Wellcare 2024
Noting the correct enrollment period on enrollment applications helps in preventing delayed enrollment
processing.
Select one:
True
False -answer-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 investigation.
d. All of the above -answer-All the above
By selecting the correct provider during the enrollment process, you can:
a. Increase member satisfaction.
b. Ensure timely access to the member's PCP.
c. Minimize call volumes/complaints.
d. All of the above -answer-All the above
Centene requires all contracted agents to read, understand, and agree to Centene's Business Ethics and
Code of Conduct Policy.
Select one:
True
False -answer-True
, Which of the following is not an example of Protected Health Information (PHI)?
a. Medical records
b. Payment history
c. Library card -answer-Library card
Communication of PHI can be:
(Select all that apply.)
a. Written
b. Electronic
c. Verbal -answer-Written, Electronic, Verbal
Medicare Star Ratings and performance are at the forefront of Wellcare's quality strategy. Wellcare's
quality focus consists of six drivers. Which of the following is not a Wellcare quality driver?
a. Member Service
b. Reputation
c. Member Payments
d. Serving Government Customers -answer-Member Payments
Verbal permission granted to discuss plan details qualifies an authorized representative to complete an
application on behalf of the beneficiary.
Select one:
True
False -answer-False
Agents may be investigated after being suspected of noncompliant activity reported through a:
Noting the correct enrollment period on enrollment applications helps in preventing delayed enrollment
processing.
Select one:
True
False -answer-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 investigation.
d. All of the above -answer-All the above
By selecting the correct provider during the enrollment process, you can:
a. Increase member satisfaction.
b. Ensure timely access to the member's PCP.
c. Minimize call volumes/complaints.
d. All of the above -answer-All the above
Centene requires all contracted agents to read, understand, and agree to Centene's Business Ethics and
Code of Conduct Policy.
Select one:
True
False -answer-True
, Which of the following is not an example of Protected Health Information (PHI)?
a. Medical records
b. Payment history
c. Library card -answer-Library card
Communication of PHI can be:
(Select all that apply.)
a. Written
b. Electronic
c. Verbal -answer-Written, Electronic, Verbal
Medicare Star Ratings and performance are at the forefront of Wellcare's quality strategy. Wellcare's
quality focus consists of six drivers. Which of the following is not a Wellcare quality driver?
a. Member Service
b. Reputation
c. Member Payments
d. Serving Government Customers -answer-Member Payments
Verbal permission granted to discuss plan details qualifies an authorized representative to complete an
application on behalf of the beneficiary.
Select one:
True
False -answer-False
Agents may be investigated after being suspected of noncompliant activity reported through a:
