Centene medicare - Study guides, Class notes & Summaries

A Health Risk Assessment (HRA) - Answer- All of the above Failure to inform a beneficiary that a trusted provider is out-of-network or is not available in the newly selected plan can cause a sales allegation. - Answer- True Health plan fax numbers vary for health plans that offer fax enrollment submissions. - Answer- True Centene requires all contracted brokers/agents to read, understand, and agree to Centene's Business Ethics and Code of Conduct Policy. - Answer- True Communication...

Kahoot Medicare, Centene Midterm, Kahoot Study Set _ Review From 11-25 / 11-30 (Insurance Acronyms, Insurance Terminology) – Q&A

Centene- Medicare--Final Review Questions with 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: - 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...

Centene- Medicare--Final Review Questions With Correct Answers Already Passed!!

Centene- Medicare--Final Review Questions With Correct Answers Already Passed!! All calls that are from providers are immediately transferred to Provider Service after Properly documenting in Omni a)True b)False True What is the correct intent for scheduling transportation? a) Log View Statue b) Accumulator inquiry c) Issues d) Billing a) Log View Statue Opioid Treatment Program Services is part of Medicare Part C a)True b)False b)False You should offer cover determination - Tie...

WellCare ACT Mastery Exam (Latest 2023/ 2024 Update) Version 2 | Questions and Verified Answers| Grade A| 100% Correct Q: Which elements are available as part of Wellcare's Sales Support model? a. Online b. Local c. Corporate d. All of these Answer: d. All of these Q: Key areas you as a broker/agent have control over and impact upon regarding Star Ratings for quality are: a. Member Satisfaction/Experience b. Complaints c. Rapid Disenrollment d. All of these Answer: ...

Centene- Medicare--Final Review Questions With Correct Answers Already Passed!! All calls that are from providers are immediately transferred to Provider Service after Properly documenting in Omni a)True b)False True What is the correct intent for scheduling transportation? a) Log View Statue b) Accumulator inquiry c) Issues d) Billing a) Log View Statue Opioid Treatment Program Services is part of Medicare Part C a)True b)False b)False You should

Centene- Medicare--Final Review Questions and answers | updated All calls that are from providers are immediately transferred to Provider Service after Properly documenting in Omni a)True b)False True What is the correct intent for scheduling transportation? a) Log View Statue b) Accumulator inquiry c) Issues d) Billing a) Log View Statue Opioid Treatment Program Services is part of Medicare Part C a)True b)False b)False You should offer cover determination - Tier Exception for ...

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...