MRO verification process

The MRO interview, evaluation of legitimate medical explanations, prescription review, documentation requirements, and verification decisions.

A laboratory reports a driver's specimen as substituted. During the verification interview, the driver provides a medical history that the Medical Review Officer (MRO) determines may present a reasonable basis for a legitimate medical explanation. The MRO directs the driver to undergo a further medical evaluation by a referral physician. Which of the following is a required action for the MRO?

A.Arrange and pay for the specialist's clinical evaluation to ensure the gatekeeper role remains impartial.

B.Accept a specialist's diagnosis of a specific medical condition as a per se legitimate medical explanation for the laboratory findings.

C.Provide the referral physician with guidance on DOT consequences for a refusal and obtain a signed statement of their recommendations.

D.Transmit the referral physician's written recommendation to the employer, who makes the final determination on the refusal to test.