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Consultative Examination

A Request For Your Own Doctor May Be Refused For Reasonable Reasons

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A request to use your own doctor to do a Consultative Exam may reasonably be refused if:

  • The doctor is not qualified to do the examination.
  • The doctor doesn't have the equipment needed to provide the specific data requested.
  • There are conflicts or inconsistencies in the file that cannot be resolved by going back to the treating source.
  • Prior experience indicates that your doctor may not be a productive source because he or she does not submit complete reports, or reports on a timely basis..
  • The doctor is not willing to perform the additional examination or tests for the fee schedule payment Social Security uses.

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