9/30/2018 Realize Your Potential: WellCare
Test - SM 2019 ACT Mastery Exam
Supporting Your Sales and Marketing Efforts
Question 1 of 30.
Which of the following are agents permitted to do when utilizing the PURL?
Assist the beneficiary with completing the application Assist the beneficiary with completing the application
Complete the application on behalf of the beneficiary
Write down the beneficiary's information and complete the PURL application for them later
None of the above
Mark for follow up
Question 2 of 30.
Grievances may be filed by which of the following methods?
Phone
Fax
Written request to the WellCare Grievance Department
All of the above
Mark for follow up
Question 3 of 30.
Inquiries are not grievances, as they do not express dissatisfaction.
True False
Mark for follow up
Question 4 of 30.
An agent may be Terminated For Cause if they fail to comply with a compliance investigation, encourage others to avoid the compliance interview process, or fail to
provide truthful or complete information.
https://wellcare.csod.com/Evaluations/EvalLaunch.aspx?loid=1915b5cd-8941-4178-8f65-1320988fb194&evalLvl=5&redirect_url=%2fphnx%2fdriver.aspx%3froutename%3dLearning%2fCurriculum%2fC… 1/4
, 9/30/2018 Realize Your Potential: WellCare
True False
Mark for follow up
Question 5 of 30.
Which of the following materials should you leave with the beneficiary after completing an enrollment into a WellCare Health Plan?
WellCare & You Enrollment Resource Guide
Statement of Understanding (SOU)
A Guide to Your Health Services
Enrollment Application Booklet
Star Rating
Health Risk Assessment
All of the above
Mark for follow up
Question 6 of 30.
Which of the following is/are the benefits of the Appointment Verification Line (AVL/SOA) via a phone call with the beneficiary? (You may select more than one
response.)
Under a 4 minute call
Records and saves SOA per CMS regulations via a live agent speaking with the beneficiary
Provides an Appointment ID to utilize for an agent assisted online application
Mark for follow up
Question 7 of 30.
The HRA is an important part of our quality initiative as it...
Impacts Star Ratings
Gives WellCare the ability to prevent any further health challenges
Helps ensure WellCare members are able to access care
All of the above
Mark for follow up
https://wellcare.csod.com/Evaluations/EvalLaunch.aspx?loid=1915b5cd-8941-4178-8f65-1320988fb194&evalLvl=5&redirect_url=%2fphnx%2fdriver.aspx%3froutename%3dLearning%2fCurriculum%2fC… 2/4
Test - SM 2019 ACT Mastery Exam
Supporting Your Sales and Marketing Efforts
Question 1 of 30.
Which of the following are agents permitted to do when utilizing the PURL?
Assist the beneficiary with completing the application Assist the beneficiary with completing the application
Complete the application on behalf of the beneficiary
Write down the beneficiary's information and complete the PURL application for them later
None of the above
Mark for follow up
Question 2 of 30.
Grievances may be filed by which of the following methods?
Phone
Fax
Written request to the WellCare Grievance Department
All of the above
Mark for follow up
Question 3 of 30.
Inquiries are not grievances, as they do not express dissatisfaction.
True False
Mark for follow up
Question 4 of 30.
An agent may be Terminated For Cause if they fail to comply with a compliance investigation, encourage others to avoid the compliance interview process, or fail to
provide truthful or complete information.
https://wellcare.csod.com/Evaluations/EvalLaunch.aspx?loid=1915b5cd-8941-4178-8f65-1320988fb194&evalLvl=5&redirect_url=%2fphnx%2fdriver.aspx%3froutename%3dLearning%2fCurriculum%2fC… 1/4
, 9/30/2018 Realize Your Potential: WellCare
True False
Mark for follow up
Question 5 of 30.
Which of the following materials should you leave with the beneficiary after completing an enrollment into a WellCare Health Plan?
WellCare & You Enrollment Resource Guide
Statement of Understanding (SOU)
A Guide to Your Health Services
Enrollment Application Booklet
Star Rating
Health Risk Assessment
All of the above
Mark for follow up
Question 6 of 30.
Which of the following is/are the benefits of the Appointment Verification Line (AVL/SOA) via a phone call with the beneficiary? (You may select more than one
response.)
Under a 4 minute call
Records and saves SOA per CMS regulations via a live agent speaking with the beneficiary
Provides an Appointment ID to utilize for an agent assisted online application
Mark for follow up
Question 7 of 30.
The HRA is an important part of our quality initiative as it...
Impacts Star Ratings
Gives WellCare the ability to prevent any further health challenges
Helps ensure WellCare members are able to access care
All of the above
Mark for follow up
https://wellcare.csod.com/Evaluations/EvalLaunch.aspx?loid=1915b5cd-8941-4178-8f65-1320988fb194&evalLvl=5&redirect_url=%2fphnx%2fdriver.aspx%3froutename%3dLearning%2fCurriculum%2fC… 2/4
