Wellcare exam Study guides, Class notes & Summaries

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

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...

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: - 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. - 60 An LEP is assessed by CMS when a member goes___days or longer without creditable prescription drug coverage after the...

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: - 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. - Answer-60 An LEP is assessed by CMS when a member goes___days or longer without creditable prescription drug cove...

Wellcare ACT Mastery Exam | 60 Questions and Correct Solutions 2024 Centene requires all contracted brokers/agents to read, understand, and agree to Centene's Business Ethics and Code of Conduct Policy. True False - Answer - 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 develop...

Wellcare Exam Questions and Answers Verified Solutions 2024/2025

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Wellcare Exam (2024) || Complete Questions and Solutions (Rated A+) Wellcare Exam (2024) || Complete Questions and Solutions (Rated A+) Business Required Document (BRD) - ANSWER - written by business analyst (BA); created when new CMS regs come out, DTRR comes to us daily, read and apply Functional Specific Document (FSD) - ANSWER - detailed doc w/tables, names of files. etc. Accumulation Files - ANSWER - DSNP are excluded, MOOP accums sent daily to PBM, 9M layout format; outbound is a...