2025 WELLCARE ACT MASTERY EXAM| BRAND NEW ACTUAL EXAM WITH 100% VERIFIED QUESTIONS AND CORRECT SOLUTIONS| GUARANTEED VALUE PACK| ACE YOUR GRADES.

2025 WELLCARE ACT MASTERY EXAM| BRAND NEW ACTUAL EXAM WITH 100% VERIFIED QUESTIONS AND CORRECT SOLUTIONS| GUARANTEED VALUE PACK| ACE YOUR GRADES. 1. Brokers/Agents can access the following resources under the Shared Resources section in Centene Workbench. a. Training Resources b. Commission Resources c. Marketing Resources d. All of these - CORRECT ANS d.All of These 2. Although options for capturing and submitting SOAs vary by health plan, Wellcare accepts SOAs in which of the following methods? a. Ascend b. Telephonic c. Paper d. All of these - CORRECT ANS d.All of These 3. Marketing benefits in a service area where those benefits are not available is prohibited and considered misleading unless that is unavoidable because of local/regional or media use. • True • False - CORRECT ANS True 4. Which elements are available as part of Wellcare's Sales Support model? a. Onlin b. Loca c. Corporate d. All of these - CORRECT ANS d. All of these 5. 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 - CORRECT ANS c. 60 6. Brokers/Agents may be investigated after being suspected of noncompliant activity reported through a: (Select all that apply.) a. Complaint Tracking Module (CTM) b. Yelp Review c. Grievance d. Secret Shop Finding - CORRECT ANS a.Complaint Tracking Module (CTM) c.Grievance d.Secret Shop Finding 7. Brokers/Agents can submit a support ticket online through their Centene Workbench portal. • True • False - CORRECT ANS True 8. When an enrollment application is completed in Ascend, brokers/agents can complete a Health Risk Assessment (HRA) directly in Ascend after the enrollment application, through the Value-Based Enrollment (VBE) portal. • True • False - CORRECT ANS True 9. Which of the following is not an example of Protected Health Information (PHI)? a. Medical records b. Payment history c. Library card - CORRECT ANS c. Library card 10. A Health Risk Assessment (HRA): a. Provides physicians with an overview of a member's health status. b. Helps us understand the unique health situation of each of our members and allows us to make sure they receive the services that meet their needs. c. Is an important part of our quality initiative, directly impacting our Star Ratings. d. All of these - CORRECT ANS d. All of these 11. The online Centene Workbench self-service portal enables you to: a. Upload applications b. Use the self-service workflows and ticketing system c. Locate valuable documents and resources d. All of these - CORRECT ANS d. All of these 12. Communication of PHI can be: (Select all that apply.) a. Written b. Electronic c. Verbal - CORRECT ANS a.Written b.Electronic c.Verbal 13. You can help prevent grievances by: (Select all that apply.) a. Always confirming availability of the beneficiary's primary and specialist providers by using the provider search tool available on the plan's website. b. Always using plan materials to clearly explain plan benefits and cost (including medications) and check for understanding. c. Always confirming a beneficiary's intent to enroll before accepting their enrollment application.