Wellcare 2023 Exam Latest Update Q & A!!
Brokers/Agents may be investigated after being suspected of noncompliant
activity reported through a:
Complaint Tracking Module (CTM)
Grievance
Secret Shop Finding
Enrollments through Ascend offer the following unique benefits:
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?
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.
True
Centene requires all contracted brokers/agents to read, understand, and agree to
Centene's Business Ethics and Code of Conduct Policy.
True
From October 1st to October 14th, which activity is not permissible by
brokers/agents?
Assist with completing and collecting completed applications.
Health Risk Assessment
All of the above
When a paper SOA form is used, it must be completed __________ hosting the
sales presentation.
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.
True
You can help prevent grievances by:
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.
True
Brokers/Agents may be investigated after being suspected of noncompliant
activity reported through a:
Complaint Tracking Module (CTM)
Grievance
Secret Shop Finding
Enrollments through Ascend offer the following unique benefits:
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?
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.
True
Centene requires all contracted brokers/agents to read, understand, and agree to
Centene's Business Ethics and Code of Conduct Policy.
True
From October 1st to October 14th, which activity is not permissible by
brokers/agents?
Assist with completing and collecting completed applications.
Health Risk Assessment
All of the above
When a paper SOA form is used, it must be completed __________ hosting the
sales presentation.
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.
True
You can help prevent grievances by:
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.
True
