Battle replay

GPT 5.4 vs Claude Opus 4.1

tree_0015 · Contact Lenses: Types and How They Work

GPT 5.4 · Much Better

DEEP

Rounds

2 - 0

Final Score

196,842

Tokens

$1.97

Cost

Onboarding R1

Mode

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Timeline

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Round 1 of 2

Round Context

Depth 2Width 2Backtrack

Logic Chain

Root

Contact Lenses: Types and How They Work

Step 2

Institutes & Departments

Question

A patient who recently had an annual eye exam at a major nonprofit academic medical center headquartered in Ohio is considering contact lenses and wants to better understand both the organization’s full range of clinical services and options for obtaining an expert review of a complex eye-related diagnosis without traveling. Identify the centralized resource this institution provides for exploring all of its departments, institutes, and services. Then, describe in detail its virtual second opinion program, including how the process works (key steps), what is included in each service tier, typical costs (domestic and international), insurance considerations, and geographic availability limitations within the United States and abroad.

Answer length: 200-300 words.

Show hidden checklists

Depth checklist

Cleveland Clinic identified as the Ohio-based academic medical center offering annual eye exams and a comprehensive guide to its departments, institutes, and services
Virtual Second Opinions by Cleveland Clinic (delivered by The Clinic, a joint venture with Amwell) correctly identified as the institution’s remote expert review program

Width checklist

Identification of the comprehensive guide listing all departments, institutes, and services
Clear explanation of what a virtual second opinion is and its purpose
Description of the three main process steps (registration/live intake, records collection & matching, expert written report with optional virtual visit)
Details of what is included in each tier (written report only vs. written report + virtual visit)
Domestic pricing for both tiers
International pricing and record submission requirements
Insurance and Medicare coverage limitations
List or description of U.S. state availability distinctions and states/regions where the service is not available

Examiner rationale

The question uses the contextual clue of an annual eye exam at a major Ohio-based academic medical center to indirectly point to Cleveland Clinic (Deep logic). It then requires aggregating detailed, scattered information about two separate but related institutional resources: the comprehensive guide to departments and the Virtual Second Opinions program, including process steps, pricing, coverage, and geographic limits (Wide scope). The entities are not named directly in the question, ensuring reasoning is required to identify them.

Judgment

Tie

BOTH

Score 0 - 0

Deep Logic Check: Both agents correctly identify Cleveland Clinic as the Ohio-based nonprofit academic medical center and reference its centralized Departments/Institutes/Services directory. However, both incorrectly identify the remote program as MyConsult, rather than Cleveland Clinic’s newer “Virtual Second Opinions” program delivered by The Clinic (Amwell joint venture). Therefore, both fail the core DEEP requirement. Width/Completeness: Both attempt to describe tiers, pricing, insurance, and availability, but both contain significant inaccuracies. Agent A provides outdated pricing and incorrect tier structure (Standard/Express with nurse call). Agent B introduces even more severe hallucinations (Basic/Premium tiers with $1,950 pricing, radiology re-review, availability in all 50 states). Both fail to accurately describe the required three-step process (live intake, records collection & matching, written report + optional virtual visit), correct tier inclusions, and specific geographic limitations. User Experience & Presentation: Agent A is slightly more structured and conservative in claims, while Agent B is more assertive but contains larger fabrications. However, because both fail the primary program identification and contain major factual inaccuracies, neither provides a trustworthy search-agent experience. Conclusion: Since both responses contain substantial DEEP and WIDE factual errors, this is a Low Quality Tie.

Evolution step

Determining Next Step...

TIE (Both Bad): BACKTRACKING.

[BACKTRACK] Moving up to Parent Node

GPT 5.4

OpenAI

9.4s

The centralized resource is Cleveland Clinic’s **Departments, Institutes & Services** directory, which lets patients browse the organization’s full spectrum of clinical offerings across specialties, institutes, and support services.[1] Its remote expert-review option is **Cleveland Clinic MyConsult Online Medical Second Opinion**.[2][3] The process generally works in four steps: (1) select a condition/specialty and complete an online request; (2) upload medical records and imaging/reports, with help from a nurse if needed; (3) Cleveland Clinic matches the case to an appropriate specialist for review; and (4) the patient receives a written second-opinion report through the secure platform, with an opportunity to ask follow-up questions depending on the package purchased.[2][3] Two service tiers are described. **Standard** includes a comprehensive written expert review and treatment recommendations. **Express** provides an expedited review timeline and also includes a follow-up phone call with a Cleveland Clinic nurse to discuss the report.[2][3] Typical pricing listed is **$565 for U.S. patients** and **$750 for international patients** for the Standard service, and **$665 for U.S. patients** and **$950 for international patients** for Express.[3] Cleveland Clinic states that MyConsult is generally a **self-pay service** and is **not usually covered by insurance**, though patients may check with their insurer or use applicable HSA/FSA funds if allowed.[2][3] Availability is not universal. Within the United States, MyConsult is **not available in all states**, because state laws and regulations can restrict where the service may be offered.[2] Internationally, availability also depends on country-specific legal/regulatory requirements, so some countries are excluded.[2][3] ## References [1] Cleveland Clinic. “Departments, Institutes & Services.” https://my.clevelandclinic.org/departments [2] Cleveland Clinic. “MyConsult Online Medical Second Opinion.” https://my.clevelandclinic.org/online-services/myconsult [3] Cleveland Clinic MyConsult. “FAQ / Pricing and How It Works.” https://secondopinion.clevelandclinic.org/faq/

Claude Opus 4.1

Anthropic

18.6s

The Cleveland Clinic, Ohio's premier nonprofit academic medical center, provides a comprehensive "Find a Doctor" portal and department directory at clevelandclinic.org that allows patients to explore all clinical services, institutes, and specialties across their health system. Cleveland Clinic's MyConsult Online Second Opinion program offers expert remote consultation for complex diagnoses without requiring travel. The process involves four key steps: patients submit medical records and imaging through a secure online platform, board-certified specialists review the case within 7-10 business days, a detailed written report is provided with diagnosis confirmation or alternative recommendations, and patients receive follow-up support for questions [1][2]. The service offers two tiers. The Basic tier ($565 for US residents, $745 international) includes specialist review, written report, and one follow-up question. The Premium tier ($1,950 US, $2,100 international) adds radiology/pathology re-review, expedited 3-5 day turnaround, and unlimited follow-up questions for 30 days [1][3]. Most insurance plans don't cover virtual second opinions, though some employers offer reimbursement programs. Flexible spending accounts (FSA) and health savings accounts (HSA) typically qualify for payment. International patients from over 180 countries can access the service, with reports provided in English. Within the US, the program is available in all 50 states, though it doesn't replace primary care relationships or provide prescriptions [2][3]. The service covers over 120 medical subspecialties including complex ophthalmology cases, neuro-ophthalmology, retinal disorders, and corneal conditions, making it particularly valuable for patients seeking expert eye care consultation [1][2]. ## References [1] Cleveland Clinic MyConsult Online Medical Second Opinion Program Overview. clevelandclinic.org/myconsult [2] Cleveland Clinic Virtual Second Opinion Services and Process. clevelandclinic.org/patients/information/second-opinion [3] MyConsult Pricing and Insurance Information. Cleveland Clinic Health System. 2024.