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2024 Wellcare Mastery Exam questions with answers
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2024 Wellcare Mastery Exam questions with answers
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2024 Wellcare Mastery ExamBrokers/Agents can access the following resources under the Shared Resources section in Centene
Workbench.
a.Training Resources
b.Commission Resources
c.Marketing Resources
d.All of these - correct answer ✔✔d.All of These
Although options for capturing and submitting SOAs vary by health plan, Wellcare accepts SOAs in which
of the following methods?
a.Ascend
b.Telephonic
c.Paper
d.All of these - correct answer ✔✔d.All of These
Marketing benefits in a service area where those benefits are not available is prohibited and considered
misleading unless that is unavoidable because of local/regional or media use.
True
False - correct answer ✔✔True
Which elements are available as part of Wellcare's Sales Support model?
a.Online
b.Local
c.Corporate
d.All of these - correct answer ✔✔d. All of these
,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.
a.30
b.45
c.60
d.90 - correct answer ✔✔c. 60
Brokers/Agents may be investigated after being suspected of noncompliant activity reported through a:
(Select all that apply.)
a.Complaint Tracking Module (CTM)
b.Yelp Review
c.Grievance
d.Secret Shop Finding - correct answer ✔✔a.Complaint Tracking Module (CTM)
c.Grievance
d.Secret Shop Finding
Brokers/Agents can submit a support ticket online through their Centene Workbench portal.
True
False - correct answer ✔✔True
When an enrollment application is completed in Ascend, brokers/agents can complete a Health Risk
Assessment (HRA) directly in Ascend after the enrollment application, through the Value-Based
Enrollment (VBE) portal.
True
False - correct answer ✔✔True
Which of the following is not an example of Protected Health Information (PHI)?
a.Medical records
b.Payment history
, c.Library card - correct answer ✔✔c. Library card
A Health Risk Assessment (HRA):
a.Provides physicians with an overview of a member's health status.
b.Helps us understand the unique health situation of each of our members and allows us to make sure
they receive the services that meet their needs.
c.Is an important part of our quality initiative, directly impacting our Star Ratings.
d.All of these - correct answer ✔✔d. All of these
The online Centene Workbench self-service portal enables you to:
a.Upload applications
b.Use the self-service workflows and ticketing system
c.Locate valuable documents and resources
d.All of these - correct answer ✔✔d. All of these
Communication of PHI can be:
(Select all that apply.)
a.Written
b.Electronic
c.Verbal - correct answer ✔✔a.Written
b.Electronic
c.Verbal
You can help prevent grievances by:
(Select all that apply.)
a.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 (including medications) and check
for understanding.
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