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Enrollment Status
Saturday 11/23/2024 03:30 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.
The
*
(in red) indicates required fields. (Note: When the Add/Save button is present, all fields with
*
are only required when selecting Add/Save for that section.)
*
Tracking Number
Tracking Number is a required field.
Tracking Number is not valid or in the correct format. Enter a valid value in the format '999999999'.
*
Tax ID (Employee Identification Number or Social Security Number)
Tax ID (Employee Identification Number or Social Security Number) is a required field.
Tax ID (Employee Identification Number or Social Security Number) is not valid or in the correct format. Enter a valid value in the format '999999999'.
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