Second Look · For employers and health plans

Orthopedic second opinions for the people you cover

A member sends the scan they already have. An orthopedic surgeon licensed in the member’s state reads the original images and writes a signed opinion, with the treatment options and one recommended next step.

Second Look is not open yet. Sponsor conversations are starting now.

  • Orthopedics only
  • Licensed in the member’s state
  • Reads the original images
  • Signed written opinion

How it will work

  1. The member sends a scan. The X-ray, MRI or CT they already have, their records and their question. No referral.
  2. A surgeon takes the case. An orthopedic surgeon licensed in the member’s state. The member sees who it is.
  3. The surgeon reviews it. From the original imaging files, not only the radiology report.
  4. The member gets an answer. A signed written opinion, with one follow-up question within 30 days.

What your members will get

  • A surgeon who reads the images. The reviewing surgeon will work from the original imaging files, the records and the member’s question, not only a radiology report.
  • A signed written opinion. What the scan shows, what it means for this person, the treatment options, one recommended next step, and the signs that mean act sooner.
  • One follow-up question. The member can ask it within 30 days of the opinion.
  • No appointment. No travel and no time off work.
  • A named reviewer. Members will see who reviewed their case, with the surgeon’s profile, training and focus.

What BoneArc handles

  • Surgeon verification. Active license, board status, and malpractice coverage that explicitly includes written second opinions. Checked before a surgeon takes cases, and repeated for each state.
  • Quality review. A BoneArc physician will review every opinion from a surgeon until five are complete, then about one in ten.
  • Turnaround. Stated before the review starts, and tracked.
  • Privacy. Images, records and opinions are handled under HIPAA, with business associate agreements in place.
  • Follow-up. Check-ins at 3, 6 and 12 months will ask what the member decided and how they are doing.

Surgeons record commitments on turnaround, privacy, scope and conflicts of interest.

What it covers, and what it does not

  • Orthopedics only. Knee, hip, shoulder, spine (back and neck), hand and wrist, foot and ankle.
  • An opinion on existing imaging. It is not a diagnosis, a prescription or ongoing care.
  • Not for emergencies or legal matters. It is not for emergencies, workers’ compensation, injury claims, disability or other legal matters.

Questions about covering Second Look

Second Look is not open yet. Sponsor conversations are starting now. Tell us about the people you cover and we will reply by email. Sending the form does not start a contract. Pricing is shared in conversation.

Who are the reviewing surgeons, and how are they verified?

Orthopedic surgeons. Before a surgeon takes cases, BoneArc verifies an active license, board status, and malpractice coverage that explicitly includes written second opinions. Verification is repeated for each state the surgeon reviews in. A member’s case goes only to a surgeon licensed in that member’s state, and the member sees the surgeon’s profile, training and focus.

What does a member need to send?

The original imaging files for an X-ray, MRI or CT they already have, their records, and the question they want answered. The surgeon reviews the images themselves, not only a radiology report.

What does the member get back?

A structured written opinion, signed by the surgeon. It covers what the scan shows, what it means for this person, the treatment options, one recommended next step, and the signs that mean act sooner. The member can ask one follow-up question within 30 days.

How do members reach it?

Directly. No referral is needed, and there is no appointment, travel or time off work. A sponsor can offer Second Look to members before elective orthopedic surgery.

How does it work alongside a second-opinion or surgery program we already have?

Second Look does one thing: an orthopedic surgeon’s written opinion on imaging the member already has. It can sit beside a general second-opinion benefit or a surgery program as the orthopedic imaging review. It is not ongoing care and it does not replace the member’s treating clinician. Where it fits in your program is part of the conversation.

What reporting will a sponsor receive?

Aggregate, de-identified counts and turnaround. A sponsor will never receive an individual member’s health information without that member’s authorization.

How do you handle privacy and security review?

Images, records and opinions are handled under HIPAA, with business associate agreements in place. BoneArc will complete your security questionnaire and share its security documentation under NDA.

When will Second Look be available?

Second Look is not open yet. Sponsor conversations are starting now, and timing for the people you cover is part of that conversation.

See the member side of Second Look · For orthopedic surgeons · Sample opinion for a fictional patient (PDF)

Second Look is a BoneArc, Inc. service. About BoneArc · Privacy Policy