Wellcare ACT Mastery Exam Bundle 2023

A grievance request, or any evidence concerning a grievance, must be filed orally or in writing no later than _____ calendar days from the date of the event or the date the member is made aware of the issue. - ANSWERS60 When completing an application, you should ensure that you enter the provider...

Once the enrollment is completed, you can save a copy of the application for your reference. - ANSWERSFalse Which elements are available as part of Wellcare's sales support model? - ANSWERSAll of the above. Centene requires all contracted brokers/agents to read, understand, and agree to Cente...

During an appointment, you may not discuss any products not agreed to in advance by the beneficiary. a. True b. False - ANSWERSTrue When a paper SOA form is used, it must be completed __________ hosting the sales presentation. a. Prior to b. During c. After - ANSWERSA. Prior to Brokers/Ag...

You can help prevent grievances by: (Select all that apply.) - ANSWERSa. Always confirming availability of the beneficiary's primary and specialist providers by using the provider search tool available on the plan's website. b. Always using plan materials to clearly explain plan benefits and cost...

deductible - ANSWERSAmount you must pay before you begin receiving any benefits from your insurance company Medicare - ANSWERSA national health insurance program in the United States, begun in 1965 under the Social Security Administration and now administered by the Centers for Medicare and Medic...

When completing an application, you should ensure that you enter the provider ID of a specialist and not a Primary Care Physician (PCP). - ANSWERSFalse Noting the correct enrollment period on enrollment applications helps in preventing delayed enrollment processing. - ANSWERSTrue Wellcare has ...

False - ANSWERSAgents who have never had any verbal warnings cannot be issued a corrective action plan 60 - ANSWERSA grievance request, or any evidence concerning a grievance, must be filed orally or in writing no later than 60 calendar days from the date of the event of the date the member is ma...

Noting the correct enrollment period on enrollment applications helps in preventing delayed enrollment processing. Select one: True False - ANSWERSTrue Which of the following actions are you required to do when contacted regarding an allegation of noncompliant activity? a. Speak with the ...

Brokers/Agents may be investigated after being suspected of noncompliant activity reported through a: - ANSWERSComplaint Tracking Module (CTM) Grievance Secret Shop Finding Enrollments through Ascend offer the following unique benefits: - ANSWERSValidation of important data to help prevent inco...

In 2021, Centene is offering which of the the following types of Medicare Advantage Prescription Drug (MAPD) products? A. HMO and HMO/POS B. DSNP and CSNP C. PPO D. PFFS - ANSWERSE. All of the above Beneficiaries who are first eligible for Medicare have a seven-month Initial Enrollment Period...

Agents may be investigated after being suspected of noncompliant activity reported through a Complaint Tracking Module (CTM), grievance, secret shop finding, internal audit or reporting. - ANSWERSTrue Which of the following health plans are now available through Centene Corporation? Select the b...