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Wellcare Mastery Exam 74 correct
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Brokers/Agents can access the following resources under the Shared Resources section in Centene
Workbench.
a.Training Resources
b.Commission Resources
c.Marketing Resources
d.All of these - ANSWER d.All of These
Although options for capturing and submitting SOAs vary by health plan, Wellcare accepts SOAs in which
of the following methods?
a.Ascend
b.Telephonic
c.Paper
d.All of these - ANSWER d.All of These
Marketing benefits in a service area where those benefits are not available is prohibited and considered
misleading unless that is unavoidable because of local/regional or media use.
True
False - ANSWER True
Which elements are available as part of Wellcare's Sales Support model?
a.Online
b.Local
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c.Corporate
d.All of these - ANSWER d. All of these
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.
a.30
b.45
c.60
d.90 - ANSWER c. 60
Brokers/Agents may be investigated after being suspected of noncompliant activity reported through a:
(Select all that apply.)
a.Complaint Tracking Module (CTM)
b.Yelp Review
c.Grievance
d.Secret Shop Finding - ANSWER a.Complaint Tracking Module (CTM)
c.Grievance
d.Secret Shop Finding
Brokers/Agents can submit a support ticket online through their Centene Workbench portal.
True
False - ANSWER True
When an enrollment application is completed in Ascend, brokers/agents can complete a Health Risk
Assessment (HRA) directly in Ascend after the enrollment application, through the Value-Based
Enrollment (VBE) portal.
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True
False - ANSWER True
Which of the following is not an example of Protected Health Information (PHI)?
a.Medical records
b.Payment history
c.Library card - ANSWER c. Library card
A Health Risk Assessment (HRA):
a.Provides physicians with an overview of a member's health status.
b.Helps us understand the unique health situation of each of our members and allows us to make sure
they receive the services that meet their needs.
c.Is an important part of our quality initiative, directly impacting our Star Ratings.
d.All of these - ANSWER d. All of these
The online Centene Workbench self-service portal enables you to:
a.Upload applications
b.Use the self-service workflows and ticketing system
c.Locate valuable documents and resources
d.All of these - ANSWER d. All of these
Communication of PHI can be:
(Select all that apply.)
a.Written
b.Electronic
c.Verbal - ANSWER a.Written