Beneficiary Eligibility Lookup - Arkansas

BENEFICIARY ELIGIBILITY LOOKUP * All fields are mandatory

Name

Gender

Date of Birth

Beneficiary ID Number

Status

Service Date

Effective Date	Termination Date

Two or more active eligibility dates represents beneficiary's eligibility across different categories

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Service Date ↓ ↑	Rx Number ↓ ↑	Drug Name ↓ ↑	Prescriber Name ↓ ↑	Pharmacy ↓ ↑	Amount Paid ↓ ↑	Claim Status ↓ ↑	Action