What might trigger an investigation into agents for noncompliant activities?

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!

An investigation into agents for noncompliant activities can be triggered by various sources of information, but the Complaint Tracking Module (CTM) stands out as a systematic and reliable means of capturing and managing complaints related to agent behavior. The CTM is specifically designed to log, track, and analyze complaints, providing a structured approach to identify trends, resolve issues, and ensure compliance with regulatory and organizational standards.

The data obtained from the CTM allows for a thorough examination of any reported activities that deviate from expected practices. This systematized tracking is critical in maintaining oversight and implementing corrective actions when necessary. Utilizing this resource ensures that all complaints are addressed in a consistent and formal manner, which is essential for compliance investigations.

While public feedback and word of mouth can yield insights into agent performance and potential issues, they lack the formal structure and documented processes that the CTM provides. Therefore, the Complaint Tracking Module represents the most effective and direct means of triggering a compliance investigation given its systematic nature and focus on accountability within agent activities.

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