Centene

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Exam (elaborations)

Centene ACT ME Review Questions and Answers
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September 2023

2023/2024

A+
True or False: The four stages of coverage are NOT the same for PDP and MAPD. - ANSWER-False True or False: PII stands for Personally Identifiable Information and includes any information that permits the identity of an individual to be inferred, including information linked or linkable to the individual. - ANSWER-True True or False: When enrolling a beneficiary, you should ensure that you enter the provider ID of a specialist and not a primary care physician (PCP). - ANSWER-False True...
IMORA
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Exam (elaborations)

Centene ACT Mastery Exam 2023-2024 Questions & Answers 100% Correct
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September 2023

2023/2024

A+
Beneficiaries who are first eligible for Medicare have a seven-month Initial Enrollment Period to enroll in a Medicare Advantage Plan. If eligible for Medicare, beneficiaries can sign up during the seven-month period that: A. Begins three months before the month in which the member turns 65. B. Includes the month in which the member turns 65. C. Ends three months after the month in which the member turns 65. - ANSWER-D. All the above Per CMS, all telephonic enrollment must be completed on ...
IMORA
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Exam (elaborations)

Centene ACT ME Review Questions and Answers with Complete Solutions
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April 2024

2023/2024

A+
Centene ACT ME Review Questions and Answers with Complete Solutions Agents may be investigated after being suspected of noncompliant activity reported through a Complaint Tracking Module (CTM), grievance, secret shop finding, internal audit or reporting. True Which of the following health plans are now available through Centene Corporation? Select the best answer. Health Net, Fidelis Care, Allwell, Ascension Complete, WellCare True or False: The four stages of coverage are NOT the same fo...
LectBenFranklin
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Exam (elaborations)

Centene Cert Review 2023-2024 Questions& Answers Correct 100%
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September 2023

2023/2024

A+
Which of the following statements about completing telephonic enrollments is FALSE? - ANSWER-Must include most of the required elements necessary to complete the enrollment. Communication of PHI can be: (Select all that apply.) - ANSWER-a. Written b. Electronic c. Verbal Verbal permission granted to discuss plan details qualifies an authorized representative to complete an application on behalf of the beneficiary. - ANSWER-FALSE You can help prevent grievances by: (Select all tha...
IMORA
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Exam (elaborations)

centene wellcare midterm Questions And Answers 100% correct Verified
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January 2024

2023/2024

A+
Is Medicare state or federal?Federal if a person calls and request pcp change between the 1st and 10th of the month when can the pcp change go into effectfirst of that month who is responsible for medicarecms incomm/medagate is the vendor for which benefitsotc debit card what is the time frame for grievances30 calendar days what regulation/act protects patient's medical records and other health information?hipaa who places member's otc orders?cvs otchs in situations where a member thr...
TUTOREDDY
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Exam (elaborations)

Centene Wellcare 2025 Exam || All Questions & Solutions (100% Correct)
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May 2025

2024/2025

A+
When a paper SOA form is used, it must be completed __________ hosting the sales presentation. - ANSWER - Prior to Although options for capturing and submitting SOAs vary by health plan, Wellcare accepts SOAs in which of the following methods? - ANSWER - All of the above A Health Risk Assessment (HRA) can be completed for C-SNP and D-SNP plans only, before the enrollment application process in Ascend through the Value Based Enrollment (VBE) portal. - ANSWER - False Key areas you as a br...
bretmax
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Exam (elaborations)

2021 Centene ACT Mastery Exam Questions with Correct Answers Document Content and Description Below
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April 2023

2022/2023

A+
2021 Centene ACT Mastery Exam Questions with Correct Answers Document Content and Description Below 2021 Centene ACT Mastery Exam Questions with Correct Answers In 2021, Centene is offering which of the the following types of Medicare Advantage Prescription Drug (MAPD) products? A. HMO and HMO/PO S B. DSNP and CSNP C. PPO D. PFFS -Answer- E. All of the above Beneficiaries who are first eligible for Medicare have a seven-month Initial Enrollment Period to enroll in a Medicare Advantage Plan. If...
Savior
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Exam (elaborations)

Centene Midterm 50 questions | with 100% Correct Answers
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February 2023

2022/2023

A+
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 meet with a Broker in person Mail in the Optional Benefits Individual En...
Tulloch
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Package deal

WELLCARE EXAM BUNDLE QUESTIONS AND ANSWERS 100% ACCURATE
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15

September 2023
WELLCARE EXAM BUNDLE QUESTIONS AND ANSWERS 100% ACCURATEWELLCARE EXAM BUNDLE QUESTIONS AND ANSWERS 100% ACCURATEWELLCARE EXAM BUNDLE QUESTIONS AND ANSWERS 100% ACCURATEWELLCARE EXAM BUNDLE QUESTIONS AND ANSWERS 100% ACCURATEWELLCARE EXAM BUNDLE QUESTIONS AND ANSWERS 100% ACCURATEWELLCARE EXAM BUNDLE QUESTIONS AND ANSWERS 100% ACCURATEWELLCARE EXAM
nursingismylife
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