MRO review protects against false positives from legitimate prescriptions. DOT-qualified MROs verify every non-negative result in 3-5 days with complete confidentiality.
Reporting a positive drug test without MRO review violates DOT regulations and exposes carriers to wrongful termination lawsuits when the driver has a legitimate prescription. Medical Review Officers are licensed physicians trained to distinguish between illegal drug use and lawful medication—protecting both safety and employee rights.
DSC works with a nationwide network of DOT-qualified MROs who review every non-negative result within 3-5 business days: contacting drivers confidentially to review medical records, verifying legitimate prescriptions don't constitute violations, reporting only verified positive results to employers, coordinating SAP referrals when violations are confirmed, and maintaining HIPAA-compliant documentation throughout the process. Our MRO network has reviewed 10,000+ tests with zero HIPAA violations and complete chain-of-custody integrity. Protect drivers' rights while ensuring safety—get DOT-qualified MRO review for every non-negative result.
Licensed physicians with occupational medicine expertise review every non-negative result and contact drivers directly.
Secure workflows protect sensitive health information while maintaining full chain-of-custody visibility for DERs.
Verified violations and RTD milestones are reported within required timelines, with evidence stored for audits.
49 CFR Part 40 requires all non-negative drug test results be reviewed by a Medical Review Officer (MRO), a licensed physician with specific training in substance abuse disorders and testing protocols. The MRO must contact the driver, review medical records if applicable, and determine if there is a legitimate medical explanation before reporting a positive result. Confirmed violations require SAP evaluation and completion of RTD process before the driver can return to safety-sensitive duties.
A Medical Review Officer is a licensed physician who reviews and verifies drug test results. The MRO contacts the driver for any non-negative result, reviews medical documentation for legitimate explanations (like prescription medications), and determines whether to report the test as positive or negative.
The MRO typically completes review within 3-5 business days of receiving a non-negative laboratory result. The MRO must make reasonable attempts to contact the driver before finalizing a positive determination.
Yes, if the employer chooses. However, once the MRO verifies a positive result and notifies the DER, the driver must be immediately removed from safety-sensitive functions. Many employers choose to place drivers on non-safety-sensitive duties during review as a precautionary measure.
FMCSA requires 50% drug and 10% alcohol testing annually. Our consortium eliminates the administrative burden of random testing—automated selections, documentation, and compliance certificates keep you compliant year-round.
Federal law prohibits dispatch without a verified negative pre-employment test. Access 3,000+ collection locations nationwide with MRO-verified results typically returned in 24-72 hours.
Missing post-accident testing can compromise insurance claims and trigger federal violations. 24/7 collector dispatch helps you meet the 8-hour alcohol and 32-hour drug testing deadlines.
Contact our testing specialists to learn how we can support your drug and alcohol testing program.