2023 wellcare act stuvia - Study guides, Class notes & Summaries

You can help prevent grievances by: (Select all that apply.) - ANSWERSa. 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. c. Always confirming a beneficiary's intent to enroll before accepting their enrollment application. (All of the above) Which of the follow...

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. ...

By selecting the correct provider during the enrollment process, you can: - ANSWER-All of the above. Member PHI can be stored on a hard drive or a cloud storage service like Google Drive or Apple Cloud. - ANSWER-False You must state the correct enrollment period on the application to avoid delayed enrollment. - ANSWER-True Failure to inform a beneficiary that a trusted provider is out-of-market or is not available in the newly selected play can cause a sales allegation. - ANSWER-True ...