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
If Your Request To Use Your Own Doctor To Perform A Consultative Exam Is Unreasonably Refused
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If the analyst refuses to let you substitute your own doctor, ask to speak with a supervisor.
Social Security's regulations clearly state that when possible the treating physician should perform the physical examination. If your statement doesn't convince the supervisor, suggest that he or she check Social Security's Listing of Impairments. The provision, which is included on the web at http://www.ssa.gov/disability/professionals/bluebook/#Medical%20Evidence is as follows:
Consultative Examinations ("CE")
If the evidence provided by the claimant's own medical sources is inadequate to determine if he or she is disabled, additional medical information may be sought by re-contacting the treating source for additional information or clarification, or by arranging for a CE. The treating source is the preferred source for a CE if he or she is qualified, equipped, and willing to perform the examination for the authorized fee. (Emphasis added). Even if only a supplemental test is required, the treating source is ordinarily the preferred source for this service. However, Social Security's rules provide for using an independent source (other than the treating source) for a Consultative Examination or diagnostic study if:
- the treating source prefers not to perform the examination;
- the treating source does not have the equipment to provide the specific data needed;
- there are conflicts or inconsistencies in the file that cannot be resolved by going back to the treating source
- the claimant prefers another source and has good reason for doing so; or
- prior experience indicates that the treating source may not be a productive source.
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