2024 wellcare mastery exam

2025 Wellcare Mastery Exam
b b b




1. Brokers/Agents can access the following resources under the SharedR b b b b b b b b b


esources section in Centene Workbench. b b b b


a.Training Resources b.Co b b


mmission Resources c.Mar b b


keting Resources d.All of th
b b b b


ese: d.All of These
b b b


2. Although options for capturing and submitting SOAs vary by health plan,
b b b b b b b b b b b


Wellcare accepts SOAs in which of the following methods?
b b b b b b b b


a.Ascend b.T b


elephonicc.P b


aper
d.All of these: d.All of These
b b b b b


3. Marketing benefits in a service area where those benefits are nota
b b b b b b b b b b b


vailable is prohibited and considered misleading unless that is un
b b b b b b b b b


avoidable because of local/regional or media use. b b b b b b


True False
b


: True
b


4. Which elements are available as part of Wellcare's Sales Support model?a.
b b b b b b b b b b b


Online
b.Local c.Cor b


porate
d.All of these: d. All of these
b b b b b b


5. A grievance request, or any evidence concerning a grievance, must be fil
b b b b b b b b b b b


ed orally or in writing no later than
b b b b b b b


calendar days from the dateof the event or the date the member is made a
b b b b b b b b b b b b b b b


ware of the issue. b b b


a.30
b.45
bc.6
0
d.90: c. 60 b b


6. Brokers/Agents may be investigated after being suspected ofn b b b b b b b b


oncompliant activity reported through a: b b b b


(Select all that apply.)
b b b


a.Complaint Tracking Module (CTM) b b b

1b/b14

, 2025 Wellcare Mastery Exam b b b




b.Yelp Review b b


c.Grievance
d.Secret Shop Finding: a.Complaint Tracking Module
(CTM)c.Grievance b


d.Secret Shop Finding b b


7. Brokers/Agents can submit a support ticket online through their Centene b b b b b b b b b b


Workbench portal. b


True False b


: True b


8. When an enrollment application is completed in Ascend, brokers/agentsc
b b b b b b b b b


an complete a Health Risk Assessment (HRA) directly in Ascend after the
b b b b b b b b b b b b


enrollment application, through the Value- b b b b


Based Enrollment (VBE) portal. True b b b b


False: True b


9. Which of the following is not an example of Protected Health Information(P
b b b b b b b b b b b b


HI)?
a.Medical records b b


b.Payment history b


c.Library card: c. Library card b b b b


10. A Health Risk Assessment (HRA): b b b b


a.Provides physicians with an overview of a member's health status. b.Helps
b b b b b b b b b b b


us understand the unique health situation of each of our members and allow
b b b b b b b b b b b b


s us to make sure they receive the services that meet their needs.c.Is an impo
b b b b b b b b b b b b b b b


rtant part of our quality initiative, directly impacting our Star Ratings.
b b b b b b b b b b


d.All of these: d. All of these b b b b b b


11. The online Centene Workbench self- b b b b


service portal enables you to:a.Upload applications b b b b b b


b.Use the self- b b


service workflows and ticketing systemc.Locate valua
b b b b b b


ble documents and resources
b b b


d.All of these: d. All of these b b b b b b


12. Communication of PHI can be: (Select all that apply.)a b b b b b b b b b


.Written

2b/b14