Wellcare 2023 Questions and Correct Answers 100% Verified Noting the correct enrollment period on enrollment applications helps in preventing delayed enrollment processing.
Select one:
True False - Correct Answer True Which of the following actions are you required to do when contacted regarding an allegation of noncompliant activity?
- Speak with the investigator as quickly as possible.
- Answer all questions honestly and completely.
- Offer information and documents important to the investigation.
- All of the above - Correct Answer All the above
By selecting the correct provider during the enrollment process, you can:
- Increase member satisfaction.
- Ensure timely access to the member's PCP.
- Minimize call volumes/complaints.
- All of the above - Correct Answer All the above
Centene requires all contracted agents to read, understand, and agree to Centene's Business Ethics and Code of Conduct Policy.
Select one:
True False - Correct Answer True Which of the following is not an example of Protected Health Information (PHI)?
- Medical records
- Payment history
- Library card - Correct Answer Library card
Communication of PHI can be:
(Select all that apply.)
- Written
- Electronic
- Verbal - Correct Answer Written, Electronic, Verbal 1 / 2
Medicare Star Ratings and performance are at the forefront of Wellcare's quality strategy. Wellcare's quality focus consists of six drivers. Which of the following is not a Wellcare quality driver?
- Member Service
- Reputation
- Member Payments
- Serving Government Customers - Correct Answer Member Payments
Verbal permission granted to discuss plan details qualifies an authorized representative to complete an application on behalf of the beneficiary.
Select one:
True False - Correct Answer False Agents may be investigated after being suspected of noncompliant activity reported
through a:
(Select all that apply.)
- Complaint Tracking Module (CTM)
- Yelp Review
- Grievance
- Secret Shop Finding - Correct Answer Complaint Tracking Module (CTM), Grievance,
Secret Shop Finding 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.
Select one:
True False - Correct Answer True The information contained within ACT will equip agents to certify, market, and sell which health plans?
- Ascension Complete
- Wellcare
- All of the above - Correct Answer All of the above
An agent who has never had any verbal warnings cannot be issued a Corrective Action Plan.
Select one:
True False - Correct Answer False
- / 2