Medical Review Officer (MRO) Process

nonDOT

1. When the Laboratory receives a Specimen, they will screen for the Drugs indicated by the Panel ID at a specific cut off level
   • If there is any results that are not a True Negative, they will run confirmation/secondary tests
   • These tests are run at a lower cut-off level to ensure accuracy
2. If found to be a non-Negative, the report will be sent to the Medical Review Officer
   • non-Negatives can include, but not limited to:
     • Positive for one of the Drugs being screened for
     • Adulterant detected
     • Overly diluted sample
3. Just because the sample was determined to be non-negative, it doesn’t mean the donor is using illicit drugs or attempted to adulterate the test results. 
   • The MRO will determine this in an ‘Interview’ process
4. The Donor would have provided a contact number on a Chain of Custody form while at the clinic when initially providing their sample. 
   • The MRO will receive a copy of the form
   • They will attempt to contact the Donor with the number provided.
5. MRO Reporting:
   • NonContact Positive:
     • If the MRO is unable to reach Donor after two call attempts and waits 24 hours till after the initial call, they can close it a nonContact Positive.
     • If donor calls back in, the report could be amended. 
   • Positive
     • If MRO is able to speak with donor and the Donor is unable or does not have a valid prescription for the Drug that tested Positive, the MRO will complete as Positive
       • Also the Prescription is being abused. Prescription levels are Verified through a Doctor's office or Pharmacy 
   • Negative
     • Donor has a valid prescription/medical reason for non-negative result
   • Cancelled
     • Sample was overly diluted or substituted with nonHuman Specimen and testing was not able to be done appropriately. 

DOT

1. Every DOT Drug Screen will be sent to an MRO, regardless of Positive or Negative results at the Laboratory. 
2. If non-Negative at the lab, same steps as above with 1 exception
   • NonContact Positives.
   • It’s a DOT policy that the MRO has to keep file open for 30 days before closing. 

If you have any further questions, or need a product enabled on your account, 
please contact Verified First Client Services for assistance.

Call 844-709-2708 or email ClientServices@VerifiedFirst.com