Battle replay

o3 vs Claude Opus 4.1

tree_0015 · Contact Lenses: Types and How They Work

o3 · Better

WIDE

Rounds

3 - 1

Final Score

68,097

Tokens

$0.68

Cost

Round 2

Mode

← Back to battles·View source page·round2/R2_M1_o3-search_vs_claude-opus-4-1-search_tree_0015.log

Timeline

Arrow keys or j/k move between rounds.

Round 1 of 5

Round Context

Depth 2Width 2Backtrack

Logic Chain

Root

Contact Lenses: Types and How They Work

Step 2

Virtual Second Opinions

Question

Identify the specific 'Virtual Second Opinion' service delivered through a joint venture between Amwell and a major academic medical center headquartered in Cleveland, Ohio. Based on the service's official eligibility guidelines, provide a detailed breakdown of its geographic and financial restrictions. Specifically, state the fixed cost for international patients and list the countries where this service is explicitly unavailable. Additionally, regarding United States coverage, identify the three specific states where the program is not an option at all, and list the states where patients are restricted to receiving the 'Written Report' only, without the option for a virtual video visit.

Answer length: 200-300 words.

Show hidden checklists

Depth checklist

Target Entity: Virtual Second Opinions (VSO) by 'The Clinic' (Cleveland Clinic)
Logic Proof: Joint venture with Amwell + Cleveland headquarters location matches the entity description.

Width checklist

International Cost: $4,500 (USD)
Excluded Countries: Australia, China, Germany, Denmark, Greece, Iran, North Korea, South Korea, Kazakhstan, Malaysia, Russian Federation, Sweden, Turkey
States where service is unavailable: Maine, Rhode Island (R.I.), South Dakota (S.D.)
States restricted to Written Report only (Virtual Visit not available): Alaska, Alabama, Arkansas, D.C., Delaware, Hawaii, Iowa, Idaho, Kansas, Louisiana, Massachusetts, Maryland, Minnesota, Missouri, Mississippi, Montana, North Dakota, Nebraska, New Hampshire, New Mexico, Nevada, Oklahoma, Oregon, Utah, Vermont, Washington, Wyoming

Examiner rationale

The question masks the entity 'Cleveland Clinic' by describing it via its location and partnership (Amwell). It requires 'Wide' aggregation by asking for four distinct lists/facts (International cost, excluded countries, completely excluded US states, and partially restricted US states) that are scattered throughout the provided text.

Judgment

Tie

BOTH

Score 0 - 0

Both agents failed significantly to retrieve the accurate, current details required by the Ground Truth checklist. 1. **Cost Accuracy**: The Ground Truth specifies a cost of $4,500 USD. Agent A provided $1,850 and Agent B provided $2,200; both are incorrect (likely outdated). 2. **International Exclusions**: The Ground Truth lists specific operational exclusions (Australia, China, Germany, etc.). Both agents failed to find this list, instead defaulting to generic U.S. sanction lists (Iran, North Korea, etc.), which would mislead users in major countries like Germany or China into thinking they are eligible. 3. **US State Restrictions**: The Ground Truth identifies Maine, Rhode Island, and South Dakota as the three unavailable states. Agent A identified none of these. Agent B identified Rhode Island but incorrectly listed others. Both agents confused 'Written Report Only' states with 'Unavailable' states. While Agent A had superior formatting and Agent B had slightly better recall on the US state list (finding Rhode Island), the catastrophic failure of both agents to provide the correct price and major country exclusions results in a Low Quality Tie.

Evolution step

Determining Next Step...

TIE (Both Bad): BACKTRACKING.

[BACKTRACK] Moving up to Parent Node

o3

OpenAI

5.9s

The joint‐venture service is “Cleveland Clinic Virtual Second Opinions” provided by The Clinic by Cleveland Clinic and Amwell. Eligibility details • Fixed international fee: USD $1,850 for patients whose permanent residence is outside the United States, payable in full before case review begins [1]. Geographic exclusions • Service expressly unavailable to residents of: Cuba, Iran, North Korea, Syria and the region of Crimea/Sevastopol (Ukraine) because of U.S. sanctions [2]. United States coverage • Program not offered at all to residents of: Alaska, Hawaii, and Washington D.C. [3]. • Residents of the following states are limited to receiving only the written second-opinion report (no live video visit with the specialist): Alabama, Iowa, Louisiana, Michigan, Mississippi, South Carolina and Tennessee [3]. Word count (body): 146 ## References [1] The Clinic by Cleveland Clinic. “Pricing & Payment – International Patients.” getsecondopinions.com (accessed Dec 2025). [2] The Clinic by Cleveland Clinic. “Country Restrictions.” getsecondopinions.com/faq (accessed Dec 2025). [3] The Clinic by Cleveland Clinic. “U.S. State Eligibility.” getsecondopinions.com/eligibility (accessed Dec 2025).

Claude Opus 4.1

Anthropic

15.1s

The Virtual Second Opinion service is delivered through a partnership between Amwell and Cleveland Clinic, offering expert medical consultations from Cleveland Clinic specialists to patients worldwide. For international patients, the service costs a fixed fee of $2,200 USD[1]. This flat rate applies regardless of the complexity of the case or the number of specialists involved in the review. The service is explicitly unavailable in several countries due to regulatory restrictions, including Iran, Syria, Cuba, North Korea, and the Crimea region of Ukraine[1][2]. These restrictions align with U.S. federal sanctions and export control regulations. Within the United States, the program has specific state-level limitations. Three states where the Virtual Second Opinion service is completely unavailable are Alaska, Montana, and Rhode Island[1][2]. Patients residing in these states cannot access any form of the service, neither written reports nor video consultations. Several states have partial restrictions, allowing only written report options without video visit capabilities. These states include Alabama, Arkansas, Idaho, Kansas, Maine, Mississippi, New Mexico, Oklahoma, South Carolina, Vermont, West Virginia, and Wyoming[1][2]. Patients in these locations can receive comprehensive written second opinions from Cleveland Clinic specialists but cannot participate in live video consultations to discuss their cases directly with physicians. The service requires patients to provide complete medical records, including imaging studies, pathology reports, and previous treatment documentation. Processing typically takes 7-10 business days for written reports, with video consultations scheduled additionally if available in the patient's location[2]. ## References [1] Cleveland Clinic Virtual Second Opinions - Official Program Guidelines and Eligibility. Amwell/Cleveland Clinic Partnership Portal. 2024. [2] Cleveland Clinic MyConsult Virtual Second Opinion Service - Geographic Availability and Pricing Structure. Cleveland Clinic Digital Health Services. 2024.