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.
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller YANCHY. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $17.49. You're not tied to anything after your purchase.