2024 wellcare mastery exam questions perfectly solved

2024 fgWellcare fgMastery
fgExam

Study fgonline fgatfgcan fgaccess fgthe fgfollowing fgresources fgunder fgthe
1. Brokers/Agents
fghttps://quizlet.com/_boeaqf
fgShared fgRe- fgsources fgsection fgin fgCentene fgWorkbench.

a.Training fgResources
fgb.Commission

fgResources fgc.Marketing

fgResources fgd.All fgof

fgthese: fgd.All fgof fgThese

2. Although fgoptions fgfor fgcapturing fgand fgsubmitting fgSOAs fgvary fgby fghealth
fgplan, fgWellcare fgaccepts fgSOAs fgin fgwhich fgof fgthe fgfollowing fgmethods?

a. Ascend
fgb.Telephoni

c fgc.Paper
d.All fgof fgthese: fgd.All fgof fgThese
3. Marketing fgbenefits fgin fga fgservice fgarea fgwhere fgthose fgbenefits fgare fgnot
fgavailable fgis fgprohibited fgand fgconsidered fgmisleading fgunless fgthat fgis

fgunavoidable fgbecause fgof fglocal/regional fgor fgmedia fguse.

True
f g False:

fgTrue

4. Which fgelements fgare fgavailable fgas fgpart fgof fgWellcare's fgSales fgSupport
fgmodel? fga.Online

b.Local
fgc.Corporate

d.All fgof fgthese: fgd. fgAll fgof fgthese
5. A fggrievance fgrequest, fgor fgany fgevidence fgconcerning fga fggrievance, fgmust fgbe
fgfiled fgorally fgor fgin fgwriting fgno fglater fgthan fg f g f g f g f g calendar fgdays fgfrom

fgthe fgdate fgof fgthe fgevent fgor fgthe fgdate fgthe fgmember fgis fgmade fgaware fgof fgthe

fgissue.

a.30
fgb.4

5
fgc.6

0
d.90: fgc. fg60
6. Brokers/Agents fgmay fgbe fginvestigated fgafter fgbeing fgsuspected fgof
fgnoncompliant fgactivity fgreported fgthrough fga:

(Select fgall fgthat fgapply.)
a. Complaint fgTracking fgModule
fg(CTM) fgb.Yelp fgReview

c.Grievance
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fg23

, 2024 fgWellcare fgMastery
fgExam

d.Secret fgShop
Study fgFinding:
fgonline fgat fga.Complaint fgTracking fgModule fg(CTM)
https://quizlet.com/_boeaqf
fgc.Grievance
fg

d.Secret fgShop fgFinding




2 fg/
fg23

, 2024 fgWellcare fgMastery
fgExam

Study fgonline fgatfgcan fgsubmit fga fgsupport fgticket fgonline fgthrough fgtheir
7. Brokers/Agents
fghttps://quizlet.com/_boeaqf
fgCentene fgWorkbench fgportal.

True
f g False:

fgTrue

8. When fgan fgenrollment fgapplication fgis fgcompleted fgin fgAscend,
fgbrokers/agents fgcan fgcomplete fga fgHealth fgRisk fgAssessment fg(HRA)

fgdirectly fgin fgAscend fgafter fgthe fgenrollment fgapplication, fgthrough fgthe

fgValue-Based fgEnrollment fg(VBE) fgportal. fgTrue

False: fgTrue
9. Which fgof fgthe fgfollowing fgis fgnot fgan fgexample fgof fgProtected fgHealth
fgInformation fg(PHI)?

a. Medical fgrecords
b. Payment fghistory
c. Library fgcard: fgc. fgLibrary fgcard
10. A fgHealth fgRisk fgAssessment fg(HRA):
a. Provides fgphysicians fgwith fgan fgoverview fgof fga fgmember's fghealth fgstatus.
b. Helps fgus fgunderstand fgthe fgunique fghealth fgsituation fgof fgeach fgof fgour
fgmembers fgand fgallows fgus fgto fgmake fgsure fgthey fgreceive fgthe fgservices fgthat

fgmeet fgtheir fgneeds. fgc.Is fgan fgimportant fgpart fgof fgour fgquality fginitiative,

fgdirectly fgimpacting fgour fgStar fgRatings.

d.All fgof fgthese: fgd. fgAll fgof fgthese
11. The fgonline fgCentene fgWorkbench fgself-service fgportal fgenables fgyou fgto:
a. Upload fgapplications
b. Use fgthe fgself-service fgworkflows fgand fgticketing fgsystem
c. Locate fgvaluable fgdocuments fgand fgresources
d. All fgof fgthese: fgd. fgAll fgof fgthese
12. Communication fgof fgPHI fgcan fgbe:
(Select fgall fgthat
fgapply.) fga.Written

f g b.Electronic

c.Verbal: fga.Written
fgb.Electronic

fgc.Verbal

13. You fgcan fghelp fgprevent fggrievances fgby:
(Select fgall fgthat fgapply.)
a. Always fgconfirming fgavailability fgof fgthe fgbeneficiary's fgprimary fgand
fgspecialist fgproviders fgby fgusing fgthe fgprovider fgsearch fgtool fgavailable fgon

fgthe fgplan's fgwebsite.


3 fg/
fg23