Pdps - Study guides, Class notes & Summaries

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...

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...

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...

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

Wellcare 2023 Questions and Answers with Certified Solutions Noting the correct enrollment period on enrollment applications helps in preventing delayed enrollment processing. Select one: True False True Which 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....

____ 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...

Wellcare 2023 Mastery Test Questions and Answers Already Graded A Once the enrollment is completed, you can save a copy of the application for your reference. False Which elements are available as part of Wellcare's sales support model? All of the above. Centene requires all contracted brokers/agents to read, understand, and agree to Centene's Business Ethics and Code of Conduct Policy. True Communication of PHI can be: (Select all that apply.) -Written -Electronic -Verbal Prior to comple...

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 ...

Wellcare ACT Mastery Exam 2023/2024 with Complete Solutions Centene requires all contracted brokers/agents to read, understand, and agree to Centene's Business Ethics and Code of Conduct Policy. True False True Which 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 inve...

2024 WELLCARE MASTERY TEST ACTUAL EXAM 130 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) |AGRADE The Mastery Exam will lock for a period of 48 hours after each failed attempt. - ANSWER- False Members who fail to pay the required premiums before the end of the grace period (Wellcare has a three-month grace period) will be terminated. - ANSWER- True True - ANSWER- True Which of the following is not an example of Protected Health Information (PHI)? - ANSWER...