Cardiology review FAQs: cost, records & next steps

The initial review’s one-time self-pay fee covers up to 40 relevant pages, one main cardiology question, a 30-minute phone or video call with a physician, a written summary, a printable medication list, questions for your treating team, and one clarification requested within 7 calendar days of the summary. Explore the sample cases.

A clinical second opinion is an independent assessment of a diagnosis or treatment options. Our advisory review helps you understand the written records and recommendations you already have: what the words mean, what your team has documented, and what still needs an answer. We do not choose a treatment, prescribe, or take over your care.

Our agreed role is limited to education and visit preparation. Your own clinicians continue to direct diagnosis, treatment, prescriptions, monitoring, and follow-up. Legal rights and professional duties depend on the actual services and applicable law; describing the service as educational does not remove those duties.

We currently limit the service to adults in New York so we can keep eligibility and the service scope clear. We confirm location before accepting a case and at the time of the call. This location limit applies to our educational review. A separate second-opinion practice sets its own eligibility rules.

We look for a focused, nonurgent question about an existing cardiology recommendation, relevant written records, and a request that can be handled within the educational scope and 40-page package. We may ask you to narrow the question or obtain missing reports. Urgent symptoms need your treating team or emergency care. If you need a new diagnosis or treatment recommendation, we can help you look for a second-opinion clinician. We may decline educational reviews outside our expertise or where the records are insufficient. There is no charge for a declined request.

Use the checklist to send a focused set of complete reports. We make a brief check that the packet fits your question before accepting it. The initial review covers up to 40 relevant pages; the follow-up covers up to 10 new relevant pages. Tell us before sending a larger packet.

We do not add automatic overage fees or silently omit necessary records. If the question needs more material than the package allows, we agree a narrower scope or decline it. The optional $75 collection service covers obtaining and indexing the agreed reports, not sorting an entire medical archive or expanding the review's page limit.

Your call and written summary are completed within 48 hours after your case is accepted, payment is received, and all agreed records are in hand. The 48 hours include weekends and holidays. Your portal shows the start time, appointment, and summary deadline.

If you prefer a later call, we agree a revised summary deadline with you when scheduling. Gathering records happens before the 48-hour window begins.

Initial requests and the included follow-up clarification also receive a response within 48 hours. Email a general inquiry any time; there are no fixed office hours. This is not an urgent-care service.

There is no charge to submit a request. Before physician acceptance, you save your card and authorize the $350 review. You may add optional record retrieval for $75, making the authorized total $425. Your card is charged automatically only if the physician accepts; declined requests are not charged. Saving a card does not pay for the review. After acceptance and successful payment, you schedule your phone or video call. Do not send card details by email.

For either the $350 initial review or $150 follow-up, cancel before the scheduled call starts for a full refund of that review fee, even if record review has begun. If you miss the call, you may reschedule once without an extra charge or request a full refund before a replacement call starts. After a completed call, the fee is generally nonrefundable, provided we deliver the included summary. If we cancel or cannot deliver the agreed service, we provide a full refund. If we miss a confirmed call or summary deadline, you may accept a new date or request a full refund. We initiate approved refunds to the original payment method within 48 hours; your provider may take longer to post the credit. Read the full terms. The optional $75 record-collection fee has a separate cancellation policy.

This is a self-pay educational service; we do not submit insurance claims. Do not assume it qualifies for insurance reimbursement or FSA/HSA spending. Eligibility depends on the service and your plan’s rules. Confirm with your plan administrator before paying; we cannot guarantee reimbursement. We can provide an itemized receipt.

Yes. With your permission, a family member or support person can join your phone or video call at no extra charge. Tell us when arranging the appointment. The appointment remains 30 minutes for an initial review or 20 minutes for a follow-up, with the same agreed question. Sharing someone else’s records requires their permission or appropriate legal authority.

Start with the clinic note about your question and your current medication list. Depending on the topic, useful records may include lipid panels, a home blood pressure log, a rhythm-monitor report, or written cath, echo, and stress-test reports. Only gather records relevant to the question; you may not need every item. Use the records checklist. Upload relevant records through your account using the instructions shown there.

Use the patient portal reached through Request a review. Verify your email, answer the intake questions, and upload the relevant records in your account. The current preview is restricted to configured testers using fictional information. Do not email medical records or sensitive information.

Do not wait for this service. If you think you may be having a medical emergency, call 911. For other time-sensitive symptoms or treatment questions, contact your treating clinician. This inbox is not monitored for urgent care.

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Choose phone or video when scheduling after physician acceptance and successful payment. The initial review is $350 for a 30-minute call and written summary. The follow-up review is $150 for a 20-minute call and written update. Phone and video cost the same within each package. Choose an available appointment in your account. If you choose video, we send joining instructions before the appointment. If you have trouble connecting, we can switch to phone with your agreement.

AI can help explain unfamiliar medical terms, but it can also give a convincing answer that is wrong or incomplete. In this review, a physician reads the records relevant to your question and talks them through with you. You can ask which report supports an explanation or point out something that does not match your experience.

The physician is responsible for your written summary and answers the included follow-up clarification. That direct discussion and responsibility are what you are paying for. Diagnosis and treatment decisions still belong with your treating clinicians.

WHO guidance on the limits of AI in health ↗ (opens in a new tab).

If you want another cardiologist to assess your diagnosis or treatment options, please get in touch. We can help connect you with a clinician who offers second opinions. You do not need to buy an educational review to ask for this help.

The second opinion is a separate clinical consultation. The receiving practice confirms whether it can accept your case, its fees, and appointment availability. Our 48-hour review promise does not apply to that appointment.

The $150 follow-up review is for new records or an updated recommendation about the same main question as your original review. Request it within 90 days of your original summary.

• Up to 10 new relevant pages, read alongside the original review.
• A 20-minute phone or video call with a physician.
• A short written update explaining what the new records add and questions for your treating team.

The call and written update are completed within 48 hours of acceptance, payment, and complete records, including weekends and holidays. If you choose a later call, we agree a revised deadline when scheduling.

The original $350 review includes one clarification requested within 7 days of that summary, with a reply within 48 hours. There is no extra charge to explain something in that original review. The $150 follow-up is for new material that needs another review; it does not include ongoing messaging or monitoring.

As an optional $75 flat fee add-on to the $350 review, we request the agreed records from up to two practices or record holders. One records department counts as one source. You can also gather your own records using the checklist and pay no collection fee.

• One records request to each agreed source, using your signed authorization.
• Up to two follow-up contacts per source if records are still outstanding, over 30 calendar days from the first request.
• A check for readable files and duplicate copies, plus a document list organized by report type and date.
• A closing update showing what arrived and what is still missing.

This is an administrative service. It does not include a physician call or medical interpretation. It does not increase the review limits of 40 pages for an initial review or 10 new pages for a follow-up.

Authorize the optional $75 add-on with your $350 review. The combined $425 is charged only upon physician acceptance. We confirm the sources, requested reports, and secure delivery details before sending requests. Once payment and a complete signed release are in hand, we send the initial requests within 48 hours.

Outside practices control when they release records. Collection can take longer than 48 hours, and we cannot guarantee that a practice will supply every requested report. The physician review's 48-hour clock starts only after acceptance, payment for that review, and receipt of all agreed records. We close the collection request within 30 calendar days of the first request, or sooner when the agreed records arrive.

The $75 fee is an optional add-on charged with the accepted $350 review; it is not a standalone purchase. Any fee charged by a record holder is also separate; we ask for your written agreement before incurring it. Additional sources require a separate quote that you approve first.

Download the fillable PDF from the record-collection page. Use one form per practice, complete both pages, and select the reports and dates. We give you the secure delivery destination before you sign. Print and sign, or use a signature method accepted by the record holder. Return it only through the secure method provided; do not email the completed form to our public inbox.

Cancel before we send the first records request for a full $75 refund. After the first request is sent, the fee is nonrefundable if we carry out the agreed requests and follow-up work, even if a practice delays, declines, or cannot supply records. If we cancel or fail to perform the agreed collection work, we refund the $75 fee.

Canceling a physician review does not automatically refund collection work already performed. Refunds for the $350 initial review and $150 follow-up are handled separately under the review cancellation policy. We initiate approved refunds within 48 hours; your payment provider may take longer to post the credit. Applicable statutory rights remain unaffected.