Online Second Opinions

Your child's Boston Children's specialist will send you and your local treating physician a second opinion report addressing the questions you worked on with Summus. Potential outcomes include:

• The Boston Children's specialist may have a different diagnosis and, therefore, suggest a completely different treatment plan to you and your local physician.
• The Boston Children's specialist may agree with your local physician's diagnosis, but may offer a different treatment plan or additional treatment options.
• The Boston Children's specialist may agree with the diagnosis and the treatment plan of your first opinion, and this second opinion confirmation offers you peace of mind that you are moving forward in the right direction.

After receiving your second opinion, notify your Summus Partner if you are interested in traveling to Boston for in-person care. The appropriate Boston Children's care team will contact you about next steps.

When possible, your Boston Children's specialist may also refer you to the most current literature (such as medical journal articles) regarding your child's condition that may also help you make your health care decisions.

After you have received the second opinion report from your specialist at Boston Children's, you should schedule adequate time with your local treating provider to review the recommendations and work with him or her to refine your diagnosis, treatment plan, or plan of care.

Please email BCH-support@summusglobal.com for assistance with opening a case on the Summus platform.

Patients who are hospitalized often have frequent clinical changes that prevent the expert from being able to give up-to-date and relevant advice in the remote setting. For patient safety and quality, we cannot provide expert opinions for patients who are currently hospitalized or in an intensive care unit.

The Department of Cardiology and the Esophageal and Airway Treatment Center each offer their own separate online second opinion programs. Please visit the below pages to contact their department:

• Cardiology Second Opinion Program
• Esophageal and Airway Treatment Center

The Division of Pulmonary Medicine is currently only accepting in-person second opinion appointments.

• Pulmonary Medicine: 617-355-1900

Unfortunately, some conditions and diagnoses are not good candidates for a remote second opinion due to their need for a multidisciplinary team to opine. If you are seeking a second opinion for one of these diagnoses, please contact the specialty department for an appointment:

• PANS/PANDAS — Pediatric Diagnostic Program | 617-355-8024
• AFM — Neuroimmunology Center | 833-317-1315
• Stroke – Stroke and Cerebrovascular Center | 617-355-2758

The cost difference is due to the level of complexity in rendering a comprehensive second opinion for these case types. If the Boston Children's physician reviewing the case suggests another review of pathology results, your care coordinator will contact you regarding the next steps. Please note that an additional fee may be charged.

Currently, most health plans do not cover online second opinions or consultations, so patients are responsible for the cost of the opinion. You may also elect to use your Health Saving Account (HSA) or Flexible Spending Account (FSA) to cover the cost. Boston Children's Hospital will not file a claim with your insurance carrier, nor can we provide a procedure (CPT) code for this online second opinion service.

After carefully reviewing your second opinion request and medical records, our experienced medical team at Summus will determine which Boston Children's physician specialist is most appropriate to handle your online second opinion case. You may request a particular physician, and Summus as well as Boston Children's will try to accommodate that request, but we cannot guarantee that specialist will be assigned to your case.

If you wish at any time to stop the online second opinion process, please contact your Summus Partner. However, once you have authorized us to proceed (upon completion of the online steps), we have received payment, and we have begun working on your request,we will not be able to refund payment.

If you are based in the U.S., the Summus team will work with the physician practices and hospitals you designate to collect your relevant medical records and information. This includes paper documents, CDs, and any radiological (e.g. x-ray) films. If the Boston Children's specialist requires additional documentation for your child (to include pathological slides and paraffin blocks), Summus will work with you to obtain that information.

International patients are required to collect, upload, and translate their medical records. Summus will be available to guide you through this process. We cannot reimburse for translation services for medical records.

Your case cannot be reviewed by an expert until we have received all of the required records. Should additional records, labs, or imaging become available once your case is underway, we regret that we cannot add them to your case, and as such the expert will not be able to review them. However, you are welcome to open and pay for a new case, and we can request the same expert who reviewed your first case. Please be aware that we cannot guarantee that the same expert will be available to review your second case.

The patient family will work with Summus to identify up to eight appropriate questions to ensure they receive the most robust opinion. This ensures that the expert has sufficient time to devote to each question. All questions must be finalized before we reach out to the expert to review your case, and additional questions cannot be added once your case is assigned.

If you have a clarifying question about an expert's response to one of the questions in your second opinion, and the Summus medical team is unable to address it, then Summus can contact the expert to request additional clarification.

You may ask a maximum of two clarifying questions within five business days of when the completed second opinion was made available to you. You may not introduce any new questions. Please note that we cannot guarantee that the expert will be available to answer your follow-up question(s).

All copies of paper medical records that are sent to Summus will be destroyed once the information has been uploaded into our system. Medical imaging CDs and portable flash drives will be destroyed after the images and documents are uploaded, and therefore cannot be returned. Pathology specimens, including slides and tissue, will be returned directly to the institution from which they were received by Boston Children’s Hospital.

Your Summus Partner will provide you with updates concerning the status of your case request. Based on your preference, the update will come via phone or email. We aim to deliver the report in seven to 10 business days after receiving all medical records. However, turnaround times can be extended if a specific provider is requested or if the case is recommended for a multidisciplinary review.

When your child's second opinion report is completed, both you and your local physician will be notified via email that an update has been posted to your Summus account. If an email address for your local physician is not provided at the time of registration, Summus will securely fax a copy of your child’s second opinion report directly to the local physician to review.

Yes, you may request to see the same physician. However, if your second opinion physician specialist has a long wait time, you may elect to see one of his or her physician colleagues. It is also possible that your medical problem requires your child to see another Boston Children's specialist. If this is the case, the appointment schedulers will coordinate your appointments for you.