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We will use a medical source other than your treating source for a purchased examination or test in situations including, but not limited to, the following situations:
(a) Your treating source prefers not to perform such an examination or does not have the equipment to provide the specific data needed;
(b) There are conflicts or inconsistencies in your file that cannot be resolved by going back to your treating source;
(c) You prefer a source other than your treating source and have a good reason for your preference;
(d) We know from prior experience that your treating source may not be a productive source, e.g., he or she has consistently failed to provide complete or timely reports.
[65 FR 11876, Mar. 7, 2000]
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Last reviewed or modified Wednesday Apr 01, 2009 |