Wellcare 2023 (100% solved!)

Brokers/Agents may be investigated after being suspected of noncompliant activity reported through a: correct answers Complaint Tracking Module (CTM) Grievance Secret Shop Finding Enrollments through Ascend offer the following unique benefits: correct answers Validation of important data to help prevent incorrect or missing information. Digital capture of the broker's/agent's and beneficiary's electronic signatures through Send for Signature at any time throughout the enrollment application. Which of the following statements about Scope of Appointment (SOA) is FALSE? correct answers An electronic SOA submitted in Ascend must be in a Pending status prior to beginning the appointment. During an appointment, you may not discuss any products not agreed to in advance by the beneficiary. correct answers True Centene requires all contracted brokers/agents to read, understand, and agree to Centene's Business Ethics and Code of Conduct Policy. correct answers True From October 1st to October 14th, which activity is not permissible by brokers/agents? correct answers Assist with completing and collecting completed applications. Health Risk Assessment correct answers All of the above When a paper SOA form is used, it must be completed __________ hosting the sales presentation. correct answers Prior to 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. correct answers True You can help prevent grievances by: correct answers 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. Prior to completing the enrollment form, you should always confirm the beneficiary's primary care physician (PCP) and/or specialists. correct answers True