Wellcare ACT 2023 (Centene) 29 Questions with Complete Solutions

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 Communication of PHI can be: - Correct Answer Written, Electronic, Verbal Agents must meet all required contracting, training, and certification requirements to be eligible to sell Wellcare's Medicare Products - Correct Answer True Wellcare offers a robust portfolio of products and plans across _____ states. - Correct Answer 50 When enrolling a D-SNP beneficiary, be sure to verify plan enrollment eligibility and that the MSP program level is eligible for the requested plan. - Correct Answer True Wellcare's 2022 product expansion represents an 8% increase from 2021. - Correct Answer True