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WELLCARE MASTERY EXAM 2024/2025 WIITH 100% ACCURATE SOLUTIONS $17.49   Add to cart

Exam (elaborations)

WELLCARE MASTERY EXAM 2024/2025 WIITH 100% ACCURATE SOLUTIONS

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  • Course
  • WELLCARE MASTERY
  • Institution
  • WELLCARE MASTERY

WELLCARE MASTERY EXAM 2024/2025 WIITH 100% ACCURATE SOLUTIONS

Preview 3 out of 23  pages

  • October 31, 2024
  • 23
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • WELLCARE MASTERY
  • WELLCARE MASTERY
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YANCHY
WELLCARE MASTERY EXAM 2024/2025
WIITH 100% ACCURATE SOLUTIONS


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 - Answer 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 - Answer 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 - Answer True

,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


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 - Answer 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 - Answer 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 - Answer 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 - Answer True


Which of the following is not an example of Protected Health
Information (PHI)?
a.Medical records
b.Payment history
c.Library card - Answer 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.

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