2023 wellcare - Mastery Test Questions and Answers Top Rated 2024

During an appointment, you may not discuss any products not agreed to in advance by the beneficiary. a. True b. False - True When a paper SOA form is used, it must be completed __________ hosting the sales presentation. a. Prior to b. During c. After - A. Prior to Brokers/Agents can submit a support ticket online through their Centene Workbench portal. Select one: True False - True Wellcare does not need to be informed of all marketing/sales events at which plans or materials will be presented or distributed (Formal & Informal). Select one: True False - False Which of the following actions are you required to do when contacted regarding an allegation of noncompliant activity? a. Speak with the investigator as quickly as possible. b. Answer all questions honestly and completely. c. Offer information and documents important to the investigation. d. All of the above - D. All of the above Key areas you as a broker/agent have control over and impact upon regarding Star Ratings for quality are: a. Member Satisfaction/Experience b. Complaints c. Rapid Disenrollment d. All of the above - D. All of the above Noting the correct enrollment period on enrollment applications helps in preventing delayed enrollment processing. Select one: True False - True Health plan fax numbers vary for health plans that offer fax enrollment submissions. Select one: True False - True Centene requires all contracted brokers/agents to read, understand, and agree to Centene's Business Ethics and Code of Conduct Policy. Select one: True False - True 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 - C. 60 Any request or distribution of PHI should contain only the minimum amount of PHI required to complete the intended task. Select one: True False - True Beneficiary-facing content that includes generic or plan-specific product or benefit information must be submitted for review and CMS submission, as well as acceptance or approval, prior to distribution. Select one: True False - True A broker/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.