WELL CARE ACT MASTERY EXAM | 100% CORRECT ANSWERS |
VERIFIED | LATEST 2025 VERSION| ALREADY GRADED A+.
Question 1 of 30.
Grievances may be filed by which of the following methods?
Phone
Fax
Written request to the WellCare Grievance Department
All of the above
Mark for follow up
Question 2 of 30.
The HRA is an important part of our quality initiative as it...
Impacts Star Ratings
Gives WellCare the ability to prevent any further health challenges
Helps ensure WellCare members are able to access care
All of the above
Mark for follow up
Question 3 of 30.
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.
True False
Question 4 of 30.
, A member or member's representative must submit a grievance request or evidence concerning a grievance 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.
30
45
60
90
Mark for follow up
Question 5 of 30.
Which of the following materials should you leave with the beneficiary after completing an enrollment into a WellCare Health Plan?
Star Rating
A Guide to Your Health Services
Health Risk Assessment
Enrollment Application Booklet
WellCare & You Enrollment Resource Guide
Statement of Understanding (SOU)
All of the above
Mark for follow up
Question 6 of 30.
Which of the following are examples of potential disciplinary actions that could be issued against an agent? (You may select more than one response.)
Verbal Coaching
Monitoring Action Plan
Written Warning
Termination Not for Cause
Mark for follow up
Question 7 of 30.
A complaint or violation that could not be substantiated and where no pattern of compliance issues exists is a founded complaint.
True False
VERIFIED | LATEST 2025 VERSION| ALREADY GRADED A+.
Question 1 of 30.
Grievances may be filed by which of the following methods?
Phone
Fax
Written request to the WellCare Grievance Department
All of the above
Mark for follow up
Question 2 of 30.
The HRA is an important part of our quality initiative as it...
Impacts Star Ratings
Gives WellCare the ability to prevent any further health challenges
Helps ensure WellCare members are able to access care
All of the above
Mark for follow up
Question 3 of 30.
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.
True False
Question 4 of 30.
, A member or member's representative must submit a grievance request or evidence concerning a grievance 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.
30
45
60
90
Mark for follow up
Question 5 of 30.
Which of the following materials should you leave with the beneficiary after completing an enrollment into a WellCare Health Plan?
Star Rating
A Guide to Your Health Services
Health Risk Assessment
Enrollment Application Booklet
WellCare & You Enrollment Resource Guide
Statement of Understanding (SOU)
All of the above
Mark for follow up
Question 6 of 30.
Which of the following are examples of potential disciplinary actions that could be issued against an agent? (You may select more than one response.)
Verbal Coaching
Monitoring Action Plan
Written Warning
Termination Not for Cause
Mark for follow up
Question 7 of 30.
A complaint or violation that could not be substantiated and where no pattern of compliance issues exists is a founded complaint.
True False
