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For Medical Review Officers
Last Updated: 09/24/2026

This section is for Medical Review Officers (MROs) and MRO staff who review drug test results through Med-Stop. It explains the MRO role, how Med-Stop supports MRO reporting, and the procedures Med-Stop follows for specific review situations.

Where a topic here and the regulation differ, the regulation governs: 49 CFR Part 40, Subpart G for DOT testing.

The MRO role

TopicWhat it covers
What a Medical Review Officer doesThe MRO's job in DOT testing, Clearinghouse reporting duties, and how Med-Stop MRO automates reporting.
What does an MRO-verified negative result mean?What a verified negative result means for the employee and the employer.
Why did the MRO contact me about my test?Why an MRO contacts a donor before verifying a result.

Review procedures

TopicWhat it covers
4.3 Multiple results or collections in one testing eventHow to reconcile and report more than one result, or more than one specimen, from the same testing event (see issues: link pending).
MRO quarterly quality assurance reviewHow Med-Stop selects and tracks the quarterly MRO review of staff-reviewed negatives (sign-in required).

Regulations and guidance

Do you need more information?

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