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Wellcare ACT Centene Exam
Questions and Answers (Verified Answers)
1.A grievance request, or any evidence concerning a grievance, must befiled orally or in writing no later than calendar days from the date of theevent or the date the member is made aware of the issue.
ANS 60
2.When completing an application, you should ensure that you enter the
provider ID of a specialist and not a Primary Care Physician (PCP).
ANS False
3.Which of the following statements about completing telephonicenrollments is FALSE?
ANS Must include most of the required elements necessary to completethe enrollment
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4.A passing score of or higher must be achieved to successfully completethis course
ANS 85%
5.To ensure accurate data entry, you should repeat the Medicare ID back
to the beneficiary.
ANS True
6.Steps to take when safeguarding and securing PHI and PII include
ANS All of the Above
7.An agent may be terminated for cause if they fail to comply with a compliance investigation, encourage others to avoid the compliance
interview process, or fail to provide truthful or complete information
ANS True
8.For 2022, will no longer be a preferred pharmacy
ANS Walmart