Wellcare exam stuvia - Study guides, Class notes & Summaries

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...

With which types of inquiries can Wellcare's Corporate Sales Support team assist? - ANSWER All of these Member PHI can be stored on an external hard drive or a cloud storage service like Google Drive or Apple Cloud. - ANSWER False A request 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 Appeal The Single Sign-On Portal provides access to several applications, including CustomPoint. - ANSWER True...

True - ANSWER-Centene 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 - ANSWER-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. ...

Selection and Enrollment - ANSWER-Members use ratings systems to help them choose a plan or decide whether to stay with our plans. Reputation - ANSWER-Wellcare strives to be an industry-leading organization that is attractive & valuable to our members and to our providers & government partners. Member Service - ANSWER-Our first priority is to provide our members with excellent care and service. Additional Courses - ANSWER-There will be additional courses offered that are not required fo...

Wellcare Exam Questions and Answers (100% Verified for Accuracy) Wellcare Exam Questions and Answers (100% Verified for Accuracy) Wellcare Exam Questions and Answers (100% Verified for Accuracy) When completing an application, you should ensure that you enter the provider ID of a specialist and not a Primary Care Physician (PCP). - ANSWER-False Noting the correct enrollment period on enrollment applications helps in preventing delayed enrollment processing. - ANSWER-True Wellcare h...

WELLCARE CENTENE EXAM QUESTIONS AND ANSWERS 100% ACCURATE WELLCARE CENTENE EXAM QUESTIONS AND ANSWERS 100% ACCURATE WELLCARE CENTENE EXAM QUESTIONS AND ANSWERS 100% ACCURATE WELLCARE CENTENE EXAM QUESTIONS AND ANSWERS 100% ACCURATE Which of the following is not an example of Protected Health Information (PHI)? - ANSWER-Library card Enrollment applications must be received by Wellcare no later than ___ calendar day(s) following receipt from the beneficiary. - ANSWER-1

Wellcare ACT Mastery Exam – Teleagent Questions and Answers (Graded A+) Wellcare ACT Mastery Exam – Teleagent Questions and Answers (Graded A+)Wellcare ACT Mastery Exam – Teleagent Questions and Answers (Graded A+)