Soa pa - Study guides, Class notes & Summaries

2024 wellcare - Mastery Test During an appointment, you may not discuss any products not agreed to in advance by the beneficiary. a. True b. False - ANS True When a paper SOA form is used, it must be completed __________ hosting the sales presentation. a. Prior to b. During c. After - ANS A. Prior to Brokers/Agents can submit a support ticket online through their Centene Workbench portal. Select one: True False - ANS True Wellcare does not need to be informed of al...

Centene Wellcare 2023 Questions and Answers Rated A+ A Health Risk Assessment (HRA) All of the above Failure to inform a beneficiary that a trusted provider is out-of-network or is not available in the newly selected plan can cause a sales allegation. True Health plan fax numbers vary for health plans that offer fax enrollment submissions. True Centene requires all contracted brokers/agents to read, understand, and agree to Centene's Business Ethics and Code of Conduct Policy. True Communic...

Palo Alto PCCET Questions and Answers 100% Pass which malware type is installed in the bios of a machine, which means operating system level tools cannot detect it? root kit which type of advanced malware has entire sections of code that serve no purpose other than to change the signature of the malware that's producing an infinite number of signatures hashes for even the smallest of malware programs? a. obfuscated b. distributed c. multi functional d. polymorphism CORRECT which type of fi...

WellCare Re-Cert Exam 2023 Study Guide Graded A+ Medicare Star Ratings and performance are at the forefront of Wellcare's quality strategy. Wellcare's quality focus consists of six drivers. Which of the following is not a Wellcare quality driver? Member Payments Which of the following is not an example of Protected Health Information (PHI)? Library card Any request or distribution of PHI should contain only the minimum amount of PHI required to complete the intended task. True Which of the...

By selecting the correct provider during the enrollment process, you can: - ANSWER All of the above A grievance request, or any evidence concerning a grievance, must be fi led 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 The Single Sign-On Portal provides access to several applications, including Centene Workbench. - ANSWER True Failure to inform a beneficiary that a trusted provider is o...

Explain the difference between descriptive, predictive, and prescriptive modeling - Answer- Descriptive - focuses on what happened in the past and aims to describe the observed trends by identifying relationships between variables. Predictive - What will happen in the future and making accurate predictions. Prescriptive - Combo of optimization and simulation to investigate the impact of prescribed actions in different scenarios. Explain the difference between supervised and unsupervised le...

2024 Wellcare ACT Mastery Exam When a paper SOA form is used, it must be completed __________ hosting the sales presentation. - ANS Prior to A broker/agent who has never had any verbal warnings cannot be issued a Corrective Action Plan. - ANS False A Health Risk Assessment (HRA) can be completed for C-SNP and D-SNP plans only, before the enrollment application process in Ascend through the Value Based Enrollment (VBE) portal. - ANS False Health risk assessment (HRA) - A...

Medicare Star Ratings and performance are at the forefront of Wellcare's quality strategy. Wellcare's quality focus consists of six drivers. Which of the following is not a Wellcare quality driver? Member Payments Which of the following is not an example of Protected Health Information (PHI)? Library card Any request or distribution of PHI should contain only the minimum amount of PHI required to complete the intended task. True Which of the following actions are you required...

What are the three main categories of predictive modeling problems? - answer-Descriptive, Predictive, Prescriptive What are the focus and aim of Descriptive Modeling Problems? - answer-Focus: What happened in the Past Aim: To describe or interpret observed trends by identifying relationships between variables What are the focus and aim of Predictive Modeling Problems? - answer-Focus: What will happen in the future Aim: To make accurate predictions What are the focus and aim of Prescri...

By selecting the correct provider during the enrollment process, you can: -  ANSWER All of the above A grievance request, or any evidence concerning a grievance, must be fi led 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 The Single Sign-On Portal provides access to several applications, including Centene Workbench. –  ANSWER True Failure to inform a beneficiary that a trusted provid...