Wellcare exam stuvia - Study guides, Class notes & Summaries

WELLCARE CENTENE EXAM QUESTIONS & ANSWERS 100% ACCURATEWELLCARE CENTENE EXAM QUESTIONS & ANSWERS 100% ACCURATEWELLCARE CENTENE EXAM QUESTIONS & ANSWERS 100% ACCURATEWhich of the following is not an example of Protected Health Information (PHI)? - ANSWER-Library card Enrollment applications must be received by Wellcare no later than ___ calendar day(s) following receipt from the beneficiary. - ANSWER-1

True - ANSWERSCentene requires all contracted brokers/agents to read, understand, and agree to Centene's Business Ethics and Code of Conduct Policy. True False d. All of the above - ANSWERSWhich of the following actions are you required to do when contacted regarding an allegation of noncompliant activity? a. Speak with the investigator as quickly as possible. b. Answer all questions honestly and completely. c. Offer information and documents important to the investigation. d. ...

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 Noting the correct enrollment period on enrollment applications helps in preventing delayed enrollment processing. - ANSWER-True Wellcare has streamlined standalone PDP offerings from six plans to a. two plans b. one plan c. three plans d. four plans in all 34 regions across all 50 states and D.C. - ANSWER-c All Wellcare standa...

Which of the following is not an example of Protected Health Information (PHI)? - ANSWER-Library card Enrollment applications must be received by Wellcare no later than ___ calendar day(s) following receipt from the beneficiary. - ANSWER-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. - ANSWER-FALSE Ascend is a fast, easy, and compliant way for agents to submit agent-assisted electronic enrollme...

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 made aware of the issue. all of the above - ANSWERSSteps to take when safeguarding and securing PHI and PII include: 327 - ANSWERSWellcare has added ____ new counties to our footprint in 2022 L...

Enrollment applications must be received by Wellcare no later than ___ calendar day(s) following receipt from the beneficiary. - ANSWER 1 Which elements are available as part of Wellcare's Sales Support model? - ANSWER All of these Low-Income Subsidy (LIS), which is often referred to as Extra Help, reduces all Part D plan premiums - ANSWER False Prior to completing the enrollment form, broker/agents should always confirm the beneficiary's primary care provider (PCP) and/or speciali...

True - ANSWERSCentene requires all contracted brokers/agents to read, understand, and agree to Centene's Business Ethics and Code of Conduct Policy. True False d. All of the above - ANSWERSWhich of the following actions are you required to do when contacted regarding an allegation of noncompliant activity? a. Speak with the investigator as quickly as possible. b. Answer all questions honestly and completely. c. Offer information and documents important to the investigation. d. ...

With the Pharmacy Benefit Manager (PBM) migration to Express Scripts effective 1/1/2024, existing members can continue to use their current ID card 1/1/2024 and beyond. - ANSWER False - With the PBM migration to Express Scripts effective 1/1/2024, all existing members will receive a new ID card containing new pharmacy processing information and must use their new ID card starting 1/1/2024. Wellcare's _____ plan is designed for Low-Income Subsidy members. Question 29Select one:a. Classic ...

Once the enrollment is completed, you can save a copy of the application for your reference. - ANSWER False 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. - ANSWER True Which of the following statements about Scope of Appointment (SOA) is FALSE? - ANSWER c. An electronic SOA submitted in Ascend must be in a Pending status ...

Which is an example of a top beneficiary complaint that affects Star Ratings? - ANSWER The beneficiary did not understand that enrolling in a Wellcare plan would change their current Medicare Advantage plan An SEP is a period outside of the ICEP, AEP, or MA OEP when beneficiaries can enroll based solely on life events that qualify for an SEP period. - ANSWER True Prior to the beginning of the enrollment process, a broker/agent is required to cover certain beneficiary specific information, ...