Centene Cert Review 2025
1. Wellcare offers a range All of the above
of Medicare plans to pro-
vide members with af-
fordable access to:
2. Which of the following Must include most of the required elements nec-
statements about com- essary to complete the enrollment.
pleting telephonic en-
rollments is FALSE?
3. Communication of PHI a.
can be: Written
(Select all that apply.) b.
Electronic
c.
Verbal
4. Verbal permission grant- FALSE
ed to discuss plan de-
tails qualifies an autho-
rized representative to
complete an application
on behalf of the benefi-
ciary.
5. You can help prevent a.
grievances by: Always confirming availability of the beneficia-
(Select all that apply.) ry's primary and specialist providers by using the
provider search tool available on the plan's web-
site.
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.
6.
1/6
, Centene Cert Review 2025
What are some exam- a.
ples of steps that can be Shred documents that contain PHI or PII using
taken when safeguard- appropriate means.
ing and securing PHI b.
and PII? Never leave laptops, PHI, or PII in an unattended
(Select all that apply.) vehicle.
c.
Do not include PHI or PII in the subject line or body
of an email.
d.
Secure emails that contain PHI or PII.
7. Centene requires all TRUE
contracted agents to
read, understand, and
agree to Centene's Busi-
ness Ethics and Code of
Conduct Policy.
8. Once the enrollment is FALSE
completed, you can save
a copy of the application
for your reference.
9. A grievance request, or 60
any evidence concern-
ing a grievance, must be
filed orally or in writ-
ing no later than
calendar days from the
date of the event or
the date the member is
made aware of the issue.
10. Failure to inform a ben- TRUE
eficiary that a trusted
provider is out-of-net-
work or is not available
in the newly selected
2/6
1. Wellcare offers a range All of the above
of Medicare plans to pro-
vide members with af-
fordable access to:
2. Which of the following Must include most of the required elements nec-
statements about com- essary to complete the enrollment.
pleting telephonic en-
rollments is FALSE?
3. Communication of PHI a.
can be: Written
(Select all that apply.) b.
Electronic
c.
Verbal
4. Verbal permission grant- FALSE
ed to discuss plan de-
tails qualifies an autho-
rized representative to
complete an application
on behalf of the benefi-
ciary.
5. You can help prevent a.
grievances by: Always confirming availability of the beneficia-
(Select all that apply.) ry's primary and specialist providers by using the
provider search tool available on the plan's web-
site.
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.
6.
1/6
, Centene Cert Review 2025
What are some exam- a.
ples of steps that can be Shred documents that contain PHI or PII using
taken when safeguard- appropriate means.
ing and securing PHI b.
and PII? Never leave laptops, PHI, or PII in an unattended
(Select all that apply.) vehicle.
c.
Do not include PHI or PII in the subject line or body
of an email.
d.
Secure emails that contain PHI or PII.
7. Centene requires all TRUE
contracted agents to
read, understand, and
agree to Centene's Busi-
ness Ethics and Code of
Conduct Policy.
8. Once the enrollment is FALSE
completed, you can save
a copy of the application
for your reference.
9. A grievance request, or 60
any evidence concern-
ing a grievance, must be
filed orally or in writ-
ing no later than
calendar days from the
date of the event or
the date the member is
made aware of the issue.
10. Failure to inform a ben- TRUE
eficiary that a trusted
provider is out-of-net-
work or is not available
in the newly selected
2/6
