2024 Wellcare Mastery Exam WITH VERIFIED ANSWERS

2024 Wellcare Mastery Exam WITH
VERIFIED ANSWERS




Brokers/Agents ican iaccess ithe ifollowing iresources iunder ithe iShared iResources isection iin
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iCentene iWorkbench.
kr kr




a.Training iResources kr




b.Commission iResources kr




c.Marketing iResources kr




d.All iof ithese i- icorrect iAnswers i✔✔ i-d.All iof iThese
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Although ioptions ifor icapturing iand isubmitting iSOAs ivary iby ihealth iplan, iWellcare iaccepts iSOAs
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iin iwhich iof ithe ifollowing imethods?
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a.Ascend

b.Telephonic

c.Paper

d.All iof ithese i- icorrect iAnswers i✔✔ i-d.All iof iThese
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Marketing ibenefits iin ia iservice iarea iwhere ithose ibenefits iare inot iavailable iis iprohibited iand
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iconsidered imisleading iunless ithat iis iunavoidable ibecause iof ilocal/regional ior imedia iuse.
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True

False i- icorrect iAnswers i✔✔ i-True
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Which ielements iare iavailable ias ipart iof iWellcare's iSales iSupport imodel?
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a.Online

,b.Local

c.Corporate

d.All iof ithese i- icorrect iAnswers i✔✔ i-d. iAll iof ithese
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A igrievance irequest, ior iany ievidence iconcerning ia igrievance, imust ibe ifiled iorally ior iin iwriting
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ino ilater ithan i_____ icalendar idays ifrom ithe idate iof ithe ievent ior ithe idate ithe imember iis
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imade iaware iof ithe iissue.
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a.30

b.45

c.60

d.90 i- icorrect iAnswers i✔✔ i-c. i60
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Brokers/Agents imay ibe iinvestigated iafter ibeing isuspected iof inoncompliant iactivity ireported
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ithrough ia:
kr kr




(Select iall ithat iapply.) kr kr kr




a.Complaint iTracking iModule i(CTM) kr kr kr




b.Yelp iReview kr




c.Grievance

d.Secret iShop iFinding i- icorrect iAnswers i✔✔ i-a.Complaint iTracking iModule i(CTM)
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c.Grievance

d.Secret iShop iFinding kr kr




Brokers/Agents ican isubmit ia isupport iticket ionline ithrough itheir iCentene iWorkbench iportal.
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True

False i- icorrect iAnswers i✔✔ i-True
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When ian ienrollment iapplication iis icompleted iin iAscend, ibrokers/agents ican icomplete ia iHealth
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iRisk iAssessment i(HRA) idirectly iin iAscend iafter ithe ienrollment iapplication, ithrough ithe iValue-
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Based iEnrollment i(VBE) iportal.
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True

False i- icorrect iAnswers i✔✔ i-True
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, Which iof ithe ifollowing iis inot ian iexample iof iProtected iHealth iInformation i(PHI)?
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a.Medical irecords kr




b.Payment ihistory kr




c.Library icard i- icorrect iAnswers i✔✔ i-c. iLibrary icard
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A iHealth iRisk iAssessment i(HRA):
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a.Provides iphysicians iwith ian ioverview iof ia imember's ihealth istatus.
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b.Helps ius iunderstand ithe iunique ihealth isituation iof ieach iof iour imembers iand iallows ius ito
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imake isure ithey ireceive ithe iservices ithat imeet itheir ineeds.
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c.Is ian iimportant ipart iof iour iquality iinitiative, idirectly iimpacting iour iStar iRatings.
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d.All iof ithese i- icorrect iAnswers i✔✔ i-d. iAll iof ithese
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The ionline iCentene iWorkbench iself-service iportal ienables iyou ito:
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a.Upload iapplications kr




b.Use ithe iself-service iworkflows iand iticketing isystem
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c.Locate ivaluable idocuments iand iresources
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d.All iof ithese i- icorrect iAnswers i✔✔ i-d. iAll iof ithese
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Communication iof iPHI ican ibe: kr kr kr kr




(Select iall ithat iapply.) kr kr kr




a.Written

b.Electronic

c.Verbal i- icorrect iAnswers i✔✔ i-a.Written
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b.Electronic

c.Verbal

You ican ihelp iprevent igrievances iby:
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(Select iall ithat iapply.) kr kr kr




a.Always iconfirming iavailability iof ithe ibeneficiary's iprimary iand ispecialist iproviders iby iusing ithe
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iprovider isearch itool iavailable ion ithe iplan's iwebsite.
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