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2024 Wellcare Mastery Exam WITH VERIFIED ANSWERS
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  • WELLCARE MASTERY

2024 Wellcare Mastery Exam WITH VERIFIED ANSWERS2024 Wellcare Mastery Exam WITH VERIFIED ANSWERS2024 Wellcare Mastery Exam WITH VERIFIED ANSWERS2024 Wellcare Mastery Exam WITH VERIFIED ANSWERS2024 Wellcare Mastery Exam WITH VERIFIED ANSWERS2024 Wellcare Mastery Exam WITH VERIFIED ANSWERS2024 Wellca...

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  • September 6, 2024
  • 16
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

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  • 2024 wellcare mastery exam with verified answers

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  • WELLCARE MASTERY
  • WELLCARE MASTERY

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2024 Wellcare Mastery Exam WITH
VERIFIED ANSWERS




Brokers/Agents ican iaccess ithe ifollowing iresources iunder ithe iShared iResources isection iin iCentene
iWorkbench.


a.Training iResources

b.Commission iResources

c.Marketing iResources

d.All iof ithese i- icorrect iAnswers i✔✔ i-d.All iof iThese

Although ioptions ifor icapturing iand isubmitting iSOAs ivary iby ihealth iplan, iWellcare iaccepts iSOAs iin
iwhich iof ithe ifollowing imethods?


a.Ascend

b.Telephonic

c.Paper

d.All iof ithese i- icorrect iAnswers i✔✔ i-d.All iof iThese

Marketing ibenefits iin ia iservice iarea iwhere ithose ibenefits iare inot iavailable iis iprohibited iand
iconsidered imisleading iunless ithat iis iunavoidable ibecause iof ilocal/regional ior imedia iuse.


True

False i- icorrect iAnswers i✔✔ i-True

Which ielements iare iavailable ias ipart iof iWellcare's iSales iSupport imodel?

a.Online

,b.Local

c.Corporate

d.All iof ithese i- icorrect iAnswers i✔✔ i-d. iAll iof ithese

A igrievance irequest, ior iany ievidence iconcerning ia igrievance, imust ibe ifiled iorally ior iin iwriting ino
ilater ithan i_____ icalendar idays ifrom ithe idate iof ithe ievent ior ithe idate ithe imember iis imade iaware
iof ithe iissue.


a.30

b.45

c.60

d.90 i- icorrect iAnswers i✔✔ i-c. i60

Brokers/Agents imay ibe iinvestigated iafter ibeing isuspected iof inoncompliant iactivity ireported ithrough
ia:


(Select iall ithat iapply.)

a.Complaint iTracking iModule i(CTM)

b.Yelp iReview

c.Grievance

d.Secret iShop iFinding i- icorrect iAnswers i✔✔ i-a.Complaint iTracking iModule i(CTM)

c.Grievance

d.Secret iShop iFinding

Brokers/Agents ican isubmit ia isupport iticket ionline ithrough itheir iCentene iWorkbench iportal.

True

False i- icorrect iAnswers i✔✔ i-True

When ian ienrollment iapplication iis icompleted iin iAscend, ibrokers/agents ican icomplete ia iHealth iRisk
iAssessment i(HRA) idirectly iin iAscend iafter ithe ienrollment iapplication, ithrough ithe iValue-Based
iEnrollment i(VBE) iportal.


True

False i- icorrect iAnswers i✔✔ i-True

, Which iof ithe ifollowing iis inot ian iexample iof iProtected iHealth iInformation i(PHI)?

a.Medical irecords

b.Payment ihistory

c.Library icard i- icorrect iAnswers i✔✔ i-c. iLibrary icard

A iHealth iRisk iAssessment i(HRA):

a.Provides iphysicians iwith ian ioverview iof ia imember's ihealth istatus.

b.Helps ius iunderstand ithe iunique ihealth isituation iof ieach iof iour imembers iand iallows ius ito imake
isure ithey ireceive ithe iservices ithat imeet itheir ineeds.


c.Is ian iimportant ipart iof iour iquality iinitiative, idirectly iimpacting iour iStar iRatings.

d.All iof ithese i- icorrect iAnswers i✔✔ i-d. iAll iof ithese

The ionline iCentene iWorkbench iself-service iportal ienables iyou ito:

a.Upload iapplications

b.Use ithe iself-service iworkflows iand iticketing isystem

c.Locate ivaluable idocuments iand iresources

d.All iof ithese i- icorrect iAnswers i✔✔ i-d. iAll iof ithese

Communication iof iPHI ican ibe:

(Select iall ithat iapply.)

a.Written

b.Electronic

c.Verbal i- icorrect iAnswers i✔✔ i-a.Written

b.Electronic

c.Verbal

You ican ihelp iprevent igrievances iby:

(Select iall ithat iapply.)

a.Always iconfirming iavailability iof ithe ibeneficiary's iprimary iand ispecialist iproviders iby iusing ithe
iprovider isearch itool iavailable ion ithe iplan's iwebsite.

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