Nationwide Medical Review Officer services

Defensible drug test results,
reviewed by a physician MRO.

Assured MRO verifies DOT and non-DOT drug test results for third-party administrators, labs and employers in all 50 states. You get fast turnaround, a physician who handles the donor interviews himself, and one flat price per result, positive or negative.

AAMRO-certified MRO 49 CFR Part 40 compliant DOT & non-DOT FMCSA Clearinghouse reporting No setup fees
What we do

Complete MRO review, from lab result to verified report

Every result gets the same process under 49 CFR Part 40 for DOT programs, and the same standard for non-DOT programs.

Result verification

We review every laboratory result and custody and control form. Negatives are released quickly. Non-negative, adulterated, substituted and invalid results go through full MRO review.

Donor interviews

The MRO personally contacts each donor with a non-negative result. We verify any legitimate medical explanation, such as a valid prescription, before a result is finalized.

Clearinghouse reporting

We report verified positive and refusal results for FMCSA-regulated drivers to the Drug & Alcohol Clearinghouse, as the MRO is required to.

Split specimen coordination

When a donor requests a split specimen test, we coordinate it with a second certified lab and handle the paperwork.

Medical evaluations

We review medical evaluations for shy-bladder and insufficient-breath situations, and handle safety-concern and fitness-for-duty determinations.

Secure reporting

Verified results are reported confidentially to your designated employer representative. Complete records are available for audits and litigation.

Who we serve

Built for the companies that run testing programs

TPAs, labs & consortia

  • Volume pricing from $3.75 per verified result
  • One flat rate for positive and negative results
  • Coverage for donors in all 50 states
  • No setup fee and no long-term contract
  • A direct line to the reviewing physician

Estimate TPA pricing

Employers

  • DOT-regulated (FMCSA, FAA, FRA, FTA, PHMSA, USCG) and non-DOT programs
  • Plans from $49/month, which covers your first 5 results
  • Pre-employment, random, post-accident, reasonable-suspicion, return-to-duty and follow-up testing
  • We work with your existing collection sites and lab

See employer plans

How it works

Up and running in days

STEP 1

Request a quote

Tell us your monthly volume and program type. We respond within one business day.

STEP 2

Pick a plan

Start your monthly plan online with a card, securely through Square.

STEP 3

Connect your lab

We set Assured MRO as the MRO of record with your laboratory and collection sites.

STEP 4

Receive verified results

Negatives are released fast, and non-negatives are reviewed and reported to you confidentially.

Credentials

A physician MRO, certified to federal standards

Under DOT rules (49 CFR 40.121), a licensed physician with MRO training and certification from an HHS-approved board may act as MRO for covered employees wherever they are located. Assured MRO's medical review officer is certified by the American Association of Medical Review Officers (AAMRO), one of the certifying organizations approved by HHS.

Robin Arora, MD is board-certified in internal medicine, nephrology and addiction medicine. That clinical background matters when a donor's medications or medical history need careful review.

Medical Review Officer

Physician
Robin Arora, MD
MRO certification
AAMRO (HHS-approved)
Certified through
August 2027
Board certification
Internal Medicine, Nephrology, Addiction Medicine
Coverage
All 50 states

You can check the certification in the AAMRO registry.

FAQ

Common questions

Can you serve donors in any state?

Yes, for DOT-regulated testing. Federal rules let a licensed, certified MRO review results for covered employees wherever they are located. Some states have their own rules for non-DOT workplace testing, and we'll confirm any state-specific requirements for your program when we set you up.

Do you charge more for positive results?

No. Your per-result price covers negative and non-negative results alike, including the donor interview and Clearinghouse reporting. Only optional services such as split specimen coordination are priced separately.

How does the monthly minimum work?

Your plan's monthly minimum counts toward your testing. For example, Employer Essentials is $49 a month and includes your first 5 results. You only pay more if you go over the included results.

How fast are results reported?

Negative results are typically released within one business day of the lab reporting them. For non-negative results, the MRO starts review the day the lab reports and contacts the donor promptly. Timing then depends on reaching the donor and getting any documentation.

Do we need to change labs or collection sites?

Usually not. We work with SAMHSA-certified labs and your existing collection network. You just designate Assured MRO as your MRO.

Is there a contract?

No. Plans are month to month with no setup fee. Volume customers can ask for annual pricing.

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