Wellcare fgACT fgCelene
fgMastery
1. You fgStudy
canfgfgonline
helpfgfgatprevent fggrievances fgby: fg(Select fgall fgthat fgapply.): fga.
fghttps://quizlet.com/_e18iso
fgAlways fgcon- fgfirming fgavailability fgof fgthe fgbeneficiary's fgprimary fgand fgspecialist
fgproviders fgby fgusing fgthe fgprovider fgsearch fgtool fgavailable fgon fgthe fgplan's fgwebsite.
b. fgAlways fgusing fgplan fgmaterials fgto fgclearly fgexplain fgplan fgbenefits fgand fgcost
fg(including fgmedications) fgand fgcheck fgfor fgunderstanding.
c.fgAlways fgconfirming fga fgbeneficiary's fgintent fgto fgenroll fgbefore fgaccepting fgtheir
fgenrollment fgapplication.
(All fgof fgthe fgabove)
2. Which fgof fgthe fgfollowing fgis fgnot fgan fgexample fgof fgProtected fgHealth
fgInformation fg(PHI)?: fgLibrary fgcard
3. When fgenrolling fga fgD-SNP fgbeneficiary, fgbe fgsure fgto fgverify fgplan fgenrollment
fgeligi- fgbility fgand fgthat fgthe fgMedicare fgSavings fgProgram fg(MSP) fglevel fgis
fgeligible fgfor fgthe fgrequested fgplan.: fgTrue
4. Member fgPHI fgcan fgbe fgstored fgon fgan fgexternal fghard fgdrive fgor fga fgcloud
fgstorage fgservice fglike fgGoogle fgDrive fgor fg Apple fgCloud.: fgFalse
5. Medicare fgStar fgRatings fgand fgperformance fgare fgat fgthe fgforefront fgof
fgWellcare's fgquality fgstrategy. fgWellcare's fgquality fgfocus fgconsists fgof fgsix
fgdrivers. fgWhich fgof fgthe fgfollowing fgis fgnot fga fgWellcare fgquality fgdriver?:
fgMember fgPayments fg- fg(The fgSix fgDrivers fgare fgMember fgService, fgServing
fgGovernment fgCustomers, fgSelection fgand fgEnrollment, fgReputation, fgRequirement
fgof fgParticipation, fgBonus fgPayment.)
6. Agents fgmust fgmeet fgall fgrequired fgcontracting, fgtraining, fgand
fgcertification fgre- fgquirements fgto fgbe fgeligible fgto fgsell fgWellcare's
fgMedicare fgproducts.: fgTrue
7. The fginformation fgcontained fgwithin fgACT fgwill fgequip fgagents fgto fgcertify,
fgmarket, fgand fgsell fgwhich fghealth fgplans?: fgAll fgof fgthe fgabove fg(Ascension
fgComplete fgand fgWellcare)
8. Which fgof fgthe fgfollowing fgstatements fgabout fgcompleting fgtelephonic
fgenrollments fgis fgFALSE?: fgMust fginclude fgmost fgof fgthe fgrequired fgelements
fgnecessary fgto fgcomplete fgthe fgenrollment.
9. Noting fgthe fgcorrect fgenrollment fgperiod fgon fgenrollment fgapplications
fghelps fgin fgpreventing fgdelayed fgenrollment fgprocessing.: fgTrue
10. Which fgof fgthe fgfollowing fgis fgnot fgconsidered fga fggrievance?: fgA fgdispute fgof
fgthe fgap- fgpeal fgof fgan fgorganization fgdetermination, fgcoverage fgdetermination fgor fga
fgLate fgEnrollment fgPenalty fg(LEP) fgdetermination.
11. Centene fgrequires fgall fgcontracted fgagents fgto fgread, fgunderstand, fgand
fgagree fgto fgCentene's fgBusiness fgEthics fgand fgCode fgof fgConduct fgPolicy.:
fgTrue
12. To fgensure fgaccurate fgdata fgentry, fgyou fgshould fgrepeat fgthe fgMedicare fgID
fgback fgto fgthe fgbeneficiary. fgSelect fgOne: fgTrue
1 fg/
fg4
fgMastery
1. You fgStudy
canfgfgonline
helpfgfgatprevent fggrievances fgby: fg(Select fgall fgthat fgapply.): fga.
fghttps://quizlet.com/_e18iso
fgAlways fgcon- fgfirming fgavailability fgof fgthe fgbeneficiary's fgprimary fgand fgspecialist
fgproviders fgby fgusing fgthe fgprovider fgsearch fgtool fgavailable fgon fgthe fgplan's fgwebsite.
b. fgAlways fgusing fgplan fgmaterials fgto fgclearly fgexplain fgplan fgbenefits fgand fgcost
fg(including fgmedications) fgand fgcheck fgfor fgunderstanding.
c.fgAlways fgconfirming fga fgbeneficiary's fgintent fgto fgenroll fgbefore fgaccepting fgtheir
fgenrollment fgapplication.
(All fgof fgthe fgabove)
2. Which fgof fgthe fgfollowing fgis fgnot fgan fgexample fgof fgProtected fgHealth
fgInformation fg(PHI)?: fgLibrary fgcard
3. When fgenrolling fga fgD-SNP fgbeneficiary, fgbe fgsure fgto fgverify fgplan fgenrollment
fgeligi- fgbility fgand fgthat fgthe fgMedicare fgSavings fgProgram fg(MSP) fglevel fgis
fgeligible fgfor fgthe fgrequested fgplan.: fgTrue
4. Member fgPHI fgcan fgbe fgstored fgon fgan fgexternal fghard fgdrive fgor fga fgcloud
fgstorage fgservice fglike fgGoogle fgDrive fgor fg Apple fgCloud.: fgFalse
5. Medicare fgStar fgRatings fgand fgperformance fgare fgat fgthe fgforefront fgof
fgWellcare's fgquality fgstrategy. fgWellcare's fgquality fgfocus fgconsists fgof fgsix
fgdrivers. fgWhich fgof fgthe fgfollowing fgis fgnot fga fgWellcare fgquality fgdriver?:
fgMember fgPayments fg- fg(The fgSix fgDrivers fgare fgMember fgService, fgServing
fgGovernment fgCustomers, fgSelection fgand fgEnrollment, fgReputation, fgRequirement
fgof fgParticipation, fgBonus fgPayment.)
6. Agents fgmust fgmeet fgall fgrequired fgcontracting, fgtraining, fgand
fgcertification fgre- fgquirements fgto fgbe fgeligible fgto fgsell fgWellcare's
fgMedicare fgproducts.: fgTrue
7. The fginformation fgcontained fgwithin fgACT fgwill fgequip fgagents fgto fgcertify,
fgmarket, fgand fgsell fgwhich fghealth fgplans?: fgAll fgof fgthe fgabove fg(Ascension
fgComplete fgand fgWellcare)
8. Which fgof fgthe fgfollowing fgstatements fgabout fgcompleting fgtelephonic
fgenrollments fgis fgFALSE?: fgMust fginclude fgmost fgof fgthe fgrequired fgelements
fgnecessary fgto fgcomplete fgthe fgenrollment.
9. Noting fgthe fgcorrect fgenrollment fgperiod fgon fgenrollment fgapplications
fghelps fgin fgpreventing fgdelayed fgenrollment fgprocessing.: fgTrue
10. Which fgof fgthe fgfollowing fgis fgnot fgconsidered fga fggrievance?: fgA fgdispute fgof
fgthe fgap- fgpeal fgof fgan fgorganization fgdetermination, fgcoverage fgdetermination fgor fga
fgLate fgEnrollment fgPenalty fg(LEP) fgdetermination.
11. Centene fgrequires fgall fgcontracted fgagents fgto fgread, fgunderstand, fgand
fgagree fgto fgCentene's fgBusiness fgEthics fgand fgCode fgof fgConduct fgPolicy.:
fgTrue
12. To fgensure fgaccurate fgdata fgentry, fgyou fgshould fgrepeat fgthe fgMedicare fgID
fgback fgto fgthe fgbeneficiary. fgSelect fgOne: fgTrue
1 fg/
fg4
