Centene requires a - Study guides, Class notes & Summaries

A request to the plan to the plan from a member or provider for a formal review of an Action (Denial) or Adverse Plan Determination (medicare) is a/an: - a.APPEAL 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. - 60 An LEP is assessed by CMS when a member goes___days or longer without creditable prescription drug coverage after the...

During an appointment, you may not discuss any products not agreed to in advance by the beneficiary. a. True b. False - True When a paper SOA form is used, it must be completed __________ hosting the sales presentation. a. Prior to b. During c. After - A. Prior to Brokers/Agents can submit a support ticket online through their Centene Workbench portal. Select one: True False - True Wellcare does not need to be informed of all marketing/sales events at which plans or materials wi...

2024 WELLCARE ACT MASTERY EXAM / QUESTIONS AND ANSWERS 2024 GRADED A+. 2 / 7 1. True: Centene requires all contracted brokers/agents to read, understand, andagree to Centene's Business Ethics and Code of Conduct Policy. True False 2. d. All of the above: 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 ...

True 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 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. All of the ...

Centene requires all contracted brokers/agents to read, understand, and agree to Centene's Business Ethics and Code of Conduct Policy. True False Correct Answer True 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. All of the above Correct An...

Once the enrollment is completed, you can save a copy of the application for your reference. - False Which elements are available as part of Wellcare's sales support model? - All of the above. Centene requires all contracted brokers/agents to read, understand, and agree to Centene's Business Ethics and Code of Conduct Policy. - True Communication of PHI can be: (Select all that apply.) - -Written -Electronic -Verbal Prior to completing the enrollment form, you should always conf...

True - 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 - 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. All of the ab...

Centene requires all contracted brokers/agents to read, understand, and agree to Centene's Business Ethics and Code of Conduct Policy. True False True 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. All of the above TestTrackers: Unlo...

Centene requires all contracted brokers/agents to read, understand, and agree to Centene's Business Ethics and Code of Conduct Policy. True False True The TPMO disclaimer must be used by any TPMO that sells plans on behalf of more than one MA plan provider. The disclaimer must be: (Select all that apply.) a. Included in any marketing materials, including print materials and television advertisements developed, used, or distributed by the TPMO. b. Verbally conveyed within the fir...

2024 WELLCARE ACT MASTERY EXAM – BROKER Exam 1. Centene requires all contracted brokers/agents to read, under- stand, and agree to Centene's Busi- ness Ethics and Code of Conduct Policy. True False 2. The TPMO disclaimer must be used by any TPMO that sells plans on behalf of more than one MA plan provider. The disclaimer must be: (Select all that apply.) a. Included in any marketing ma- terials, including print materials and television advertisements de- veloped, used, or dist...