Centene medicare - Study guides, Class notes & Summaries

Centene requires all contracted brokers/agents to read, understand, and agree to Centene's Business Ethics and Code of Conduct Policy. True False True The TPMO disclaimer must be used by any TPMO that sells plans on behalf of more than one MA plan provider. The disclaimer must be: (Select all that apply.) a. Included in any marketing materials, including print materials and television advertisements developed, used, or distributed by the TPMO. b. Verbally conveyed within the fir...

Centene ACT Mastery Exam 2023-2024 Questions and Answers 100% Correct Centene ACT Mastery Exam 2023-2024 Questions and Answers 100% Correct Centene ACT Mastery Exam 2023-2024 Questions and Answers 100% Correct In 2021, Centene is offering which of the the following types of Medicare Advantage Prescription Drug (MAPD) products? A. HMO and HMO/POS B. DSNP and CSNP C. PPO D. PFFS - ANSWER-E. All of the above Beneficiaries who are first eligible for Medicare have a seven-month Initial ...

Centene- Medicare--Final Review Questions With Correct Answers Already Passed!! All calls that are from providers are immediately transferred to Provider Service after Properly documenting in Omni a)True b)False True What is the correct intent for scheduling transportation? a) Log View Statue b) Accumulator inquiry c) Issues d) Billing a) Log View Statue Opioid Treatment Program Services is part of Medicare Part C a)True b)False b)False You should offer cover determination - Tie...

By selecting the correct provider during the enrollment process, you can: -  ANSWER All of the above A grievance request, or any evidence concerning a grievance, must be fi led 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 The Single Sign-On Portal provides access to several applications, including Centene Workbench. –  ANSWER True Failure to inform a beneficiary that a t...

What must brokers/agents complete every year? - Wellcare Contract Recertification case in Centene Workbench (CWB) True or False: Enrollments through Ascend offer unique benefits. - True What are the unique benefits of enrollments through Ascend? - Validation of important data and digital capture of electronic signatures True or False: When completing an enrollment, you should use the correct enrollment application for the desired plan year. - True True or False: The Single Sign-On Portal ...

____ PDPs will be offered across all 50 U.S. states and Washington, D.C. - Three Agents may be investigated after being suspected of noncompliant activity reported through a: (Select all that apply.) - Complaint Tracking Module (CTM),Grievance, and Secret Shop Finding Agents must meet all required contracting, training, and certification requirements to be eligible to sell Wellcare's Medicare products. - True All PDPs will continue to offer $0 tier 1 preferred cost-sharing through CVS Medi...

Centene requires all contracted brokers/agents to read, understand, and agree to Centene's Business Ethics and Code of Conduct Policy. True False True The TPMO disclaimer must be used by any TPMO that sells plans on behalf of more than one MA plan provider. The disclaimer must be: (Select all that apply.) a. Included in any marketing materials, including print materials and television advertisements developed, used, or distributed by the TPMO. b. Verbally conveyed within the first ...

Centene Midterm 50 questions with complete solutions already passed!! How long can member be out of their area without being disenrolled? Over 6 months 1 year Less than 6 months 8 months Less than 6 months Who is the Medicare Part B monthly premium paid to? CMS The member Private insurance company CMS How does a member request to sign up for an Optional Supplemental Benefits package? Call and speak with the Sales Department Online through the Member Service Portal Request to mee...

All calls that are from providers are immediately transferred to Provider Service after Properly documenting in Omni a)True b)False True What is the correct intent for scheduling transportation? a) Log View Statue b) Accumulator inquiry c) Issues d) Billing a) Log View Statue Opioid Treatment Program Services is part of Medicare Part C a)True b)False b)False You should offer cover determination - Tier Exception for the following Scenario: ...

Centene- Medicare--Final Review Questions With Correct Answers Already Passed!! All calls that are from providers are immediately transferred to Provider Service after Properly documenting in Omni a)True b)False True What is the correct intent for scheduling transportation? a) Log View Statue b) Accumulator inquiry c) Issues d) Billing a) Log View Statue Opioid Treatment Program Services is part of Medicare Part C a)True b)False b)False You should offer cover determination - Tie...