60 a grievance request - Study guides, Class notes & Summaries

How often is the Administrator responsible for reviewing the Resident care Policy and procedures -ANSWER Annually Occurrence reporting needs to be done in what time frame -ANSWER 24 hours How many days is the facility required to provide job specific orientation to new employees -ANSWER Within 90 days of hire How often is the facility required to access ambulation -ANSWER monthly How often is the facility required to evaluate the appropriateness of indwelling catheter care? -ANSWER m...

Missouri Life and Health Exam Questions and Answers 100% Pass In a Life insurance contract, an insurance company's promise to pay stated benefits is called the: a) insuring clause b) consideration clause c) entire contract d) owner's rights insuring clause under which circumstance MUST a health insurer have an expedited grievance review procedure? when the enrollee's life or health is jeapordized The Consideration clause in a life insurance contract contains what pertinent information? ...

Brokers/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 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 d.All of These Marketing benefits in a service area where those benefits are not available is prohibited an...

WELLCARE EXAM 2024 WITH 100% CORRECT ANSWERS A request to the plan to the plan from a member or provider for a formal review of an Action (Denial) or Adverse Plan Determination (medicare) is a/an: - correct answer a.APPEAL 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. - correct answer 60 An LEP is assessed by CMS when a member...

Michigan Builders Exam (Answered 100% Correctly) Latest 5 days Time allotted for a residential builder to return sales person's license and for sales person to return I.D. card by certified mail 10 days The department, after investigation, may request a licensee to appear at such investigative conference. Notice of a request for a conference shall be in writing and mailed to the address appearing on the license not less than ----- before the conference and shall set the time and pl...

Brokers/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 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 d.All of These Marketing benefits in a service area where those benefits are not available is prohibite...

5 days Time allotted for a residential builder to return sales person's license and for sales person to return I.D. card by certified mail 10 days The department, after investigation, may request a licensee to appear at such investigative conference. Notice of a request for a conference shall be in writing and mailed to the address appearing on the license not less than ----- before the conference and shall set the time and place of the conference. The notice shall be recorded in the file ...

A request to the plan from a member or provider for a formal review of an Action (Denial) or Adverse Plan Determination (Medicare) is a/an: Appeal Grievance procedures are separate and distinct from initial determination and appeal procedures. TRUE 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. 60

During an appointment, you may not discuss any products not agreed to in advance by the beneficiary. a. True b. False - True When a paper SOA form is used, it must be completed __________ hosting the sales presentation. a. Prior to b. During c. After - A. Prior to Brokers/Agents can submit a support ticket online through their Centene Workbench portal. Select one: True False - True Wellcare does not need to be informed of all marketing/sales events at which plans or materials wi...

Michigan Builders Exam Questions with Verified Answers 5 days - CORRECT ANSWER-Time allotted for a residential builder to return sales person's license and for sales person to return I.D. card by certified mail 10 days - CORRECT ANSWER-The department, after investigation, may request a licensee to appear at such investigative conference. Notice of a request for a conference shall be in writing and mailed to the address appearing on the license not less than ----- before the conferen...