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 When completing an application, you should ensure that you enter the provider I...
WellCare ACT 2022 (Centene)
Answered100% Correct
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
When completing an application, you should ensure that you enter the provider ID
of a specialist and not a Primary Care Physician (PCP). Correct Answer: False
Which of the following statements about completing telephonic enrollments is
FALSE? Correct Answer: Must include most of the required elements necessary
to complete the enrollment
A passing score of __ or higher must be achieved to successfully complete this
course Correct Answer: 85%
To ensure accurate data entry, you should repeat the Medicare ID back to the
beneficiary. Correct Answer: True
Steps to take when safeguarding and securing PHI and PII include Correct Answer:
All of the Above
An agent may be terminated for cause if they fail to comply with a compliance
investigation, encourage others to avoid the compliance interview process, or fail
to provide truthful or complete information Correct Answer: True
For 2022, ______ will no longer be a preferred pharmacy Correct Answer:
Walmart
The Part D Senior Savings Model (SSM), which reduces member spending on
insulin, will be offered on the Value Script and Value Plus products Correct
Answer: True
Communication of PHI can be: Correct Answer: Written, Electronic, Verbal
Agents must meet all required contracting, training, and certification requirements
to be eligible to sell Wellcare's Medicare Products Correct Answer: True
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