnamed field: undefined
- final_this_page_criteria[]:
- final_this_page_criteria_text[]:
Results:This
field passed 14620 tests. To see all the passed results, go to
Tools->SQL Inject Me->Options and click 'Show passed results in
final report' and rerun this test.
master_from_date_claims_process_time
Submitted Form State:- mode: change
- unnamed field: undefined
- choose_this_page_criteria:
- date_master_criteria_form_encounter_date: today
- master_from_date_form_encounter_date: 2013-05-13
- master_to_date_form_encounter_date: 2013-05-13
- date_master_criteria_billing_date: all
- master_from_date_billing_date:
- master_to_date_billing_date:
- date_master_criteria_claims_process_time: all
- master_to_date_claims_process_time:
- radio_claims_target: all
- radio_claims_target: standard
- radio_claims_target: hcfa
- text_master_patient_data_fname:
- text_master_form_encounter_pid:
- unnamed field:
- type_code:
- description:
- hidden_type_code:
- text_master_form_encounter_encounter:
- radio_insurance_data_provider: all
- radio_insurance_data_provider: 1
- radio_insurance_data_provider: 0
- radio_billing_id: all
- radio_billing_id: not null
- radio_billing_id: null
- radio_billing_billed: all
- radio_billing_billed: 0
- radio_billing_billed: 1
- radio_billing_billed: 7
- radio_billing_authorized: %
- radio_billing_authorized: 1
- radio_billing_authorized: 0
- radio_form_encounter_last_level_billed: all
- radio_form_encounter_last_level_billed: 0
- radio_form_encounter_last_level_billed: 1
- radio_form_encounter_last_level_billed: 2
- query_drop_down_master_billing_x12_partner_id: all
- unnamed field: undefined
- final_this_page_criteria[]:
- final_this_page_criteria_text[]:
Results:This
field passed 14620 tests. To see all the passed results, go to
Tools->SQL Inject Me->Options and click 'Show passed results in
final report' and rerun this test.
master_to_date_claims_process_time
Submitted Form State:- mode: change
- unnamed field: undefined
- choose_this_page_criteria:
- date_master_criteria_form_encounter_date: today
- master_from_date_form_encounter_date: 2013-05-13
- master_to_date_form_encounter_date: 2013-05-13
- date_master_criteria_billing_date: all
- master_from_date_billing_date:
- master_to_date_billing_date:
- date_master_criteria_claims_process_time: all
- master_from_date_claims_process_time:
- radio_claims_target: all
- radio_claims_target: standard
- radio_claims_target: hcfa
- text_master_patient_data_fname:
- text_master_form_encounter_pid:
- unnamed field:
- type_code:
- description:
- hidden_type_code:
- text_master_form_encounter_encounter:
- radio_insurance_data_provider: all
- radio_insurance_data_provider: 1
- radio_insurance_data_provider: 0
- radio_billing_id: all
- radio_billing_id: not null
- radio_billing_id: null
- radio_billing_billed: all
- radio_billing_billed: 0
- radio_billing_billed: 1
- radio_billing_billed: 7
- radio_billing_authorized: %
- radio_billing_authorized: 1
- radio_billing_authorized: 0
- radio_form_encounter_last_level_billed: all
- radio_form_encounter_last_level_billed: 0
- radio_form_encounter_last_level_billed: 1
- radio_form_encounter_last_level_billed: 2
- query_drop_down_master_billing_x12_partner_id: all
- unnamed field: undefined
- final_this_page_criteria[]:
- final_this_page_criteria_text[]:
Results:This
field passed 14620 tests. To see all the passed results, go to
Tools->SQL Inject Me->Options and click 'Show passed results in
final report' and rerun this test.
radio_claims_target
Submitted Form State:- mode: change
- unnamed field: undefined
- choose_this_page_criteria:
- date_master_criteria_form_encounter_date: today
- master_from_date_form_encounter_date: 2013-05-13
- master_to_date_form_encounter_date: 2013-05-13
- date_master_criteria_billing_date: all
- master_from_date_billing_date:
- master_to_date_billing_date:
- date_master_criteria_claims_process_time: all
- master_from_date_claims_process_time:
- master_to_date_claims_process_time:
- radio_claims_target: all
- radio_claims_target: standard
- text_master_patient_data_fname:
- text_master_form_encounter_pid:
- unnamed field:
- type_code:
- description:
- hidden_type_code:
- text_master_form_encounter_encounter:
- radio_insurance_data_provider: all
- radio_insurance_data_provider: 1
- radio_insurance_data_provider: 0
- radio_billing_id: all
- radio_billing_id: not null
- radio_billing_id: null
- radio_billing_billed: all
- radio_billing_billed: 0
- radio_billing_billed: 1
- radio_billing_billed: 7
- radio_billing_authorized: %
- radio_billing_authorized: 1
- radio_billing_authorized: 0
- radio_form_encounter_last_level_billed: all
- radio_form_encounter_last_level_billed: 0
- radio_form_encounter_last_level_billed: 1
- radio_form_encounter_last_level_billed: 2
- query_drop_down_master_billing_x12_partner_id: all
- unnamed field: undefined
- final_this_page_criteria[]:
- final_this_page_criteria_text[]:
Results:This
field passed 14620 tests. To see all the passed results, go to
Tools->SQL Inject Me->Options and click 'Show passed results in
final report' and rerun this test.
text_master_patient_data_fname
Submitted Form State:- mode: change
- unnamed field: undefined
- choose_this_page_criteria:
- date_master_criteria_form_encounter_date: today
- master_from_date_form_encounter_date: 2013-05-13
- master_to_date_form_encounter_date: 2013-05-13
- date_master_criteria_billing_date: all
- master_from_date_billing_date:
- master_to_date_billing_date:
- date_master_criteria_claims_process_time: all
- master_from_date_claims_process_time:
- master_to_date_claims_process_time:
- radio_claims_target: all
- radio_claims_target: standard
- radio_claims_target: hcfa
- text_master_form_encounter_pid:
- unnamed field:
- type_code:
- description:
- hidden_type_code:
- text_master_form_encounter_encounter:
- radio_insurance_data_provider: all
- radio_insurance_data_provider: 1
- radio_insurance_data_provider: 0
- radio_billing_id: all
- radio_billing_id: not null
- radio_billing_id: null
- radio_billing_billed: all
- radio_billing_billed: 0
- radio_billing_billed: 1
- radio_billing_billed: 7
- radio_billing_authorized: %
- radio_billing_authorized: 1
- radio_billing_authorized: 0
- radio_form_encounter_last_level_billed: all
- radio_form_encounter_last_level_billed: 0
- radio_form_encounter_last_level_billed: 1
- radio_form_encounter_last_level_billed: 2
- query_drop_down_master_billing_x12_partner_id: all
- unnamed field: undefined
- final_this_page_criteria[]:
- final_this_page_criteria_text[]:
Results:This
field passed 14620 tests. To see all the passed results, go to
Tools->SQL Inject Me->Options and click 'Show passed results in
final report' and rerun this test.
text_master_form_encounter_pid
Submitted Form State:- mode: change
- unnamed field: undefined
- choose_this_page_criteria:
- date_master_criteria_form_encounter_date: today
- master_from_date_form_encounter_date: 2013-05-13
- master_to_date_form_encounter_date: 2013-05-13
- date_master_criteria_billing_date: all
- master_from_date_billing_date:
- master_to_date_billing_date:
- date_master_criteria_claims_process_time: all
- master_from_date_claims_process_time:
- master_to_date_claims_process_time:
- radio_claims_target: all
- radio_claims_target: standard
- radio_claims_target: hcfa
- text_master_patient_data_fname:
- unnamed field:
- type_code:
- description:
- hidden_type_code:
- text_master_form_encounter_encounter:
- radio_insurance_data_provider: all
- radio_insurance_data_provider: 1
- radio_insurance_data_provider: 0
- radio_billing_id: all
- radio_billing_id: not null
- radio_billing_id: null
- radio_billing_billed: all
- radio_billing_billed: 0
- radio_billing_billed: 1
- radio_billing_billed: 7
- radio_billing_authorized: %
- radio_billing_authorized: 1
- radio_billing_authorized: 0
- radio_form_encounter_last_level_billed: all
- radio_form_encounter_last_level_billed: 0
- radio_form_encounter_last_level_billed: 1
- radio_form_encounter_last_level_billed: 2
- query_drop_down_master_billing_x12_partner_id: all
- unnamed field: undefined
- final_this_page_criteria[]:
- final_this_page_criteria_text[]:
Results:This
field passed 14620 tests. To see all the passed results, go to
Tools->SQL Inject Me->Options and click 'Show passed results in
final report' and rerun this test.
unnamed field
Submitted Form State:- mode: change
- unnamed field: undefined
- choose_this_page_criteria:
- date_master_criteria_form_encounter_date: today
- master_from_date_form_encounter_date: 2013-05-13
- master_to_date_form_encounter_date: 2013-05-13
- date_master_criteria_billing_date: all
- master_from_date_billing_date:
- master_to_date_billing_date:
- date_master_criteria_claims_process_time: all
- master_from_date_claims_process_time:
- master_to_date_claims_process_time:
- radio_claims_target: all
- radio_claims_target: standard
- radio_claims_target: hcfa
- text_master_patient_data_fname:
- text_master_form_encounter_pid:
- type_code:
- description:
- hidden_type_code:
- text_master_form_encounter_encounter:
- radio_insurance_data_provider: all
- radio_insurance_data_provider: 1
- radio_insurance_data_provider: 0
- radio_billing_id: all
- radio_billing_id: not null
- radio_billing_id: null
- radio_billing_billed: all
- radio_billing_billed: 0
- radio_billing_billed: 1
- radio_billing_billed: 7
- radio_billing_authorized: %
- radio_billing_authorized: 1
- radio_billing_authorized: 0
- radio_form_encounter_last_level_billed: all
- radio_form_encounter_last_level_billed: 0
- radio_form_encounter_last_level_billed: 1
- radio_form_encounter_last_level_billed: 2
- query_drop_down_master_billing_x12_partner_id: all
- unnamed field: undefined
- final_this_page_criteria[]:
- final_this_page_criteria_text[]:
Results:This
field passed 14620 tests. To see all the passed results, go to
Tools->SQL Inject Me->Options and click 'Show passed results in
final report' and rerun this test.
type_code
Submitted Form State:- mode: change
- unnamed field: undefined
- choose_this_page_criteria:
- date_master_criteria_form_encounter_date: today
- master_from_date_form_encounter_date: 2013-05-13
- master_to_date_form_encounter_date: 2013-05-13
- date_master_criteria_billing_date: all
- master_from_date_billing_date:
- master_to_date_billing_date:
- date_master_criteria_claims_process_time: all
- master_from_date_claims_process_time:
- master_to_date_claims_process_time:
- radio_claims_target: all
- radio_claims_target: standard
- radio_claims_target: hcfa
- text_master_patient_data_fname:
- text_master_form_encounter_pid:
- unnamed field:
- description:
- hidden_type_code:
- text_master_form_encounter_encounter:
- radio_insurance_data_provider: all
- radio_insurance_data_provider: 1
- radio_insurance_data_provider: 0
- radio_billing_id: all
- radio_billing_id: not null
- radio_billing_id: null
- radio_billing_billed: all
- radio_billing_billed: 0
- radio_billing_billed: 1
- radio_billing_billed: 7
- radio_billing_authorized: %
- radio_billing_authorized: 1
- radio_billing_authorized: 0
- radio_form_encounter_last_level_billed: all
- radio_form_encounter_last_level_billed: 0
- radio_form_encounter_last_level_billed: 1
- radio_form_encounter_last_level_billed: 2
- query_drop_down_master_billing_x12_partner_id: all
- unnamed field: undefined
- final_this_page_criteria[]:
- final_this_page_criteria_text[]:
Results:This
field passed 14620 tests. To see all the passed results, go to
Tools->SQL Inject Me->Options and click 'Show passed results in
final report' and rerun this test.
description
Submitted Form State:- mode: change
- unnamed field: undefined
- choose_this_page_criteria:
- date_master_criteria_form_encounter_date: today
- master_from_date_form_encounter_date: 2013-05-13
- master_to_date_form_encounter_date: 2013-05-13
- date_master_criteria_billing_date: all
- master_from_date_billing_date:
- master_to_date_billing_date:
- date_master_criteria_claims_process_time: all
- master_from_date_claims_process_time:
- master_to_date_claims_process_time:
- radio_claims_target: all
- radio_claims_target: standard
- radio_claims_target: hcfa
- text_master_patient_data_fname:
- text_master_form_encounter_pid:
- unnamed field:
- type_code:
- hidden_type_code:
- text_master_form_encounter_encounter:
- radio_insurance_data_provider: all
- radio_insurance_data_provider: 1
- radio_insurance_data_provider: 0
- radio_billing_id: all
- radio_billing_id: not null
- radio_billing_id: null
- radio_billing_billed: all
- radio_billing_billed: 0
- radio_billing_billed: 1
- radio_billing_billed: 7
- radio_billing_authorized: %
- radio_billing_authorized: 1
- radio_billing_authorized: 0
- radio_form_encounter_last_level_billed: all
- radio_form_encounter_last_level_billed: 0
- radio_form_encounter_last_level_billed: 1
- radio_form_encounter_last_level_billed: 2
- query_drop_down_master_billing_x12_partner_id: all
- unnamed field: undefined
- final_this_page_criteria[]:
- final_this_page_criteria_text[]:
Results:This
field passed 14620 tests. To see all the passed results, go to
Tools->SQL Inject Me->Options and click 'Show passed results in
final report' and rerun this test.
hidden_type_code
Submitted Form State:- mode: change
- unnamed field: undefined
- choose_this_page_criteria:
- date_master_criteria_form_encounter_date: today
- master_from_date_form_encounter_date: 2013-05-13
- master_to_date_form_encounter_date: 2013-05-13
- date_master_criteria_billing_date: all
- master_from_date_billing_date:
- master_to_date_billing_date:
- date_master_criteria_claims_process_time: all
- master_from_date_claims_process_time:
- master_to_date_claims_process_time:
- radio_claims_target: all
- radio_claims_target: standard
- radio_claims_target: hcfa
- text_master_patient_data_fname:
- text_master_form_encounter_pid:
- unnamed field:
- type_code:
- description:
- text_master_form_encounter_encounter:
- radio_insurance_data_provider: all
- radio_insurance_data_provider: 1
- radio_insurance_data_provider: 0
- radio_billing_id: all
- radio_billing_id: not null
- radio_billing_id: null
- radio_billing_billed: all
- radio_billing_billed: 0
- radio_billing_billed: 1
- radio_billing_billed: 7
- radio_billing_authorized: %
- radio_billing_authorized: 1
- radio_billing_authorized: 0
- radio_form_encounter_last_level_billed: all
- radio_form_encounter_last_level_billed: 0
- radio_form_encounter_last_level_billed: 1
- radio_form_encounter_last_level_billed: 2
- query_drop_down_master_billing_x12_partner_id: all
- unnamed field: undefined
- final_this_page_criteria[]:
- final_this_page_criteria_text[]:
Results:This
field passed 14620 tests. To see all the passed results, go to
Tools->SQL Inject Me->Options and click 'Show passed results in
final report' and rerun this test.
text_master_form_encounter_encounter
Submitted Form State:- mode: change
- unnamed field: undefined
- choose_this_page_criteria:
- date_master_criteria_form_encounter_date: today
- master_from_date_form_encounter_date: 2013-05-13
- master_to_date_form_encounter_date: 2013-05-13
- date_master_criteria_billing_date: all
- master_from_date_billing_date:
- master_to_date_billing_date:
- date_master_criteria_claims_process_time: all
- master_from_date_claims_process_time:
- master_to_date_claims_process_time:
- radio_claims_target: all
- radio_claims_target: standard
- radio_claims_target: hcfa
- text_master_patient_data_fname:
- text_master_form_encounter_pid:
- unnamed field:
- type_code:
- description:
- hidden_type_code:
- radio_insurance_data_provider: all
- radio_insurance_data_provider: 1
- radio_insurance_data_provider: 0
- radio_billing_id: all
- radio_billing_id: not null
- radio_billing_id: null
- radio_billing_billed: all
- radio_billing_billed: 0
- radio_billing_billed: 1
- radio_billing_billed: 7
- radio_billing_authorized: %
- radio_billing_authorized: 1
- radio_billing_authorized: 0
- radio_form_encounter_last_level_billed: all
- radio_form_encounter_last_level_billed: 0
- radio_form_encounter_last_level_billed: 1
- radio_form_encounter_last_level_billed: 2
- query_drop_down_master_billing_x12_partner_id: all
- unnamed field: undefined
- final_this_page_criteria[]:
- final_this_page_criteria_text[]:
Results:This
field passed 14620 tests. To see all the passed results, go to
Tools->SQL Inject Me->Options and click 'Show passed results in
final report' and rerun this test.
radio_insurance_data_provider
Submitted Form State:- mode: change
- unnamed field: undefined
- choose_this_page_criteria:
- date_master_criteria_form_encounter_date: today
- master_from_date_form_encounter_date: 2013-05-13
- master_to_date_form_encounter_date: 2013-05-13
- date_master_criteria_billing_date: all
- master_from_date_billing_date:
- master_to_date_billing_date:
- date_master_criteria_claims_process_time: all
- master_from_date_claims_process_time:
- master_to_date_claims_process_time:
- radio_claims_target: all
- radio_claims_target: standard
- radio_claims_target: hcfa
- text_master_patient_data_fname:
- text_master_form_encounter_pid:
- unnamed field:
- type_code:
- description:
- hidden_type_code:
- text_master_form_encounter_encounter:
- radio_insurance_data_provider: all
- radio_insurance_data_provider: 1
- radio_billing_id: all
- radio_billing_id: not null
- radio_billing_id: null
- radio_billing_billed: all
- radio_billing_billed: 0
- radio_billing_billed: 1
- radio_billing_billed: 7
- radio_billing_authorized: %
- radio_billing_authorized: 1
- radio_billing_authorized: 0
- radio_form_encounter_last_level_billed: all
- radio_form_encounter_last_level_billed: 0
- radio_form_encounter_last_level_billed: 1
- radio_form_encounter_last_level_billed: 2
- query_drop_down_master_billing_x12_partner_id: all
- unnamed field: undefined
- final_this_page_criteria[]:
- final_this_page_criteria_text[]:
Results:This
field passed 14620 tests. To see all the passed results, go to
Tools->SQL Inject Me->Options and click 'Show passed results in
final report' and rerun this test.
radio_billing_id
Submitted Form State:- mode: change
- unnamed field: undefined
- choose_this_page_criteria:
- date_master_criteria_form_encounter_date: today
- master_from_date_form_encounter_date: 2013-05-13
- master_to_date_form_encounter_date: 2013-05-13
- date_master_criteria_billing_date: all
- master_from_date_billing_date:
- master_to_date_billing_date:
- date_master_criteria_claims_process_time: all
- master_from_date_claims_process_time:
- master_to_date_claims_process_time:
- radio_claims_target: all
- radio_claims_target: standard
- radio_claims_target: hcfa
- text_master_patient_data_fname:
- text_master_form_encounter_pid:
- unnamed field:
- type_code:
- description:
- hidden_type_code:
- text_master_form_encounter_encounter:
- radio_insurance_data_provider: all
- radio_insurance_data_provider: 1
- radio_insurance_data_provider: 0
- radio_billing_id: all
- radio_billing_id: not null
- radio_billing_billed: all
- radio_billing_billed: 0
- radio_billing_billed: 1
- radio_billing_billed: 7
- radio_billing_authorized: %
- radio_billing_authorized: 1
- radio_billing_authorized: 0
- radio_form_encounter_last_level_billed: all
- radio_form_encounter_last_level_billed: 0
- radio_form_encounter_last_level_billed: 1
- radio_form_encounter_last_level_billed: 2
- query_drop_down_master_billing_x12_partner_id: all
- unnamed field: undefined
- final_this_page_criteria[]:
- final_this_page_criteria_text[]:
Results:This
field passed 14620 tests. To see all the passed results, go to
Tools->SQL Inject Me->Options and click 'Show passed results in
final report' and rerun this test.
radio_billing_billed
Submitted Form State:- mode: change
- unnamed field: undefined
- choose_this_page_criteria:
- date_master_criteria_form_encounter_date: today
- master_from_date_form_encounter_date: 2013-05-13
- master_to_date_form_encounter_date: 2013-05-13
- date_master_criteria_billing_date: all
- master_from_date_billing_date:
- master_to_date_billing_date:
- date_master_criteria_claims_process_time: all
- master_from_date_claims_process_time:
- master_to_date_claims_process_time:
- radio_claims_target: all
- radio_claims_target: standard
- radio_claims_target: hcfa
- text_master_patient_data_fname:
- text_master_form_encounter_pid:
- unnamed field:
- type_code:
- description:
- hidden_type_code:
- text_master_form_encounter_encounter:
- radio_insurance_data_provider: all
- radio_insurance_data_provider: 1
- radio_insurance_data_provider: 0
- radio_billing_id: all
- radio_billing_id: not null
- radio_billing_id: null
- radio_billing_billed: all
- radio_billing_billed: 0
- radio_billing_billed: 1
- radio_billing_authorized: %
- radio_billing_authorized: 1
- radio_billing_authorized: 0
- radio_form_encounter_last_level_billed: all
- radio_form_encounter_last_level_billed: 0
- radio_form_encounter_last_level_billed: 1
- radio_form_encounter_last_level_billed: 2
- query_drop_down_master_billing_x12_partner_id: all
- unnamed field: undefined
- final_this_page_criteria[]:
- final_this_page_criteria_text[]:
Results:This
field passed 14620 tests. To see all the passed results, go to
Tools->SQL Inject Me->Options and click 'Show passed results in
final report' and rerun this test.
radio_billing_authorized
Submitted Form State:- mode: change
- unnamed field: undefined
- choose_this_page_criteria:
- date_master_criteria_form_encounter_date: today
- master_from_date_form_encounter_date: 2013-05-13
- master_to_date_form_encounter_date: 2013-05-13
- date_master_criteria_billing_date: all
- master_from_date_billing_date:
- master_to_date_billing_date:
- date_master_criteria_claims_process_time: all
- master_from_date_claims_process_time:
- master_to_date_claims_process_time:
- radio_claims_target: all
- radio_claims_target: standard
- radio_claims_target: hcfa
- text_master_patient_data_fname:
- text_master_form_encounter_pid:
- unnamed field:
- type_code:
- description:
- hidden_type_code:
- text_master_form_encounter_encounter:
- radio_insurance_data_provider: all
- radio_insurance_data_provider: 1
- radio_insurance_data_provider: 0
- radio_billing_id: all
- radio_billing_id: not null
- radio_billing_id: null
- radio_billing_billed: all
- radio_billing_billed: 0
- radio_billing_billed: 1
- radio_billing_billed: 7
- radio_billing_authorized: %
- radio_billing_authorized: 1
- radio_form_encounter_last_level_billed: all
- radio_form_encounter_last_level_billed: 0
- radio_form_encounter_last_level_billed: 1
- radio_form_encounter_last_level_billed: 2
- query_drop_down_master_billing_x12_partner_id: all
- unnamed field: undefined
- final_this_page_criteria[]:
- final_this_page_criteria_text[]:
Results:This
field passed 14620 tests. To see all the passed results, go to
Tools->SQL Inject Me->Options and click 'Show passed results in
final report' and rerun this test.
radio_form_encounter_last_level_billed
Submitted Form State:- mode: change
- unnamed field: undefined
- choose_this_page_criteria:
- date_master_criteria_form_encounter_date: today
- master_from_date_form_encounter_date: 2013-05-13
- master_to_date_form_encounter_date: 2013-05-13
- date_master_criteria_billing_date: all
- master_from_date_billing_date:
- master_to_date_billing_date:
- date_master_criteria_claims_process_time: all
- master_from_date_claims_process_time:
- master_to_date_claims_process_time:
- radio_claims_target: all
- radio_claims_target: standard
- radio_claims_target: hcfa
- text_master_patient_data_fname:
- text_master_form_encounter_pid:
- unnamed field:
- type_code:
- description:
- hidden_type_code:
- text_master_form_encounter_encounter:
- radio_insurance_data_provider: all
- radio_insurance_data_provider: 1
- radio_insurance_data_provider: 0
- radio_billing_id: all
- radio_billing_id: not null
- radio_billing_id: null
- radio_billing_billed: all
- radio_billing_billed: 0
- radio_billing_billed: 1
- radio_billing_billed: 7
- radio_billing_authorized: %
- radio_billing_authorized: 1
- radio_billing_authorized: 0
- radio_form_encounter_last_level_billed: all
- radio_form_encounter_last_level_billed: 0
- radio_form_encounter_last_level_billed: 1
- query_drop_down_master_billing_x12_partner_id: all
- unnamed field: undefined
- final_this_page_criteria[]:
- final_this_page_criteria_text[]:
Results:This
field passed 14620 tests. To see all the passed results, go to
Tools->SQL Inject Me->Options and click 'Show passed results in
final report' and rerun this test.
query_drop_down_master_billing_x12_partner_id
Submitted Form State:- mode: change
- unnamed field: undefined
- choose_this_page_criteria:
- date_master_criteria_form_encounter_date: today
- master_from_date_form_encounter_date: 2013-05-13
- master_to_date_form_encounter_date: 2013-05-13
- date_master_criteria_billing_date: all
- master_from_date_billing_date:
- master_to_date_billing_date:
- date_master_criteria_claims_process_time: all
- master_from_date_claims_process_time:
- master_to_date_claims_process_time:
- radio_claims_target: all
- radio_claims_target: standard
- radio_claims_target: hcfa
- text_master_patient_data_fname:
- text_master_form_encounter_pid:
- unnamed field:
- type_code:
- description:
- hidden_type_code:
- text_master_form_encounter_encounter:
- radio_insurance_data_provider: all
- radio_insurance_data_provider: 1
- radio_insurance_data_provider: 0
- radio_billing_id: all
- radio_billing_id: not null
- radio_billing_id: null
- radio_billing_billed: all
- radio_billing_billed: 0
- radio_billing_billed: 1
- radio_billing_billed: 7
- radio_billing_authorized: %
- radio_billing_authorized: 1
- radio_billing_authorized: 0
- radio_form_encounter_last_level_billed: all
- radio_form_encounter_last_level_billed: 0
- radio_form_encounter_last_level_billed: 1
- radio_form_encounter_last_level_billed: 2
- unnamed field: undefined
- final_this_page_criteria[]:
- final_this_page_criteria_text[]:
Results:This
field passed 14620 tests. To see all the passed results, go to
Tools->SQL Inject Me->Options and click 'Show passed results in
final report' and rerun this test.
unnamed field
Submitted Form State:- mode: change
- unnamed field: undefined
- choose_this_page_criteria:
- date_master_criteria_form_encounter_date: today
- master_from_date_form_encounter_date: 2013-05-13
- master_to_date_form_encounter_date: 2013-05-13
- date_master_criteria_billing_date: all
- master_from_date_billing_date:
- master_to_date_billing_date:
- date_master_criteria_claims_process_time: all
- master_from_date_claims_process_time:
- master_to_date_claims_process_time:
- radio_claims_target: all
- radio_claims_target: standard
- radio_claims_target: hcfa
- text_master_patient_data_fname:
- text_master_form_encounter_pid:
- unnamed field:
- type_code:
- description:
- hidden_type_code:
- text_master_form_encounter_encounter:
- radio_insurance_data_provider: all
- radio_insurance_data_provider: 1
- radio_insurance_data_provider: 0
- radio_billing_id: all
- radio_billing_id: not null
- radio_billing_id: null
- radio_billing_billed: all
- radio_billing_billed: 0
- radio_billing_billed: 1
- radio_billing_billed: 7
- radio_billing_authorized: %
- radio_billing_authorized: 1
- radio_billing_authorized: 0
- radio_form_encounter_last_level_billed: all
- radio_form_encounter_last_level_billed: 0
- radio_form_encounter_last_level_billed: 1
- radio_form_encounter_last_level_billed: 2
- query_drop_down_master_billing_x12_partner_id: all
- final_this_page_criteria[]:
- final_this_page_criteria_text[]:
Results:This
field passed 14620 tests. To see all the passed results, go to
Tools->SQL Inject Me->Options and click 'Show passed results in
final report' and rerun this test.
final_this_page_criteria[]
Submitted Form State:- mode: change
- unnamed field: undefined
- choose_this_page_criteria:
- date_master_criteria_form_encounter_date: today
- master_from_date_form_encounter_date: 2013-05-13
- master_to_date_form_encounter_date: 2013-05-13
- date_master_criteria_billing_date: all
- master_from_date_billing_date:
- master_to_date_billing_date:
- date_master_criteria_claims_process_time: all
- master_from_date_claims_process_time:
- master_to_date_claims_process_time:
- radio_claims_target: all
- radio_claims_target: standard
- radio_claims_target: hcfa
- text_master_patient_data_fname:
- text_master_form_encounter_pid:
- unnamed field:
- type_code:
- description:
- hidden_type_code:
- text_master_form_encounter_encounter:
- radio_insurance_data_provider: all
- radio_insurance_data_provider: 1
- radio_insurance_data_provider: 0
- radio_billing_id: all
- radio_billing_id: not null
- radio_billing_id: null
- radio_billing_billed: all
- radio_billing_billed: 0
- radio_billing_billed: 1
- radio_billing_billed: 7
- radio_billing_authorized: %
- radio_billing_authorized: 1
- radio_billing_authorized: 0
- radio_form_encounter_last_level_billed: all
- radio_form_encounter_last_level_billed: 0
- radio_form_encounter_last_level_billed: 1
- radio_form_encounter_last_level_billed: 2
- query_drop_down_master_billing_x12_partner_id: all
- unnamed field: undefined
- final_this_page_criteria_text[]:
Results:This
field passed 14620 tests. To see all the passed results, go to
Tools->SQL Inject Me->Options and click 'Show passed results in
final report' and rerun this test.
final_this_page_criteria_text[]
Submitted Form State:- mode: change
- unnamed field: undefined
- choose_this_page_criteria:
- date_master_criteria_form_encounter_date: today
- master_from_date_form_encounter_date: 2013-05-13
- master_to_date_form_encounter_date: 2013-05-13
- date_master_criteria_billing_date: all
- master_from_date_billing_date:
- master_to_date_billing_date:
- date_master_criteria_claims_process_time: all
- master_from_date_claims_process_time:
- master_to_date_claims_process_time:
- radio_claims_target: all
- radio_claims_target: standard
- radio_claims_target: hcfa
- text_master_patient_data_fname:
- text_master_form_encounter_pid:
- unnamed field:
- type_code:
- description:
- hidden_type_code:
- text_master_form_encounter_encounter:
- radio_insurance_data_provider: all
- radio_insurance_data_provider: 1
- radio_insurance_data_provider: 0
- radio_billing_id: all
- radio_billing_id: not null
- radio_billing_id: null
- radio_billing_billed: all
- radio_billing_billed: 0
- radio_billing_billed: 1
- radio_billing_billed: 7
- radio_billing_authorized: %
- radio_billing_authorized: 1
- radio_billing_authorized: 0
- radio_form_encounter_last_level_billed: all
- radio_form_encounter_last_level_billed: 0
- radio_form_encounter_last_level_billed: 1
- radio_form_encounter_last_level_billed: 2
- query_drop_down_master_billing_x12_partner_id: all
- unnamed field: undefined
- final_this_page_criteria[]:
Results:This
field passed 14620 tests. To see all the passed results, go to
Tools->SQL Inject Me->Options and click 'Show passed results in
final report' and rerun this test.
bn_x12
Submitted Form State:- bn_process_hcfa: Generate CMS 1500 PDF
- bn_hcfa_txt_file: Generate CMS 1500 TEXT
- bn_mark: Mark as Cleared
- bn_reopen: Re-Open
- left_margin: 24
- top_margin: 20
- HiddenMarkAsCleared:
- mode: bill
- authorized:
- unbilled: on
- code_type: %
- to_date:
- from_date: 2013-05-13
- bill_list: ()
Results:This
field passed 14620 tests. To see all the passed results, go to
Tools->SQL Inject Me->Options and click 'Show passed results in
final report' and rerun this test.
bn_process_hcfa
Submitted Form State:- bn_x12: Generate X12
- bn_hcfa_txt_file: Generate CMS 1500 TEXT
- bn_mark: Mark as Cleared
- bn_reopen: Re-Open
- left_margin: 24
- top_margin: 20
- HiddenMarkAsCleared:
- mode: bill
- authorized:
- unbilled: on
- code_type: %
- to_date:
- from_date: 2013-05-13
- bill_list: ()
Results:This
field passed 14620 tests. To see all the passed results, go to
Tools->SQL Inject Me->Options and click 'Show passed results in
final report' and rerun this test.
bn_hcfa_txt_file
Submitted Form State:- bn_x12: Generate X12
- bn_process_hcfa: Generate CMS 1500 PDF
- bn_mark: Mark as Cleared
- bn_reopen: Re-Open
- left_margin: 24
- top_margin: 20
- HiddenMarkAsCleared:
- mode: bill
- authorized:
- unbilled: on
- code_type: %
- to_date:
- from_date: 2013-05-13
- bill_list: ()
Results:This
field passed 14620 tests. To see all the passed results, go to
Tools->SQL Inject Me->Options and click 'Show passed results in
final report' and rerun this test.
bn_mark
Submitted Form State:- bn_x12: Generate X12
- bn_process_hcfa: Generate CMS 1500 PDF
- bn_hcfa_txt_file: Generate CMS 1500 TEXT
- bn_reopen: Re-Open
- left_margin: 24
- top_margin: 20
- HiddenMarkAsCleared:
- mode: bill
- authorized:
- unbilled: on
- code_type: %
- to_date:
- from_date: 2013-05-13
- bill_list: ()
Results:This
field passed 14620 tests. To see all the passed results, go to
Tools->SQL Inject Me->Options and click 'Show passed results in
final report' and rerun this test.
bn_reopen
Submitted Form State:- bn_x12: Generate X12
- bn_process_hcfa: Generate CMS 1500 PDF
- bn_hcfa_txt_file: Generate CMS 1500 TEXT
- bn_mark: Mark as Cleared
- left_margin: 24
- top_margin: 20
- HiddenMarkAsCleared:
- mode: bill
- authorized:
- unbilled: on
- code_type: %
- to_date:
- from_date: 2013-05-13
- bill_list: ()
Results:This
field passed 14620 tests. To see all the passed results, go to
Tools->SQL Inject Me->Options and click 'Show passed results in
final report' and rerun this test.
left_margin
Submitted Form State:- bn_x12: Generate X12
- bn_process_hcfa: Generate CMS 1500 PDF
- bn_hcfa_txt_file: Generate CMS 1500 TEXT
- bn_mark: Mark as Cleared
- bn_reopen: Re-Open
- top_margin: 20
- HiddenMarkAsCleared:
- mode: bill
- authorized:
- unbilled: on
- code_type: %
- to_date:
- from_date: 2013-05-13
- bill_list: ()
Results:This
field passed 14620 tests. To see all the passed results, go to
Tools->SQL Inject Me->Options and click 'Show passed results in
final report' and rerun this test.
top_margin
Submitted Form State:- bn_x12: Generate X12
- bn_process_hcfa: Generate CMS 1500 PDF
- bn_hcfa_txt_file: Generate CMS 1500 TEXT
- bn_mark: Mark as Cleared
- bn_reopen: Re-Open
- left_margin: 24
- HiddenMarkAsCleared:
- mode: bill
- authorized:
- unbilled: on
- code_type: %
- to_date:
- from_date: 2013-05-13
- bill_list: ()
Results:This
field passed 14620 tests. To see all the passed results, go to
Tools->SQL Inject Me->Options and click 'Show passed results in
final report' and rerun this test.
HiddenMarkAsCleared
Submitted Form State:- bn_x12: Generate X12
- bn_process_hcfa: Generate CMS 1500 PDF
- bn_hcfa_txt_file: Generate CMS 1500 TEXT
- bn_mark: Mark as Cleared
- bn_reopen: Re-Open
- left_margin: 24
- top_margin: 20
- mode: bill
- authorized:
- unbilled: on
- code_type: %
- to_date:
- from_date: 2013-05-13
- bill_list: ()
Results:This
field passed 14620 tests. To see all the passed results, go to
Tools->SQL Inject Me->Options and click 'Show passed results in
final report' and rerun this test.
mode
Submitted Form State:- bn_x12: Generate X12
- bn_process_hcfa: Generate CMS 1500 PDF
- bn_hcfa_txt_file: Generate CMS 1500 TEXT
- bn_mark: Mark as Cleared
- bn_reopen: Re-Open
- left_margin: 24
- top_margin: 20
- HiddenMarkAsCleared:
- authorized:
- unbilled: on
- code_type: %
- to_date:
- from_date: 2013-05-13
- bill_list: ()
Results:This
field passed 14620 tests. To see all the passed results, go to
Tools->SQL Inject Me->Options and click 'Show passed results in
final report' and rerun this test.
authorized
Submitted Form State:- bn_x12: Generate X12
- bn_process_hcfa: Generate CMS 1500 PDF
- bn_hcfa_txt_file: Generate CMS 1500 TEXT
- bn_mark: Mark as Cleared
- bn_reopen: Re-Open
- left_margin: 24
- top_margin: 20
- HiddenMarkAsCleared:
- mode: bill
- unbilled: on
- code_type: %
- to_date:
- from_date: 2013-05-13
- bill_list: ()
Results:This
field passed 14620 tests. To see all the passed results, go to
Tools->SQL Inject Me->Options and click 'Show passed results in
final report' and rerun this test.
unbilled
Submitted Form State:- bn_x12: Generate X12
- bn_process_hcfa: Generate CMS 1500 PDF
- bn_hcfa_txt_file: Generate CMS 1500 TEXT
- bn_mark: Mark as Cleared
- bn_reopen: Re-Open
- left_margin: 24
- top_margin: 20
- HiddenMarkAsCleared:
- mode: bill
- authorized:
- code_type: %
- to_date:
- from_date: 2013-05-13
- bill_list: ()
Results:This
field passed 14620 tests. To see all the passed results, go to
Tools->SQL Inject Me->Options and click 'Show passed results in
final report' and rerun this test.
code_type
Submitted Form State:- bn_x12: Generate X12
- bn_process_hcfa: Generate CMS 1500 PDF
- bn_hcfa_txt_file: Generate CMS 1500 TEXT
- bn_mark: Mark as Cleared
- bn_reopen: Re-Open
- left_margin: 24
- top_margin: 20
- HiddenMarkAsCleared:
- mode: bill
- authorized:
- unbilled: on
- to_date:
- from_date: 2013-05-13
- bill_list: ()
Results:This
field passed 14620 tests. To see all the passed results, go to
Tools->SQL Inject Me->Options and click 'Show passed results in
final report' and rerun this test.
to_date
Submitted Form State:- bn_x12: Generate X12
- bn_process_hcfa: Generate CMS 1500 PDF
- bn_hcfa_txt_file: Generate CMS 1500 TEXT
- bn_mark: Mark as Cleared
- bn_reopen: Re-Open
- left_margin: 24
- top_margin: 20
- HiddenMarkAsCleared:
- mode: bill
- authorized:
- unbilled: on
- code_type: %
- from_date: 2013-05-13
- bill_list: ()
Results:This
field passed 14620 tests. To see all the passed results, go to
Tools->SQL Inject Me->Options and click 'Show passed results in
final report' and rerun this test.
from_date
Submitted Form State:- bn_x12: Generate X12
- bn_process_hcfa: Generate CMS 1500 PDF
- bn_hcfa_txt_file: Generate CMS 1500 TEXT
- bn_mark: Mark as Cleared
- bn_reopen: Re-Open
- left_margin: 24
- top_margin: 20
- HiddenMarkAsCleared:
- mode: bill
- authorized:
- unbilled: on
- code_type: %
- to_date:
- bill_list: ()
Results:This
field passed 14620 tests. To see all the passed results, go to
Tools->SQL Inject Me->Options and click 'Show passed results in
final report' and rerun this test.
bill_list
Submitted Form State:- bn_x12: Generate X12
- bn_process_hcfa: Generate CMS 1500 PDF
- bn_hcfa_txt_file: Generate CMS 1500 TEXT
- bn_mark: Mark as Cleared
- bn_reopen: Re-Open
- left_margin: 24
- top_margin: 20
- HiddenMarkAsCleared:
- mode: bill
- authorized:
- unbilled: on
- code_type: %
- to_date:
- from_date: 2013-05-13
Results:This
field passed 14620 tests. To see all the passed results, go to
Tools->SQL Inject Me->Options and click 'Show passed results in
final report' and rerun this test.