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Exam (elaborations)

2024 WELLCARE MASTERY EXAM

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  • Course
  • Wellcare Mastery
  • Institution
  • Wellcare Mastery

Brokers/Agents can access the following resources under the Shared Resources section in Centene Workbench. a.Training Resources b.Commission Resources c.Marketing Resources d.All of these d.All of These Although options for capturing and submitting SOAs vary by health plan, Wellcare accepts...

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  • June 11, 2024
  • 14
  • 2023/2024
  • Exam (elaborations)
  • Questions & answers
  • Wellcare Mastery
  • Wellcare Mastery
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GEEKA
2024 WELLCARE MASTERY EXAM
Brokers/Agents can access the following resources under the Shared Resources
section in Centene Workbench.
a.Training Resources
b.Commission Resources
c.Marketing Resources
d.All of these
d.All of These

Although options for capturing and submitting SOAs vary by health plan, Wellcare
accepts SOAs in which of the following methods?
a.Ascend
b.Telephonic
c.Paper
d.All of these
d.All of These

Marketing benefits in a service area where those benefits are not available is prohibited
and considered misleading unless that is unavoidable because of local/regional or
media use.
True
False
True


Which elements are available as part of Wellcare's Sales Support model?
a.Online
b.Local
c.Corporate
d.All of these
d. All of these

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.
a.30
b.45
c.60
d.90
c. 60

Brokers/Agents may be investigated after being suspected of noncompliant activity
reported through a:
(Select all that apply.)
a.Complaint Tracking Module (CTM)

, b.Yelp Review
c.Grievance
d.Secret Shop Finding
a.Complaint Tracking Module (CTM)
c.Grievance
d.Secret Shop Finding

Brokers/Agents can submit a support ticket online through their Centene Workbench
portal.
True
False
True

When an enrollment application is completed in Ascend, brokers/agents can complete a
Health Risk Assessment (HRA) directly in Ascend after the enrollment application,
through the Value-Based Enrollment (VBE) portal.
True
False
True

Which of the following is not an example of Protected Health Information (PHI)?

a.Medical records

b.Payment history

c.Library card

c. Library card

A Health Risk Assessment (HRA):
a.Provides physicians with an overview of a member's health status.
b.Helps us understand the unique health situation of each of our members and allows
us to make sure they receive the services that meet their needs.
c.Is an important part of our quality initiative, directly impacting our Star Ratings.
d.All of these
d. All of these


The online Centene Workbench self-service portal enables you to:
a.Upload applications
b.Use the self-service workflows and ticketing system
c.Locate valuable documents and resources
d.All of these
d. All of these

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