2024 Wellcare Mastery Exam Question
and Answers
Brokers/Agents can access the following resources under the Shared Resources
section in Centene Workbench.
a.Training Resources
b.Commission Resources
c.Marketing Resources
d.All of these
d.All of These
Although options for capturing and submitting SOAs vary by health plan, Wellcare
accepts SOAs in which of the following methods?
a.Ascend
b.Telephonic
c.Paper
d.All of these
d.All of These
Brainpower
Read More
Marketing benefits in a service area where those benefits are not available is
prohibited and considered misleading unless that is unavoidable because of
local/regional or media use.
True
False
True
Which elements are available as part of Wellcare's Sales Support model?
a.Online
b.Local
c.Corporate
d.All of these
d. All of these
A grievance request, or any evidence concerning a grievance, must be filed 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.
a.30
b.45
c.60
d.90
c. 60
Brokers/Agents may be investigated after being suspected of noncompliant activity
reported through a:
(Select all that apply.)
a.Complaint Tracking Module (CTM)
b.Yelp Review
, c.Grievance
d.Secret Shop Finding
a.Complaint Tracking Module (CTM)
c.Grievance
d.Secret Shop Finding
Brokers/Agents can submit a support ticket online through their Centene Workbench
portal.
True
False
True
When an enrollment application is completed in Ascend, brokers/agents can
complete a Health Risk Assessment (HRA) directly in Ascend after the enrollment
application, through the Value-Based Enrollment (VBE) portal.
True
False
True
Which of the following is not an example of Protected Health Information (PHI)?
a.Medical records
b.Payment history
c.Library card
c. Library card
A Health Risk Assessment (HRA):
a.Provides physicians with an overview of a member's health status.
b.Helps us understand the unique health situation of each of our members and
allows us to make sure they receive the services that meet their needs.
c.Is an important part of our quality initiative, directly impacting our Star Ratings.
d.All of these
d. All of these
The online Centene Workbench self-service portal enables you to:
a.Upload applications
b.Use the self-service workflows and ticketing system
c.Locate valuable documents and resources
d.All of these
d. All of these
Communication of PHI can be:
(Select all that apply.)
a.Written
b.Electronic
c.Verbal
a.Written
b.Electronic
c.Verbal
You can help prevent grievances by:
(Select all that apply.)
a.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.
and Answers
Brokers/Agents can access the following resources under the Shared Resources
section in Centene Workbench.
a.Training Resources
b.Commission Resources
c.Marketing Resources
d.All of these
d.All of These
Although options for capturing and submitting SOAs vary by health plan, Wellcare
accepts SOAs in which of the following methods?
a.Ascend
b.Telephonic
c.Paper
d.All of these
d.All of These
Brainpower
Read More
Marketing benefits in a service area where those benefits are not available is
prohibited and considered misleading unless that is unavoidable because of
local/regional or media use.
True
False
True
Which elements are available as part of Wellcare's Sales Support model?
a.Online
b.Local
c.Corporate
d.All of these
d. All of these
A grievance request, or any evidence concerning a grievance, must be filed 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.
a.30
b.45
c.60
d.90
c. 60
Brokers/Agents may be investigated after being suspected of noncompliant activity
reported through a:
(Select all that apply.)
a.Complaint Tracking Module (CTM)
b.Yelp Review
, c.Grievance
d.Secret Shop Finding
a.Complaint Tracking Module (CTM)
c.Grievance
d.Secret Shop Finding
Brokers/Agents can submit a support ticket online through their Centene Workbench
portal.
True
False
True
When an enrollment application is completed in Ascend, brokers/agents can
complete a Health Risk Assessment (HRA) directly in Ascend after the enrollment
application, through the Value-Based Enrollment (VBE) portal.
True
False
True
Which of the following is not an example of Protected Health Information (PHI)?
a.Medical records
b.Payment history
c.Library card
c. Library card
A Health Risk Assessment (HRA):
a.Provides physicians with an overview of a member's health status.
b.Helps us understand the unique health situation of each of our members and
allows us to make sure they receive the services that meet their needs.
c.Is an important part of our quality initiative, directly impacting our Star Ratings.
d.All of these
d. All of these
The online Centene Workbench self-service portal enables you to:
a.Upload applications
b.Use the self-service workflows and ticketing system
c.Locate valuable documents and resources
d.All of these
d. All of these
Communication of PHI can be:
(Select all that apply.)
a.Written
b.Electronic
c.Verbal
a.Written
b.Electronic
c.Verbal
You can help prevent grievances by:
(Select all that apply.)
a.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.
