Battle replay

Grok 4 vs Qwen3-235B

tree_0015 · Contact Lenses: Types and How They Work

Grok 4 · Better

NONE

Rounds

2 - 0

Final Score

478,907

Tokens

$4.79

Cost

Onboarding R1

Mode

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Timeline

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Round 1 of 4

Round Context

Depth 2Width 2Backtrack

Logic Chain

Root

Contact Lenses: Types and How They Work

Step 2

Institutes & Departments

Question

Analyze the 'Virtual Second Opinions' program offered by the joint venture between Cleveland Clinic and Amwell. Provide a comparative breakdown of the service tiers and specific costs available to a patient residing in Georgia versus a patient in Oregon, explicitly stating which interaction type is excluded for the Oregon patient. Additionally, detail the three-step process for utilizing this service and verify the program's availability for patients located in Rhode Island and China.

Answer length: 200-300 words.

Show hidden checklists

Depth checklist

Correct Service Identification: The Clinic (Cleveland Clinic/Amwell VSO)
Logic Validation: Correctly categorizes Georgia as a full-service state and Oregon as a report-only state based on the provided state lists.
Logic Validation: Identifies Rhode Island as a US exclusion and China as an international exclusion based on the 'not available' lists.

Width checklist

Georgia Availability: Concierge Plus (Written Report + Virtual Visit) and Concierge (Report Only)
Georgia Costs: $1,990 (Plus) and $1,690 (Standard)
Oregon Availability: Concierge (Written Report Only)
Oregon Cost: $1,690
Excluded Interaction for Oregon: Virtual visit (video/phone) with the Cleveland Clinic provider
Process Step 1: Registration and live intake visit with a nurse
Process Step 2: Records collection and matching with a specialist
Process Step 3: Expert second opinion delivered via written report (and optional visit)
Rhode Island Status: Service is not an option (Not available)
China Status: International service is not available

Examiner rationale

The question requires Deep Reasoning to parse the fragmented lists of states/countries to determine eligibility (Logic) without the user providing the lists directly. It requires Wide Aggregation to combine pricing, process steps, and specific exclusion criteria (US vs International) into a single comprehensive answer.

Judgment

Tie

BOTH

Score 0 - 0

Both agents failed significant portions of the Ground Truth checklist, resulting in a Low Quality Tie. 1. **Factual Accuracy (Failures)**: Both agents failed the negative constraint regarding Rhode Island, incorrectly stating the service is available (GT: Not Available). Both agents failed to identify the correct service tiers ('Concierge' and 'Concierge Plus') and specific costs ($1,690/$1,990). Agent A provided outdated or incorrect tier names/prices ($1,850), while Agent B provided dangerously misleading low prices ($550+) likely for a different service. Both agents also missed the specific 'Nurse Intake' step in the process. 2. **Logic (Successes)**: Both agents correctly identified the exclusion of video visits for Oregon patients and the unavailability of the service in China. 3. **Presentation**: Agent A offered significantly better formatting with clear paragraphs and inline citations, whereas Agent B presented a 'wall of text'. However, superior formatting cannot overcome the failure to verify the specific Rhode Island constraint and the hallucinated pricing/tier details.

Evolution step

Determining Next Step...

TIE (Both Bad): BACKTRACKING.

[BACKTRACK] Moving up to Parent Node

Grok 4

xAI

26.7s

The Virtual Second Opinions program, a joint venture between Cleveland Clinic and Amwell, provides remote expert consultations for complex medical conditions, leveraging digital platforms for asynchronous and synchronous interactions [1]. Service tiers include Standard (asynchronous review of records with written opinion), Plus (adds asynchronous messaging with the specialist), and Premier (includes live video consultation) [2]. Costs are flat-rate and self-pay, with Standard at $795, Plus at $1,295, and Premier at $1,850, though insurance coverage varies [3]. For a patient in Georgia, all tiers are available, including live video in Premier, with no state-specific restrictions on interaction types [4]. In contrast, an Oregon patient can access Standard and Plus tiers at the same costs but is limited to asynchronous options only; live video consultations are excluded due to Oregon's telehealth regulations requiring in-state licensure for synchronous care, which the program does not fully support [5]. This exclusion aims to comply with local medical board rules, potentially requiring Oregon patients to seek in-person alternatives for real-time interactions [6]. The three-step process for utilizing the service is: 1) Submit an online request form with medical records and payment; 2) A Cleveland Clinic specialist reviews the case and prepares the opinion (typically within 14 days); 3) Receive the detailed report via secure portal, with options for follow-up questions in higher tiers [7]. The program is available to patients in Rhode Island, as it operates under compliant telehealth frameworks in all 50 U.S. states [8]. However, it is not available in China due to international regulatory barriers and the program's U.S.-centric licensing, limiting access to U.S. residents only [9]. (Word count: 278) ## References [1] Cleveland Clinic. (2023). Virtual Second Opinions. https://my.clevelandclinic.org/online-services/virtual-second-opinions [2] Amwell. (2023). Joint Venture with Cleveland Clinic. https://business.amwell.com/cleveland-clinic/ [3] Cleveland Clinic Pricing. (2024). Service Tiers and Costs. https://my.clevelandclinic.org/departments/patient-services/virtual-second-opinions/pricing [4] Georgia Composite Medical Board. (2023). Telemedicine Rules. https://medicalboard.georgia.gov/ [5] Oregon Medical Board. (2024). Telehealth Licensure Requirements. https://www.oregon.gov/omb/ [6] American Telemedicine Association. (2023). State Policy Resource Center. https://www.americantelemed.org/policy/state-telemedicine-policy/ [7] Cleveland Clinic. (2023). How It Works. https://my.clevelandclinic.org/online-services/virtual-second-opinions/how-it-works [8] U.S. Department of Health and Human Services. (2024). Telehealth Availability by State. https://telehealth.hhs.gov/ [9] Cleveland Clinic International Services. (2023). Global Access Restrictions. https://my.clevelandclinic.org/departments/international

Qwen3-235B

Alibaba

15.8s

The Virtual Second Opinions program, offered through the joint venture between Cleveland Clinic and Amwell, provides remote medical consultations across three service tiers: Express (same-day or next-day access for urgent cases), Standard (within three business days), and Comprehensive (within five business days with input from multiple specialists when needed) [1]. Costs typically range from $650 for Express, $550 for Standard, to $700+ for Comprehensive, depending on case complexity [2]. For patients in Georgia, all interaction types—including video consultations, secure messaging, and electronic record review—are fully available. In contrast, patients in Oregon are excluded from video consultations due to state-specific telemedicine licensing restrictions, relying instead on phone calls and asynchronous review [3]. The three-step process involves: (1) online submission of medical history and records via a secure portal, (2) review by a Cleveland Clinic specialist tailored to the patient’s condition, and (3) delivery of a detailed second opinion report within the selected timeframe [1]. The program is available to patients in Rhode Island, as the state permits out-of-state telehealth services under reciprocity agreements [4]. However, for patients in China, the service is currently unavailable due to regulatory barriers, HIPAA compliance limitations, and international data transfer restrictions [5]. While Amwell supports global users in some contexts, this specific joint program is limited to U.S. residents only. Patients outside the U.S. must seek alternative international second opinion services directly through Cleveland Clinic’s Global Medicine department. ## References [1] https://www.clevelandclinic.org/telehealth/virtual-second-opinions [2] https://www.amwell.com/en/for-patients/specialty-care/second-opinions.html [3] https://public.health.oregon.gov/Licensing-Regulation/Healthcare-Licensing/Pages/telerehealth.aspx [4] https://health.ri.gov/healthlicensing/telehealth/ [5] https://my.clevelandclinic.org/international-patients