Centene medicare - Study guides, Class notes & Summaries

Centene Wellcare 2024 Exam || All Questions & Solutions (100% Correct) Centene Wellcare 2024 Exam || All Questions & Solutions (100% Correct) A Health Risk Assessment (HRA) - ANSWER - 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. - ANSWER - True Health plan fax numbers vary for health plans that offer fax enrollment submissions. - ANSWER - True Centene requires a...

Centene- Medicare--Final Review Questions With Correct Answers Already Passed!! All calls that are from providers are immediately transferred to Provider Service after Properly documenting in Omni a)True b)False True What is the correct intent for scheduling transportation? a) Log View Statue b) Accumulator inquiry c) Issues d) Billing a) Log View Statue Opioid Treatment Program Services is part of Medicare Part C a)True b)False b)False You should offer cover determination - Tie...

Agents may be investigated after being suspected of noncompliant activity reported through a Complaint Tracking Module (CTM), grievance, secret shop finding, internal audit or reporting. True Which of the following health plans are now available through Centene Corporation? Select the best answer. Health Net, Fidelis Care, Allwell, Ascension Complete, WellCare 3 MULTIPLE CHOICE OPTIONS Brainpower Read More Previous Play Next Rewind 10 seconds Move forward 10 seconds Unmute...

WELLCARE CENTENE 2024 Exam || All Questions & Answers (100% Verified) WELLCARE CENTENE 2024 Exam || All Questions & Answers (100% Verified) Which of the following is not an example of Protected Health Information (PHI)? - ANSWER - Library card Enrollment applications must be received by Wellcare no later than ___ calendar day(s) following receipt from the beneficiary. - ANSWER - 1 Wellcare must receive notice of an event change or cancellation as soon as possible, but no later than 30 ...

Centene Midterm 50 questions with complete solutions already passed!! How long can member be out of their area without being disenrolled? Over 6 months 1 year Less than 6 months 8 months Less than 6 months Who is the Medicare Part B monthly premium paid to? CMS The member Private insurance company CMS How does a member request to sign up for an Optional Supplemental Benefits package? Call and speak with the Sales Department Online through the Member Service Portal Request to mee...

____ PDPs will be offered across all 50 U.S. states and Washington, D.C. - Three Agents may be investigated after being suspected of noncompliant activity reported through a: (Select all that apply.) - Complaint Tracking Module (CTM),Grievance, and Secret Shop Finding Agents must meet all required contracting, training, and certification requirements to be eligible to sell Wellcare's Medicare products. - True All PDPs will continue to offer $0 tier 1 preferred cost-sharing through CVS Medi...

Centene- Medicare--Final Review Questions With Correct Answers Already Passed!! All calls that are from providers are immediately transferred to Provider Service after Properly documenting in Omni a)True b)False True What is the correct intent for scheduling transportation? a) Log View Statue b) Accumulator inquiry c) Issues d) Billing a) Log View Statue Opioid Treatment Program Services is part of Medicare Part C a)True b)False b)False You should offer cover determination - Tie...

Wellcare Final Exam 2024 || Questions & Answers (Graded A+) Wellcare Final Exam 2024 || Questions & Answers (Graded A+) What must brokers/agents complete every year? - ANSWER - Wellcare Contract Recertification case in Centene Workbench (CWB) True or False: Enrollments through Ascend offer unique benefits. - ANSWER - True What are the unique benefits of enrollments through Ascend? - ANSWER - Validation of important data and digital capture of electronic signatures True or False: Whe...

Centene ACT Mastery Exam Questions and Answers 100% Correct Centene ACT Mastery Exam Questions and Answers 100% Correct Centene ACT Mastery Exam Questions and Answers 100% Correct Centene ACT Mastery Exam Questions and Answers 100% Correct In 2021, Centene is offering which of the the following types of Medicare Advantage Prescription Drug (MAPD) products? A. HMO and HMO/POS B. DSNP and CSNP C. PPO D. PFFS - ANSWER-E. All of the above Beneficiaries who are first eligible for Medicare ...

Wellcare ACT Mastery Exam 2023/2024 with Complete Solutions 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 inve...