2024 Wellcare Mastery Exam Questions And Answers.

2024 Wellcare Mastery Exam Questions And
Answers



1. Brokers/Agents can access the following resources under the Shared Re- ty ty ty ty ty ty ty ty ty




sources section in Centene Workbench.
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a.Training Resources ty




b.Commission Resources
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c.Marketing Resources
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d.All of these: d.All ofThese
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2. Although options for capturing and submitting SOAs vary by health plan,
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Wellcare accepts SOAs in which of the following methods?
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a. Ascend
b.Telephoni
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c c.Paper
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d.All of these: d.All of These
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3. Marketing benefits in a service area where those benefits are not available is
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prohibited and considered misleading unless that is unavoidable because of
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local/regional or media use.
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True
False:
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True
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4. Which elements are available as part ofWellcare's Sales Support model?
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a.Online
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b.Local
c.Corporate
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,d.All of these: d. All of these
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5. A grievance request, or any evidence concerning a grievance, must be filed
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orally or in writing no later than
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or the date the member is made aware of the issue.
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a.30
b.4
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5
c.6
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0
d.90: c. 60 ty ty




6. Brokers/Agents may be investigated after being suspected of noncompliant ty ty ty ty ty ty ty ty




activity reported through a:
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(Select all that apply.) ty ty ty




a. ComplaintTrackingModule (CTM) ty ty ty




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c.Grievance
d.Secret Shop Finding: a.ComplaintTracking Module (CTM)
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c.Grievance
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d.Secret Shop Finding ty ty





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, 7. Brokers/Agents can submit a support ticket online through their Centene ty ty ty ty ty ty ty ty ty




Workbench portal.
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True
False:
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True
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8. When an enrollment application is completed in Ascend, brokers/agents
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can complete a Health Risk Assessment (HRA) directly in Ascend after the
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enrollment application, through the Value-Based Enrollment (VBE) portal.
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True
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False: True ty




9. Which of the following is not an example of Protected Health Information
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(PHI)?
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a. Medical records ty




b. Payment history ty




c. Library card: c. Library card ty ty ty ty




10. A Health Risk Assessment (HRA):
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a. Provides physicians with an overview of a member's health status.
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b. Helps us understand the unique health situation of each of our members
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ty and allows us to make sure they receive the services that meet their needs.
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ty c.Is an important part of our quality initiative, directly impacting our Star
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ty Ratings.
d.All of these: d. All of these
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11. The online CenteneWorkbench self-service portal enables you to:
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a. Upload applications ty




b. Use the self-service workflows and ticketing system
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c. Locate valuable documents and resources
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