Battle replay

GPT 5.4 vs GPT-5.1

tree_0015 · Contact Lenses: Types and How They Work

GPT-5.1 · Better

WIDE

Rounds

1 - 3

Final Score

297,508

Tokens

$2.98

Cost

Onboarding R4

Mode

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Timeline

Arrow keys or j/k move between rounds.

Round 1 of 7

Round Context

Depth 2Width 2Backtrack

Logic Chain

Root

Contact Lenses: Types and How They Work

Step 2

Virtual Second Opinions

Question

After receiving an annual eye exam at a major U.S. academic medical center known for its ophthalmology and vision services, a patient considering contact lenses or other vision-correction options wants (1) a remote expert review of their diagnosis and treatment plan without traveling, and (2) a way to explore all clinical departments and specialty services within the same health system. Identify the specific remote consultation program offered by this institution and the centralized resource that lists all of its departments and services. Then, explain in detail how the remote program works (including its steps), its pricing structure for U.S. and international patients, insurance and Medicare considerations, state or country availability limitations, and how it differs from traditional in-person second opinions. Also describe the purpose and scope of the comprehensive departments-and-services resource.

Answer length: 200-300 words.

Show hidden checklists

Depth checklist

Virtual Second Opinions program by Cleveland Clinic (delivered by The Clinic, a joint venture with Amwell) + identified as the institution’s remote expert second-opinion service
Comprehensive guide to all departments, institutes, and services within Cleveland Clinic + identified as the centralized institutional directory resource

Width checklist

Explains the remote program’s three-step process: registration/live intake visit with a nurse, medical records collection and specialist matching, written report with optional virtual visit
States U.S. pricing: $1,690 for written report only and $1,990 for written report plus virtual visit
States international pricing: $4,500 (USD)
Explains that insurance typically does not cover the service and Medicare is not reimbursed (self-pay required)
Describes U.S. state availability distinctions and notes specific states or countries where the service is unavailable
Explains that 67% of cases may recommend a change in diagnosis or treatment plan
Describes the comprehensive guide as a centralized listing of all departments, institutes, and services within the health system

Examiner rationale

The question uses the context of an annual eye exam and interest in contact lenses (Deep anchor) to logically lead to broader institutional services that support vision-care decision-making. It masks the specific program and directory names, requiring the search agent to identify the correct entities from the health system. It then demands aggregation of dispersed operational, pricing, eligibility, and availability details (Wide scope), ensuring multi-source synthesis rather than reliance on a single snippet.

Judgment

Tie

BOTH

Score 0 - 0

First, Deep Logic: Agent A correctly identifies Cleveland Clinic but names the wrong program (MyConsult instead of the Virtual Second Opinions program delivered by The Clinic/Amwell) and provides incorrect pricing. Agent B identifies the entirely wrong institution (Mass General Brigham instead of Cleveland Clinic). Therefore, BOTH agents fail the Core Entity check. Second, Width/Completeness: Neither agent provides the required three-step process (intake visit with nurse, records collection and specialist matching, written report with optional virtual visit), the correct U.S. pricing ($1,690/$1,990), the $4,500 international price, the 67% statistic, or detailed state/country exclusions. Agent A’s pricing is factually incorrect, and Agent B provides only approximate ranges. Both miss multiple checklist elements. Since both agents fail Deep Logic and omit major required details, this is a LOW-quality tie. Neither response satisfies the accuracy or completeness requirements despite decent formatting and structure.

Evolution step

Determining Next Step...

TIE (Both Bad): BACKTRACKING.

[BACKTRACK] Moving up to Parent Node

GPT 5.4

OpenAI

8.1s

The remote consultation program is **Cleveland Clinic MyConsult Online Medical Second Opinion**, and the centralized resource is Cleveland Clinic’s **Departments, Services & Centers** directory.[1][2] MyConsult lets a patient obtain a specialist review of an existing diagnosis and treatment plan **without traveling**. The process is: create an online account; select a specialty or condition; submit a detailed health history and questions; upload medical records, imaging, and test results (or authorize collection of records in some cases); pay the program fee; and then have the case reviewed by an appropriate Cleveland Clinic specialist, who provides a written second-opinion report with diagnostic and treatment recommendations.[1] The service is designed for people seeking expert input on whether their current care plan is appropriate, or what alternatives may exist.[1] Pricing is listed as **$950 for U.S. patients** and **$1,850 for international patients**.[1] Cleveland Clinic states that **insurance is not accepted**, and **Medicare does not cover** MyConsult; patients pay out of pocket.[1] Availability is geographically limited: the program is offered only in certain **U.S. states** and certain **countries**, and eligibility depends on local licensure and legal restrictions.[1] Unlike a traditional in-person second opinion, MyConsult is a **record-based remote review**: there is no physical exam, no direct testing performed during the consult, and it does not establish ongoing treatment in the same way as an in-person visit.[1] The **Departments, Services & Centers** directory is the health system’s broad navigation hub for clinical care, listing its medical and surgical departments, multidisciplinary centers, institutes, and specialty services across the organization so patients can explore the full scope of care available within the system.[2] ## References [1] Cleveland Clinic. “MyConsult Online Medical Second Opinion.” https://my.clevelandclinic.org/online-services/myconsult [2] Cleveland Clinic. “Departments, Services & Centers.” https://my.clevelandclinic.org/departments

GPT-5.1

OpenAI

5.4s

The institution is Massachusetts Eye and Ear, part of Mass General Brigham. The remote expert review is the **Mass General Brigham Virtual Second Opinion** program, and the centralized directory of all clinical departments and specialty services is the **Mass General Brigham “Departments & Services”** listing for the health system.[1][4] **How the Virtual Second Opinion works** Patients create an online account, complete a detailed medical questionnaire, and upload medical records, imaging, and prior test results.[1][2] A nurse navigator reviews the case, then an appropriate Mass General Brigham specialist (including ophthalmology/eye and vision experts from Massachusetts Eye and Ear or Massachusetts General Hospital) is assigned.[2] The specialist reviews records and provides a written second-opinion report and, in some cases, a live video visit to discuss findings and recommendations. The report is shared with the patient and can be shared with the local treating physician.[1][2] **Pricing, insurance, and availability** As of current program materials, fees are typically a flat case-based price (commonly around $1,850–$2,000 for U.S. patients and similar or slightly higher for international patients), paid out-of-pocket; commercial insurance and Medicare generally do **not** cover virtual second-opinion services.[1][3] Program availability is limited by state telehealth regulations; not all services are available in every U.S. state or country, and the program is explicitly consultative and not for emergencies or ongoing care.[1][3] Unlike in-person visits, it does not establish a physician–patient relationship for routine care or prescribe medications. **Departments & Services resource** The Mass General Brigham “Departments & Services” portal lists all clinical departments, centers, and specialty programs (e.g., ophthalmology, cornea, retina, refractive surgery, contact lens–related care) across the system, with links to descriptions, locations, and appointment options.[4] Its purpose is to help patients discover and navigate all available specialty care within the network. ## References [1] Mass General Brigham Virtual Second Opinion overview (U.S. patients) [2] Mass General Brigham Virtual Second Opinion – how it works / patient steps [3] Mass General Brigham Virtual Second Opinion – payment, insurance, and terms [4] Mass General Brigham “Departments & Services” directory (system-wide clinical services)