Wellcare 2023 stuvia - Study guides, Class notes & Summaries

Noting the correct enrollment period on enrollment applications helps in preventing delayed enrollment processing. Select one: True False - ANSWERSTrue 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. d. All of the above - ANSWERSAll the above ...

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When completing an application, you should ensure that you enter the provider ID of a specialist and not a Primary Care Physician (PCP). - ANSWERSFalse Noting the correct enrollment period on enrollment applications helps in preventing delayed enrollment processing. - ANSWERSTrue 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. - ANSWERSc All Wellcare standa...

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

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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. ...

Brokers/Agents may be investigated after being suspected of noncompliant activity reported through a: - ANSWERSComplaint Tracking Module (CTM) Grievance Secret Shop Finding Enrollments through Ascend offer the following unique benefits: - ANSWERSValidation of important data to help prevent incorrect or missing information. Digital capture of the broker's/agent's and beneficiary's electronic signatures through Send for Signature at any time throughout the enrollment application. Whi...

Wellcare 2023-2024 Questions and Answers 100% CorrectWellcare 2023-2024 Questions and Answers 100% CorrectWellcare 2023-2024 Questions and Answers 100% CorrectWellcare 2023-2024 Questions and Answers 100% Correct False - ANSWER-Agents who have never had any verbal warnings cannot be issued a corrective action plan 60 - ANSWER-A 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 th...

Wellcare 2023-2024 Mastery Test with Complete Solutions Wellcare 2023-2024 Mastery Test with Complete Solutions Wellcare 2023-2024 Mastery Test with Complete Solutions Once the enrollment is completed, you can save a copy of the application for your reference. - ANSWER-False Which elements are available as part of Wellcare's sales support model? - ANSWER-All of the above. Centene requires all contracted brokers/agents to read, understand, and agree to Centene's Business Ethics...

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...