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 ...

Centene Cert Review Questions and Answers 100% CorrectCentene Cert Review Questions and Answers 100% CorrectCentene Cert Review Questions and Answers 100% Correct Wellcare offers a range of Medicare plans to provide members with affordable access to: - ANSWER-All of the above Which of the following statements about completing telephonic enrollments is FALSE? - ANSWER-Must include most of the required elements necessary to complete the enrollment. Communication of PHI can be: (Select a...

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...

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% CorrectWellcare 2023-2024 Questions and Answers 100% Correct Which is an example of a top beneficiary complaint that affects Star Ratings? - ANSWER-The beneficiary did not understand that enrolling in a Wellcare plan would change their current Medicare Advantage plan An SEP is a period outs...

False - ANSWERSAgents who have never had any verbal warnings cannot be issued a corrective action plan 60 - ANSWERSA 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 the member is made aware of the issue. all of the above - ANSWERSSteps to take when safeguarding and securing PHI and PII include: 327 - ANSWERSWellcare has added ____ new counties to our footprint in 2022 L...

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...

False - ANSWERSAgents who have never had any verbal warnings cannot be issued a corrective action plan 60 - ANSWERSA 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 the member is made aware of the issue. all of the above - ANSWERSSteps to take when safeguarding and securing PHI and PII include: 327 - ANSWERSWellcare has added ____ new counties to our footprint in 2022 L...

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. - ANSWERS60 When completing an application, you should ensure that you enter the provider ID of a specialist and not a Primary Care Physician (PCP). - ANSWERSFalse Which of the following statements about completing telephonic enrollments is FALSE? - ANSWERSMust include most of the requ...

Once the enrollment is completed, you can save a copy of the application for your reference. - ANSWERSFalse Which elements are available as part of Wellcare's sales support model? - ANSWERSAll of the above. Centene requires all contracted brokers/agents to read, understand, and agree to Centene's Business Ethics and Code of Conduct Policy. - ANSWERSTrue Communication of PHI can be: (Select all that apply.) - ANSWERS-Written -Electronic -Verbal Prior to completing the enrollment ...

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...