Contact Us
|
Login
Logout Confirmation
Are you sure you want to logout?
Logout Confirmation
If you navigate away from this page, you will lose unsaved data. Are you sure you want to logout?
Home
Home
>
Provider Enrollment
>
Enrollment Status
Monday 02/10/2025 12:37 AM CST
Provider Enrollment - Status
Back to Home
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
*
Tax ID (Employee Identification Number or Social Security Number)
Privacy Notice