Centene
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Centene 65
Latest content Centene
Centene Final Midterm Exam Questions With Complete Solutions Graded A+ 
 
How many HIPAA items must be verified when speaking with a prospective member? 
0 
Where can you locate rejected Pharmacy Claims if they are not displaying in Omni? 
CVS/COS 
You can use the following systems to verify member eligibility, except? 
Portico 
If a member calls to update their address and it has not been updated in MARx, we should? 
Submit the address change request and direct the member to contact the SSA to ...
- Exam (elaborations)
- • 2 pages's •
-
Centene•Centene
Centene Midterm 50 questions with complete solutions already passed!! 
 
How long can member be out of their area without being disenrolled? 
Over 6 months 
1 year 
Less than 6 months 
8 months 
Less than 6 months 
Who is the Medicare Part B monthly premium paid to? 
CMS 
The member 
Private insurance company 
CMS 
How does a member request to sign up for an Optional Supplemental Benefits package? 
Call and speak with the Sales Department 
Online through the Member Service Portal 
Request to mee...
- Exam (elaborations)
- • 8 pages's •
-
Centene•Centene
Centene Final Midterm Exam Questions With Complete Solutions Graded A+ 
 
How many HIPAA items must be verified when speaking with a prospective member? 
0 
Where can you locate rejected Pharmacy Claims if they are not displaying in Omni? 
CVS/COS 
You can use the following systems to verify member eligibility, except? 
Portico 
If a member calls to update their address and it has not been updated in MARx, we should? 
Submit the address change request and direct the member to contact the SSA to ...
- Exam (elaborations)
- • 2 pages's •
-
Centene•Centene
Centene Midterm 50 questions with complete solutions already passed!! 
 
How long can member be out of their area without being disenrolled? 
Over 6 months 
1 year 
Less than 6 months 
8 months 
Less than 6 months 
Who is the Medicare Part B monthly premium paid to? 
CMS 
The member 
Private insurance company 
CMS 
How does a member request to sign up for an Optional Supplemental Benefits package? 
Call and speak with the Sales Department 
Online through the Member Service Portal 
Request to mee...
- Exam (elaborations)
- • 8 pages's •
-
Centene•Centene
Centene Final Midterm Exam Questions With Complete Solutions Graded A+ 
 
How many HIPAA items must be verified when speaking with a prospective member? 
0 
Where can you locate rejected Pharmacy Claims if they are not displaying in Omni? 
CVS/COS 
You can use the following systems to verify member eligibility, except? 
Portico 
If a member calls to update their address and it has not been updated in MARx, we should? 
Submit the address change request and direct the member to contact the SSA to ...
- Exam (elaborations)
- • 2 pages's •
-
Centene•Centene
Centene Midterm 50 questions with complete solutions already passed!! 
 
How long can member be out of their area without being disenrolled? 
Over 6 months 
1 year 
Less than 6 months 
8 months 
Less than 6 months 
Who is the Medicare Part B monthly premium paid to? 
CMS 
The member 
Private insurance company 
CMS 
How does a member request to sign up for an Optional Supplemental Benefits package? 
Call and speak with the Sales Department 
Online through the Member Service Portal 
Request to mee...
- Exam (elaborations)
- • 8 pages's •
-
Centene•Centene
2023 Centene Cert Review questions and answers rated 100% correct!! 
 
Wellcare offers a range of Medicare plans to provide members with affordable access to: 
All of the above 
Which of the following statements about completing telephonic enrollments is FALSE? 
Must include most of the required elements necessary to complete the enrollment. 
Communication of PHI can be: 
(Select all that apply.) 
a. 
Written 
b. 
Electronic 
c. 
Verbal 
Verbal permission granted
- Exam (elaborations)
- • 3 pages's •
-
Centene•Centene
Centene Final Midterm Exam Questions With Complete Solutions Graded A+ 
 
How many HIPAA items must be verified when speaking with a prospective member? 
0 
Where can you locate rejected Pharmacy Claims if they are not displaying in Omni? 
CVS/COS 
You can use the following systems to verify member eligibility, except? 
Portico 
If a member calls to update their address and it has not been updated in MARx, we should? 
Submit the address change request and direct the member to contact the SSA to ...
- Exam (elaborations)
- • 2 pages's •
-
Centene•Centene
Centene Midterm 50 questions with complete solutions already passed!! 
 
How long can member be out of their area without being disenrolled? 
Over 6 months 
1 year 
Less than 6 months 
8 months 
Less than 6 months 
Who is the Medicare Part B monthly premium paid to? 
CMS 
The member 
Private insurance company 
CMS 
How does a member request to sign up for an Optional Supplemental Benefits package? 
Call and speak with the Sales Department 
Online through the Member Service Portal 
Request to mee...
- Exam (elaborations)
- • 8 pages's •
-
Centene•Centene
2023 Centene Cert Review questions and answers rated 100% correct!! 
 
Wellcare offers a range of Medicare plans to provide members with affordable access to: 
All of the above 
Which of the following statements about completing telephonic enrollments is FALSE? 
Must include most of the required elements necessary to complete the enrollment. 
Communication of PHI can be: 
(Select all that apply.) 
a. 
Written 
b. 
Electronic 
c. 
Verbal 
Verbal permission granted to discuss plan details qualifie...
- Exam (elaborations)
- • 3 pages's •
-
Centene•Centene
Centene- Medicare--Final Review Questions With Correct Answers Already Passed!! 
 
All calls that are from providers are immediately transferred to Provider Service after Properly documenting in Omni 
a)True 
b)False 
True 
What is the correct intent for scheduling transportation? 
a) Log View Statue 
b) Accumulator inquiry 
c) Issues 
d) Billing 
a) Log View Statue 
Opioid Treatment Program Services is part of Medicare Part C 
a)True 
b)False 
b)False 
You should offer cover determination - Tie...
- Exam (elaborations)
- • 6 pages's •
-
Centene•Centene