2023 Wellcare ACT Mastery Certification
By selecting the correct provider during the enrollment process, you can:
Ans - All of the above.
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. Ans - 60
When completing an application, you should ensure that you enter the
provider ID of a specialist and not a Primary Care Physician (PCP). Ans -
False
Which of the following statements about completing telephonic enrollments
is FALSE? Ans - 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 Ans - 85%
To ensure accurate data entry, you should repeat the Medicare ID back to
the beneficiary. Ans - True
Steps to take when safeguarding and securing PHI and PII include Ans - 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 Ans -
True
For 2022, ______ will no longer be a preferred pharmacy Ans - 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 Ans -
True
Communication of PHI can be: Ans - Written, Electronic, Verbal
Agents must meet all required contracting, training, and certification
requirements to be eligible to sell Wellcare's Medicare Products Ans - True
Wellcare offers a robust portfolio of products and plans across _____ states.
Ans - 50
By selecting the correct provider during the enrollment process, you can:
Ans - All of the above.
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. Ans - 60
When completing an application, you should ensure that you enter the
provider ID of a specialist and not a Primary Care Physician (PCP). Ans -
False
Which of the following statements about completing telephonic enrollments
is FALSE? Ans - 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 Ans - 85%
To ensure accurate data entry, you should repeat the Medicare ID back to
the beneficiary. Ans - True
Steps to take when safeguarding and securing PHI and PII include Ans - 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 Ans -
True
For 2022, ______ will no longer be a preferred pharmacy Ans - 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 Ans -
True
Communication of PHI can be: Ans - Written, Electronic, Verbal
Agents must meet all required contracting, training, and certification
requirements to be eligible to sell Wellcare's Medicare Products Ans - True
Wellcare offers a robust portfolio of products and plans across _____ states.
Ans - 50
