2024 WELLCARE MASTERY TEST ACTUAL EXAM 80 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) |AGRADE

2024 WELLCARE MASTERY TEST ACTUAL EXAM 80

QUESTIONS AND CORRECT DETAILED ANSWERS WITH

RATIONALES (VERIFIED ANSWERS) |AGRADE

The online Centene Workbench self-service portal enables you to:

a.Upload applications

b.Use the self-service workflows and ticketing system

c.Locate valuable documents and resources

d.All of these

d. All of these

Communication of PHI can be:

(Select all that apply.)

a.Written

b.Electronic

c.Verbal

a.Written

b.Electronic

c.Verbal

You can help prevent grievances by:

(Select all that apply.)

a.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.

a.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.

When a paper SOA form is used, it must be completed __________ hosting the

sales presentation.

a.48 Hours prior to

b.During

c.After

a.48 Hours prior to

Any request or distribution of PHI should contain only the minimum amount of

PHI required to complete the intended task.

True

False

True

When discussing prescription drug coverage, you should:

(Select all that apply.)

a.Explain how to use the formulary to look up limitations and exclusions (e.g., step

therapy, quantity limits).

b.Confirm coverage of the beneficiary's current and/or anticipated prescriptions.

c.Explain formulary tiers as well as drug copayment amounts.

d.For drugs that are not covered by the new plan, explain the Transition Fill

program and how to request a coverage exception.

a.Explain how to use the formulary to look up limitations and exclusions (e.g., step

therapy, quantity limits).

b.Confirm coverage of the beneficiary's current and/or anticipated prescriptions.

c.Explain formulary tiers as well as drug copayment amounts.

d.For drugs that are not covered by the new plan, explain the Transition Fill

program and how to request a coverage exception.

Which option is the preferred method to submit enrollment?

a.Centene Workbench Upload