Wellcare 2023 questions and answers graded A+

Wellcare 2023 questions and answers graded A+Brokers/Agents may be investigated after being suspected of noncompliant activity reported through a: Complaint Tracking Module (CTM) Grievance Secret Shop Finding Enrollments through Ascend offer the following unique benefits: Validation 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. Which of the following statements about Scope of Appointment (SOA) is FALSE? An electronic SOA submitted in Ascend must be in a Pending status prior to beginning the appointment. During an appointment, you may not discuss any products not agreed to in advance by the beneficiary. True Centene requires all contracted brokers/agents to read, understand, and agree to Centene's Business Ethics and Code of Conduct Policy. True From October 1st to October 14th, which activity is not permissible by brokers/agents? Assist with completing and collecting completed applications. Health Risk Assessment All of the above When a paper SOA form is used, it must be completed __________ hosting the sales presentation. Prior to 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 You can help prevent grievances by: 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. Prior to completing the enrollment form, you should always confirm the beneficiary's primary care physician (PCP) and/or specialists. True The beneficiary (or their authorized representative) must indicate the product types to be discussed during the appointment on the Scope of Appointment (SOA). True Once the enrollment is completed, you can save a copy of the application for your reference. F Which option is the preferred method to submit enrollment? Ascend Web/Mobile Application 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 Ascend is a fast, easy, and compliant way for brokers/agents to submit agent-assisted electronic enrollments. T What are some examples of what can trigger a beneficiary complaint? (Select all that apply.) a.