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What is the timeframe for WellCare to respond to an expedited appeal request from an Iowa member?
3 business days
Materials Request Caid
True
Help with dizziness or feeling sick to their stomach
Member Social Security Number
Submit a request in CAREConnects to have someone validate the insurance information.
True
Appeal
Members are able to file a grievance by mail, fax or phone.
3 business days
Materials Request Caid
True
Help with dizziness or feeling sick to their stomach
Member Social Security Number
Submit a request in CAREConnects to have someone validate the insurance information.
True
Appeal
A member calls Customer Service upset about WellCare denying her doctor’s authorization request for bariatric surgery. She wants us to reconsider our decision. What would this be considered?
3 business days
Materials Request Caid
True
Help with dizziness or feeling sick to their stomach
Member Social Security Number
Submit a request in CAREConnects to have someone validate the insurance information.
True
Appeal
Which of the following information is NOT included on the Member's ID card?
3 business days
Materials Request Caid
True
Help with dizziness or feeling sick to their stomach
Member Social Security Number
Submit a request in CAREConnects to have someone validate the insurance information.
True
Appeal
As a Customer Service Representative, you are required to check the system to determine if the caller has legal authorization to act on behalf of a Member.
3 business days
Materials Request Caid
True
Help with dizziness or feeling sick to their stomach
Member Social Security Number
Submit a request in CAREConnects to have someone validate the insurance information.
True
Appeal
Ms. Taylor calls WellCare. She has recently enrolled in the Iowa Medicaid plan and has not received her ID card yet. What call driver would you select in CAREConnects?
3 business days
Materials Request Caid
True
Help with dizziness or feeling sick to their stomach
Member Social Security Number
Submit a request in CAREConnects to have someone validate the insurance information.
True
Appeal
What do you do when a member’s account shows as having other insurance (coordination of benefits) but they indicate that is not valid?
3 business days
Materials Request Caid
True
Help with dizziness or feeling sick to their stomach
Member Social Security Number
Submit a request in CAREConnects to have someone validate the insurance information.
True
Appeal
An Iowa member can call the 24 hour nurse advice line for help related to which of the following:
3 business days
Materials Request Caid
True
Help with dizziness or feeling sick to their stomach
Member Social Security Number
Submit a request in CAREConnects to have someone validate the insurance information.
True
Appeal
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