Wellcare Exam Bundle questions and answers 100% Accurate!!

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...

By selecting the correct provider during the enrollment process, you can: - ANSWER-All of the above. Member PHI can be stored on a hard drive or a cloud storage service like Google Drive or Apple Cloud. - ANSWER-False You must state the correct enrollment period on the application to avoid del...

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 has ...

ANSWER-The beneficiary did not understand that enrolling in a Wellcare plan would change their current Medicare Advantage plan An SEP is a period outside of the ICEP, AEP, or MA OEP when beneficiaries can enroll based solely on life events that qualify for an SEP period. - ANSWER-True Prior to...

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. ...

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. A...

False - ANSWER-Agents who have never had any verbal warnings cannot be issued a corrective action plan 60 - ANSWER-A grievance request, or any evidence concerning a grievance, must be filed orally or in writing no later than 60 calendar days from the date of the event of the date the member is ma...

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 must receive notice of an event change or can...

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 noncom...

presentation. a. Prior to b. During c. After - ANSWER-A. Prior to Brokers/Agents can submit a support ticket online through their Centene Workbench portal. Select one: True False - ANSWER-True Wellcare does not need to be informed of all marketing/sales events at which plans or materials...

deductible - ANSWER-Amount you must pay before you begin receiving any benefits from your insurance company Medicare - ANSWER-A national health insurance program in the United States, begun in 1965 under the Social Security Administration and now administered by the Centers for Medicare and Medic...