WELLCARE CENTENE UPDATED Exam
Questions and CORRECT Answers
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. - CORRECT ANSWER - 60
When completing an application, you should ensure that you enter the provider ID of a specialist
and not a Primary Care Physician (PCP). - CORRECT ANSWER - False
Which of the following statements about completing telephonic enrollments is FALSE? -
CORRECT ANSWER - Must include most of the required elements necessary to complete
the enrollment
A passing score of __ or higher must be achieved to successfully complete this course -
CORRECT ANSWER - 85%
To ensure accurate data entry, you should repeat the Medicare ID back to the beneficiary. -
CORRECT ANSWER - True
Steps to take when safeguarding and securing PHI and PII include - CORRECT
ANSWER - All of the Above
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 - CORRECT ANSWER - True
For 2022, ______ will no longer be a preferred pharmacy - CORRECT ANSWER -
Walmart
The Part D Senior Savings Model (SSM), which reduces member spending on insulin, will be
offered on the Value Script and Value Plus products - CORRECT ANSWER - True
Questions and CORRECT Answers
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. - CORRECT ANSWER - 60
When completing an application, you should ensure that you enter the provider ID of a specialist
and not a Primary Care Physician (PCP). - CORRECT ANSWER - False
Which of the following statements about completing telephonic enrollments is FALSE? -
CORRECT ANSWER - Must include most of the required elements necessary to complete
the enrollment
A passing score of __ or higher must be achieved to successfully complete this course -
CORRECT ANSWER - 85%
To ensure accurate data entry, you should repeat the Medicare ID back to the beneficiary. -
CORRECT ANSWER - True
Steps to take when safeguarding and securing PHI and PII include - CORRECT
ANSWER - All of the Above
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 - CORRECT ANSWER - True
For 2022, ______ will no longer be a preferred pharmacy - CORRECT ANSWER -
Walmart
The Part D Senior Savings Model (SSM), which reduces member spending on insulin, will be
offered on the Value Script and Value Plus products - CORRECT ANSWER - True
