Wellcare 2022 - Study guides, Class notes & Summaries

TERM Selection and Enrollment DEFINITION Members use ratings systems to help them choose a plan or decide whether to stay with our plans. LOCATION Image: Selection and Enrollment TERM Reputation DEFINITION Wellcare strives to be an industry-leading organization that is attractive & valuable to our members and to our providers & government partners. LOCATION Image: Reputation TERM Member Service DEFINITION Our first priority is to provide our members with excellent care and...

WellCare ACT Mastery Exam (Latest 2023/ 2024 Update) Version 4 | Questions and Verified Answers| Grade A| 100% Correct Q: Any request or distribution of PHI should contain only the minimum amount of PHI required to complete the intended task. Answer: True Q: Failure to inform a beneficiary that a trusted provider is out-of-network or is not available in the newly selected plan can cause a sales allegation. Answer: True Q: Agents may be investigated after being suspec...

Wellcare 2022 Questions and Answers Already Passed. Rated A Document Content and Description Below Wellcare 2022 Questions and Answers Already Passed False Agents who have never had any verbal warnings cannot be issued a corrective action plan 60 A 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 made aware of the issue. all of the above Steps to take when safeguardi...

Which of the following is not an example of Protected Health Information (PHI)? - Library card Enrollment applications must be received by Wellcare no later than ___ calendar day(s) following receipt from the beneficiary. - 1 Wellcare must receive notice of an event change or cancellation as soon as possible, but no later than 30 mins after the event start time. - FALSE Ascend is a fast, easy, and compliant way for agents to submit agent-assisted electronic enrollments. - TRUE Wellcare ha...

Wellcare ACT 2022 (Centene) Questions and answers latest update

The information contained within ACT will equip agents to certify, market, and sell which health plans? a. Ascension Complete b. Wellcare c. All of the above - c Agents are to put into practice all guidelines set forth in: a. Medicare Advantage policies and procedures that apply to marketing and selling Wellcare and Ascension Complete plans. b. Centene's Code of Conduct and Business Ethics c. AHIP d. All of the above - d Agents may be investigated after being suspected of noncompliant...

2022 Wellcare ACT Mastery Exam-Teleagent Test With Complete Solution

Wellcare ACT 2022 (Centene) Exam Questions and Answers 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. -Answer-60 When completing an application, you should ensure that you enter the provider ID of a specialist and not a Primary Care Physician (PCP). -Answer-False Which of the following statements about completing telephonic enroll...

Communication of PHI can be: Select all that apply. - all of it All standalone PDP formularies have a ___-tier structure for 2022. - five All Wellcare standalone PDP plans will have a $0 Tier 1 preferred retail and mail benefit. - True An agent may be terminated for cause if they fail to comply with a compliance investigation, encourage others to avoid the compliance interview process, or fail to provide truthful or complete information. - True Ascend is a fast, easy, and compliant way for...