Wellcare medicare Study guides, Class notes & Summaries

By selecting the correct provider during the enrollment process, you can: - ANSWER All of the above A grievance request, or any evidence concerning a grievance, must be fi led 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. - ANSWER 60 The Single Sign-On Portal provides access to several applications, including Centene Workbench. - ANSWER True Failure to inform a beneficiary that a trusted provider is o...

WellCare finalWhat must brokers/agents complete every year? - correct answer WellCare Contract Recertification case in Centene Workbench (CWB) True or False: Enrollments through Ascend offer unique benefits. - correct answer True What are the unique benefits of enrollments through Ascend? - correct answer Validation of important data and digital capture of electronic signatures True or False: When completing an enrollment, you should use the correct enrollment application for the desire...

Wellcare Exam (2024) || Complete Questions and Solutions (Rated A+) Wellcare Exam (2024) || Complete Questions and Solutions (Rated A+) Business Required Document (BRD) - ANSWER - written by business analyst (BA); created when new CMS regs come out, DTRR comes to us daily, read and apply Functional Specific Document (FSD) - ANSWER - detailed doc w/tables, names of files. etc. Accumulation Files - ANSWER - DSNP are excluded, MOOP accums sent daily to PBM, 9M layout format; outbound is a...

Wellcare ACT Mastery Exam 2023/2024 with Complete Solutions Centene requires all contracted brokers/agents to read, understand, and agree to Centene's Business Ethics and Code of Conduct Policy. True False True Which of the following actions are you required to do when contacted regarding an allegation of noncompliant activity? a. Speak with the investigator as quickly as possible. b. Answer all questions honestly and completely. c. Offer information and documents important to the inve...

Low-Income Subsidy (LIS), which is often referred to as Extra Help, reduces all Part D plan premiums. - False Which is an example of a top beneficiary complaint that affects Star Ratings? - The beneficiary did not understand that enrolling in a Wellcare plan would change their current Medicare Advantage plan. Providers may create co-branded marketing pieces using the Wellcare name and logo, as long as they are using the current, approved logo. - False An agent who has never had any verb...

Wellcare ACT Mastery Exam-Teleagent with Complete Questions and Answers 100% Correct Wellcare ACT Mastery Exam-Teleagent with Complete Questions and Answers 100% Correct Wellcare ACT Mastery Exam-Teleagent with Complete Questions and Answers 100% Correctdeductible - ANSWER-Amount you must pay before you begin receiving any benefits from your insurance company Medicare - ANSWER-A national health insurance program in the United States, begun in 1965 under the Social Security Administration and now...

TERM Selection and Enrollment DEFINITION Members use ratings systems to help them choose a plan or decide whether to stay with our plans. LOCATION Image: Selection and Enrollment TERM Reputation DEFINITION Wellcare strives to be an industry-leading organization that is attractive & valuable to our members and to our providers & government partners. LOCATION Image: Reputation TERM Member Service DEFINITION Our first priority is to provide our members with excellent care and...

At the end of this course, there will be a Mastery Exam. Agents must achieve a passing score of 85% or higher to successfully complete this course. - correct answer T Which of the following statements about completing telephonic enrollments is FALSE? - correct answer Must include most of the required elements necessary to complete the enrollment. Which of the following is not considered a grievance? - correct answer A dispute of the appeal of an organization determination, coverage determi...

When completing an application, you should ensure that you enter the provider ID of a specialist and not a Primary Care Physician (PCP). - False Noting the correct enrollment period on enrollment applications helps in preventing delayed enrollment processing. - True Wellcare has streamlined standalone PDP offerings from six plans to a. two plans b. one plan c. three plans d. four plans in all 34 regions across all 50 states and D.C. - c All Wellcare standalone PDP plans will have a $0 ...

Centene Wellcare 2024 Exam || All Questions & Solutions (100% Correct) Centene Wellcare 2024 Exam || All Questions & Solutions (100% Correct) A Health Risk Assessment (HRA) - ANSWER - All of the above Failure to inform a beneficiary that a trusted provider is out-of-network or is not available in the newly selected plan can cause a sales allegation. - ANSWER - True Health plan fax numbers vary for health plans that offer fax enrollment submissions. - ANSWER - True Centene requires a...