How US Drug Check Works: Step-by-Step Compliance Support
From setup through ongoing administration, every stage is handled by one accountable team so employers and DERs stay compliant without guesswork.
Why This Process Matters
This page shows exactly how we keep your program compliant from day one through every random pull, post-accident event, and annual reporting cycle.
Instead of disconnected vendors and delayed callbacks, you get one accountable team, one clear workflow, and records that are organized when auditors ask for them.
Service at a Glance
Core outcomes employers care about most.
Collection Sites Nationwide
Post-Accident Support
Typical Negative Result Reporting
Typical New Program Setup
From Setup to Ongoing Compliance
A clear workflow from first call through day-to-day program administration.
Program Discovery Call
We review operation type, covered employees, testing cadence, and current compliance obligations.
Setup and Roster Validation
Participant rosters are validated, program structure is configured, and required workflows are aligned.
Random and Event Testing Coordination
Random selections, post-accident events, and reasonable suspicion workflows are coordinated with clear next steps.
MRO Verification and Reporting
Results move through MRO verification, then reporting is delivered with organized supporting documentation.
Ongoing Compliance Management
Query cycles, annual obligations, record access, and audit support are managed through a single administrator-led workflow.
Random Pool Management (Quarterly or Monthly)
Pre-Selection Roster Validation
Before each pull, rosters are reviewed so active and inactive participant status is accurate.
Scientifically Valid Random Methodology
Selection workflows are run so each covered employee has an equal chance every cycle.
Quarterly or Monthly Cycles
Program cadence is aligned to your operation while maintaining required annual selection percentages.
Employer-Ready Notifications
Notification letters and collection instructions are prepared for immediate distribution.
Selection Analysis Reporting
Reporting shows cycle-level progress so DERs can track annual compliance targets.
Audit-Ready Random Documentation
Selection-cycle records are organized for request-ready retrieval during compliance reviews.
Current DOT Random Rate References
Annual random testing percentages vary by mode and may change with rule updates.
50% Drug | 10% Alcohol
25% Drug | 10% Alcohol
25% Drug | 10% Alcohol
50% Drug | 25% Alcohol
50% Drug | 10% Alcohol
50% Drug | 25% Alcohol
24/7 Post-Accident and Reasonable Suspicion Support
Live Emergency Response
Calls route to a live administrator instead of after-hours voicemail queues.
DOT Timing Awareness
Coordination supports post-accident timing references, including 2-hour alcohol targets and 32-hour drug windows.
Nearest Open Site Coordination
Alternate site options are coordinated quickly when local availability changes.
Correct Event Order Setup
eCCF and event context details are aligned before collection to reduce downstream corrections.
Reasonable Suspicion Workflow Support
Time-sensitive coordination and documentation guidance are provided for supervisor and DER records.
Escalation and Follow-Through
High-risk events continue through MRO verification and reporting support without handoff gaps.
FMCSA Clearinghouse Support (Workflow Included; Query Fees Billed Separately)
Pre-Employment Query Coordination
Query workflows are coordinated before CDL hiring with documented outcomes and next-step guidance. Query fees are billed separately.
Annual Query Cycle Management
Annual query cycles for active CDL drivers are tracked and summarized for employer records.
Violation Reporting Support
Positive and refusal documentation workflows are supported to meet reporting timelines.
Substance Abuse Professional (SAP) Workflow Support
Return-to-duty and follow-up workflows include coordination with a Substance Abuse Professional (SAP).
Consent and Documentation Tracking
Required consent and supporting records are managed as part of ongoing workflows.
Deadline Visibility
Query and reporting timelines are tracked so required actions are not missed.
Audit-Ready Reporting and Electronic Records
Same-Day Reporting After MRO Verification
Negative results are typically reported within 24 hours of collection once MRO verification is complete.
Organized Record Packets
Packets can include MRO report, CCF, related lab documentation, and required correction affidavits.
Electronic Record Access
Records and reporting remain available through electronic workflows for retrieval and review.
Annual Reporting Support
Program workflows include support for MIS and other annual DOT reporting obligations.
Request-Ready Audit Delivery
Documentation is organized for efficient retrieval when auditors request supporting records.
Affidavit Correction Coordination
When collection or paperwork issues occur, affidavit corrections are coordinated directly with Lab or MRO.
Medical Review Officer (MRO) Verification and Substance Abuse Professional (SAP) Support
MRO Review Before Final Status
Non-negative tests move through MRO review before final status is issued.
Communication Workflow Guidance
Program administrators guide employer and DER communication steps after reportable events.
Required DOT Form Support
Required forms and related workflow documentation are coordinated in sequence.
Substance Abuse Professional (SAP) Referral Coordination
Support includes referral coordination with a qualified Substance Abuse Professional (SAP).
Return-to-Duty and Follow-Up Scheduling
Return-to-duty testing and follow-up schedules are coordinated to maintain compliance continuity.
Administrator-Led Case Support
High-risk event workflows stay managed through one accountable support path.
Every Service, One Phone Call
This is what full-service C/TPA support looks like. No runarounds and no guesswork.