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Friday 10/07/2022 12:39 AM CST
Provider Enrollment - Status
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Enter your assigned tracking number and Tax ID (Employee Identification Number or Social Security Number) to verify the current status of your enrollment application. For any further queries, please contact Provider enrollment at (501) 376-2211 or (800) 457-4454 option 0 then 3.
(in red) indicates required fields when the ADD button is selected.
Tax ID (Employee Identification Number or Social Security Number)