Verbal permission granted to discuss plan details does NOT qualify an authorized representative to complete an application on behalf of the beneficiary. True or False?

Prepare for the Wellcare / Centene Annual Certification Training (ACT) Exam. Get ready with flashcards and multiple choice questions, each question has hints and explanations. Ensure your success!

The statement is true because verbal permission alone does not provide the necessary legal authority for an authorized representative to complete an application on behalf of a beneficiary. In healthcare and insurance contexts, particularly concerning the privacy and security of personal health information, a formal authorization is generally required to ensure that the rights of the beneficiary are fully respected.

While verbal consent might allow for a discussion of plan details, it does not constitute a binding agreement that enables someone to act on behalf of another individual in a legal capacity. Typically, legal authorities demand either written consent or other formal documentation to protect beneficiaries' rights and ensure compliance with regulations like HIPAA. This requirement helps to avoid any potential misuse of personal information and ensures that the consent process is clear and verifiable. Thus, without written consent or proper documentation, an authorized representative cannot effectively and legally complete an application for someone else.

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