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Wellcare ACT Centene Certification Exam
Questions and Answers
1.Which of the following statements about completing telephonicenrollments is FALSE? ANS Must include most of the required elementsnecessary to complete the enrollment.
- Communication of PHI can be
(Select all that apply.) ANS a.
Writte
n b.
Electroni
c c.
Verbal
3.Verbal permission granted to discuss plan details qualifies an authorized
representative to complete an application on behalf of the beneficiary. ANS
FALSE - You can help prevent grievances by
(Select all that apply.) ANS a.
Always confirming availability of the beneficiary’s primary and
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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.
- What are some examples of steps that can be taken when safeguarding
and securing PHI and PII?
(Select all that apply.) ANS a.
Shred documents that contain PHI or PII using appropriate
means. b.
Never leave laptops, PHI, or PII in an unattended
vehicle. c.
Do not include PHI or PII in the subject line or body of
an email. d.
Secure emails that contain PHI or PII.
6.Centene requires all contracted agents to read, understand, and agree
to Centene’s Business Ethics and Code of Conduct Policy. ANS TRUE
7.Once the enrollment is completed, you can save a copy of the
application for your reference. ANS FALSE