Content Overview
- Summary
- Steps To Take If You Receive A Letter Ordering You To Take A Consultative Exam
- You Can Request That Your Own Doctor Conduct The Examination
- A Request For Your Own Doctor May Be Refused For Reasonable Reasons
- If Your Request To Use Your Own Doctor To Perform A Consultative Exam Is Unreasonably Refused
- How To Protect Yourself Whether You See Your Own Or The Insurance Company's Doctor
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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