2023 wellcare stuvia Study guides, Class notes & Summaries
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![Wellcare 2023 30 Questions With Correct Answers| Verified](/docpics/3101311/64b9a767a0568_3101311_121_171.jpeg)
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Wellcare 2023 30 Questions With Correct Answers| Verified
- Exam (elaborations) • 5 pages • 2023
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Noting the correct enrollment period on enrollment applications helps in preventing delayed enrollment processing. 
 
Select one: 
True 
False - ANSWERSTrue 
 
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 - ANSWERSAll the above 
...
![Centene Cert Review 2023-2024 Questions and Answers 100% Correct](/docpics/3427467/6501b2d7477b7_3427467_121_171.jpeg)
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Centene Cert Review 2023-2024 Questions and Answers 100% Correct
- Exam (elaborations) • 4 pages • 2023
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Centene Cert Review Questions and Answers 100% CorrectCentene Cert Review Questions and Answers 100% CorrectCentene Cert Review Questions and Answers 100% Correct 
Wellcare offers a range of Medicare plans to provide members with affordable access to: - ANSWER-All of the above 
 
Which of the following statements about completing telephonic enrollments is FALSE? - ANSWER-Must include most of the required elements necessary to complete the enrollment. 
 
Communication of PHI can be: 
(Select a...
![Wellcare 2023-2024 Latest Update Questions & Answers Correct 100%](/docpics/3101267/64b9a547c5279_3101267_121_171.jpeg)
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Wellcare 2023-2024 Latest Update Questions & Answers Correct 100%
- Exam (elaborations) • 4 pages • 2023
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When completing an application, you should ensure that you enter the provider ID of a specialist and not a Primary Care Physician (PCP). - ANSWERSFalse 
 
Noting the correct enrollment period on enrollment applications helps in preventing delayed enrollment processing. - ANSWERSTrue 
 
Wellcare has streamlined standalone PDP offerings from six plans to 
a. two plans 
b. one plan 
c. three plans 
d. four plans 
in all 34 regions across all 50 states and D.C. - ANSWERSc 
 
All Wellcare standa...
![Wellcare 2023| Questions | Verified Answers](/docpics/3082149/64b62e2a5c73a_3082149_121_171.jpeg)
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Wellcare 2023| Questions | Verified Answers
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False - ANSWERSAgents who have never had any verbal warnings cannot be issued a corrective action plan 
 
60 - ANSWERSA 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 made aware of the issue. 
 
all of the above - ANSWERSSteps to take when safeguarding and securing PHI and PII include: 
 
327 - ANSWERSWellcare has added ____ new counties to our footprint in 2022 
 
L...
![Wellcare 2023-2024 Questions and Answers 100% Correct](/docpics/3427103/65016e2aed30f_3427103_121_171.jpeg)
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Wellcare 2023-2024 Questions and Answers 100% Correct
- Exam (elaborations) • 2 pages • 2023
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Wellcare 2023-2024 Questions and Answers 100% CorrectWellcare 2023-2024 Questions and Answers 100% CorrectWellcare 2023-2024 Questions and Answers 100% CorrectWellcare 2023-2024 Questions and Answers 100% CorrectWellcare 2023-2024 Questions and Answers 100% Correct 
Which is an example of a top beneficiary complaint that affects Star Ratings? - ANSWER-The beneficiary did not understand that enrolling in a Wellcare plan would change their current Medicare Advantage plan 
 
An SEP is a period outs...
![Wellcare 2023 Questions & Answers Already Passed!!](/docpics/3101337/64b9a8521695f_3101337_121_171.jpeg)
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Wellcare 2023 Questions & Answers Already Passed!!
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Brokers/Agents may be investigated after being suspected of noncompliant activity reported through a: - ANSWERSComplaint Tracking Module (CTM) 
Grievance 
Secret Shop Finding 
 
Enrollments through Ascend offer the following unique benefits: - ANSWERSValidation of important data to help prevent incorrect or missing information. 
 
Digital capture of the broker's/agent's and beneficiary's electronic signatures through Send for Signature at any time throughout the enrollment application. 
 
Whi...
![Wellcare Exam 2023 Questions With Verified Answers](/docpics/3101285/64b9a6490f5e7_3101285_121_171.jpeg)
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Wellcare Exam 2023 Questions With Verified Answers
- Exam (elaborations) • 3 pages • 2023
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False - ANSWERSAgents who have never had any verbal warnings cannot be issued a corrective action plan 
 
60 - ANSWERSA 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 made aware of the issue. 
 
all of the above - ANSWERSSteps to take when safeguarding and securing PHI and PII include: 
 
327 - ANSWERSWellcare has added ____ new counties to our footprint in 2022 
 
L...
![Wellcare ACT 2023 (Centene)Correct Questions & Answers(RATED A)](/docpics/3101173/64b9a0de09fc1_3101173_121_171.jpeg)
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Wellcare ACT 2023 (Centene)Correct Questions & Answers(RATED A)
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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. - ANSWERS60 
 
When completing an application, you should ensure that you enter the provider ID of a specialist and not a Primary Care Physician (PCP). - ANSWERSFalse 
 
Which of the following statements about completing telephonic enrollments is FALSE? - ANSWERSMust include most of the requ...
![Wellcare 2023 Mastery Test| 30 Questions With Correct Answers(Verified)](/docpics/3101198/64b9a1fdf10d7_3101198_121_171.jpeg)
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Wellcare 2023 Mastery Test| 30 Questions With Correct Answers(Verified)
- Exam (elaborations) • 3 pages • 2023
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Once the enrollment is completed, you can save a copy of the application for your reference. - ANSWERSFalse 
 
Which elements are available as part of Wellcare's sales support model? - ANSWERSAll of the above. 
 
Centene requires all contracted brokers/agents to read, understand, and agree to Centene's Business Ethics and Code of Conduct Policy. - ANSWERSTrue 
 
Communication of PHI can be: 
(Select all that apply.) - ANSWERS-Written 
-Electronic 
-Verbal 
 
Prior to completing the enrollment ...
![Wellcare ACT Celene Mastery 2023-2024 Latest Update(RATED A)](/docpics/3101232/64b9a3a918d44_3101232_121_171.jpeg)
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Wellcare ACT Celene Mastery 2023-2024 Latest Update(RATED A)
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You can help prevent grievances by: (Select all that apply.) - ANSWERSa. Always confirming availability of the beneficiary's primary and specialist providers by using the provider search tool available on the plan's website. 
b. Always using plan materials to clearly explain plan benefits and cost (including medications) and check for understanding. 
c. Always confirming a beneficiary's intent to enroll before accepting their enrollment application. 
(All of the above) 
 
Which of the follow...
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