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Exam (elaborations)

WellCare final questions with correct answers graded A+ 2023/2024

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WellCare finalWhat must brokers/agents complete every year? - correct answer WellCare Contract Recertification case in Centene Workbench (CWB) True or False: Enrollments through Ascend offer unique benefits. - correct answer True What are the unique benefits of enrollments through Ascend? - correct answer Validation of important data and digital capture of electronic signatures True or False: When completing an enrollment, you should use the correct enrollment application for the desired plan year. - correct answer True True or False: The Single Sign-On Portal provides access to CustomPoint. - correct answer True What is an example of a top beneficiary complaint that affects Star Ratings? - correct answer The beneficiary did not understand that enrolling in a Wellcare plan would change their current Medicare Advantage plan. How can you help prevent grievances? - correct answer Confirm availability of providers, use plan materials to explain benefits, and confirm beneficiary's intent to enroll. How many calendar days do enrollment applications need to be received by Wellcare? - correct answer 1 True or False: Centene requires all contracted brokers/agents to read, understand, and agree to Centene's Business Ethics and Code of Conduct Policy. - correct answer True What actions are required when contacted regarding an allegation of noncompliant activity? - correct answer Speak with the investigator as quickly as possible. What is the purpose of a Wellcare Contract Recertification case? - correct answer To ensure brokers/agents are up to date and compliant with Wellcare's requirements. What is the purpose of enrollments through Ascend? - correct answer To validate important data and capture electronic signatures. What is the Single Sign-On Portal used for? - correct answer To access several applications, including CustomPoint. What is the impact of a beneficiary not understanding that enrolling in a Wellcare plan would change their current Medicare Advantage plan? - correct answer It can affect Star Ratings. What tools can be used to confirm availability of a beneficiary's primary and specialist providers? - correct answer The provider search tool available on the plan's website. What should be used to clearly explain plan benefits and cost to beneficiaries? - correct answer Plan materials What is the deadline for receiving enrollment applications from beneficiaries? - correct answer No later than 1 calendar day following receipt from the beneficiary. What policy do contracted brokers/agents need to read, understand, and agree to? - correct answer Centene's Business Ethics and Code of Conduct Policy. What should be done when contacted regarding an allegation of noncompliant activity? - correct answer Speak with the investigator as quickly as possible. What should a broker/agent do when answering questions? - correct answer Answer honestly and completely. What should a broker/agent offer during an investigation? - correct answer Information and documents.

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Uploaded on
December 11, 2023
Number of pages
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Written in
2023/2024
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