You receive a questionnaire regarding a sales misrepresentation inquiry. The questionnaire regarding the complaint must be completed and returned promptly. When must you return your response? - ANSWER Within 48 hours
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You receive a questionnaire regarding a sales misrepresentation inquiry. The questionnaire regarding the complaint must be completed and returned promptly. When must you return your response? - ANSWER Within 48 hours
If a beneficiary currently has drug coverage through another carrier, you must verify their prescriptions would be covered under our plan's formulary, too. The drugs that are actually covered may vary from one carrier to another or one plan to another. - ANSWER True
You MUST tell your PPO plan clients they will have to pay more when seeking non-emergent eligible services outside of the network. - ANSWER True
You MUST EXPLAIN the Part D late enrollment penalty. - ANSWER True
Not all providers are contracted to serve as a primary care physician (PCP). Use the online tool to find/verify the PCP indicator information. - ANSWER True
If a beneficiary wants you to hold an enrollment form/application, you must explain that you can either submit or cancel the enrollment form/application following established procedures. - ANSWER True
Which of these activities would an Agent/Broker be permitted to do? - ANSWER Ask for referrals from active members (mailing addresses only)
What does the Allegations process allow the plan to do? - ANSWER All of the above statements are correct
Documents with beneficiary information (such as withdrawn, incomplete, or incorrect applications, or records at the end of the required retention period) must be properly disposed of via cross cut shredding and NOT reused or placed into regular recycling or trash containers. - ANSWER True
Which of the following is not a possible disciplinary action? - ANSWER All of these are possible actions
Which of these activities would NOT be classified as marketing misrepresentation? - ANSWER Using the beneficiary's P.O. Box as a mailing address, but not as a permanent address
In this module, which of the following terms do NOT refer to a single occurrence of marketing misrepresentation? - ANSWER All of these terms refer to an occurrence of marketing misrepresentation
Provider Networks may be accessed through what methods? - ANSWER Both A and B may be used
Disciplinary actions are not always required, depending on the outcome of the case. - ANSWER True
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