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Consultative Examination

Steps To Take If You Receive A Letter Ordering You To Take A Consultative Exam

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It is advisable to immediately call the Analyst and ask the reason for the request.

  • If your doctor has not responded to inquiries or to requests for additonal records, you can take on the role of "traffic cop". Ask for a copy of the letter(s) sent to your doctor. Follow-up on each request, and keep following up until the requested information and/or records is sent.  Accept the fact that people tend to do what is "inspected" instead of what is "expected."
  • If the analyst believes your doctor is not a sufficient expert in the area, correct the analyst's impression if it is incorrect. For example, if an Internist is treating you for cancer, the analyst may want to have you examined by an oncologist. If your internist happens to also be an oncologist, but the analyst doesn't know it, let the analyst know.
  • If the analyst needs additional information that has not been included in your file, as a practical matter, you don't have a choice except to take an exam. If you don't take the requested exam, it is not likely that your claim will be approved. You will have to go through the laborious, and lengthy, appeal process. However, that does not mean you have to see the DDS recommended doctor instead of your own. In fact, it is recommended that you request your own doctor. (See the next section.)

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