MRO Services

Is your MRO reporting non-negative result to the FMCSA?

DOT drug testing requires testing at a Laboratory that is certified by the Substance Abuse and Mental Health Services Administration (SAMHSA).  The drug test results from the Laboratory must be sent to a Medical Review Officer (MRO) for review and verification. This is a requirement of the DOT regulations.

Beginning January 6, 2020, MRO’s must report to the Clearinghouse within 2 business days of adjudication all verified positive, adulterated, or substituted controlled substances test results; and also all refusal-to-test determinations by the MRO in accordance with 49 CFR 40.191(a)(5), (7), and (11), (b), and (d)(2).

If your MRO is not going to be reporting to the Clearinghouse, you need a new MRO!

Our affiliated third-party administration (TPA), National Drug Screening (NDS) can offer you MRO services.  NDS has 5 full-time MRO’s and they will be reporting to the Clearinghouse.

Our Medical Review Officer (MRO) services are the most comprehensive in the nation.  Five full time MRO’s work hard in order to get your drug test results as quickly as possible.  Everything is done electronically and in real time.  Our MRO’s are certified by the Medical Review Officer Certification Council (MROCC) and the American Association of Medical Review Officers (AAMRO).  All MRO reviews are in strict compliance with DOT rule 49 CFR Part 40. 

Owner Operators – Need a consortium program with MRO service.

Consortium programs with or without the pre-employment test are available.