Insight Home Physicians
Home based medical care and telemedicine
(215) 930-6630
Second Look Record Review & Care Plan Consult
AI-assisted, physician-verified analysis of your medical records—plus a personalized video consult to align next steps with your goals.
We take messy, fragmented records (PDFs, outside notes, discharge summaries, imaging reports) and produce a structured, source-linked summary. A physician then reviews the primary records and the AI output to confirm accuracy, identify contradictions, and clarify what’s uncertain.
Important: Second Look Record Review & Care Plan Consult is a separate service from our home-based primary care practice. It is not insurance-billed and is paid out-of-pocket, $1000 minimum.
What this service does
Medical records often contain duplication, outdated medication lists, and conflicting problem histories. Many people try to paste documents into a general chatbot and get a confident-sounding narrative—sometimes with critical errors.
This service is designed for verification:
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extract and organize key information
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link important statements back to the source documents
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have a physician confirm accuracy and clinical coherence
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collaborate with you on a practical plan that fits your values and goals
What you receive
A clinician-ready package that typically includes:
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Structured summary of past medical history, active problems, medications, allergies, and key events
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Medical timeline (admissions, procedures, major imaging/labs)
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Contradiction and uncertainty flags (what doesn’t match across sources, what’s unclear, what’s likely missing)
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Source references (document name/date and page/section when available)
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Doctor-facing Recommendations Summary you can share with your treating clinicians
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Optional: updates when new records arrive, with a change log (Added / Removed / Modified)
Why not just use a generic LLM?
Generic LLMs can produce plausible text that is not supported by your records (“hallucinations”), especially when documents are incomplete or contradictory.
Our workflow reduces this risk in two ways:
1) Physician-focused evidence engine
We use OpenEvidence, a physician-oriented clinical AI platform designed around evidence-linked outputs and access intended for healthcare professionals. OpenEvidence has publicly announced multi-year content agreements with NEJM Group and the JAMA Network.
2) Physician review of the primary records
A physician reviews the underlying documents and the AI output, with explicit checks for:
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hallucinations / invented details
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contradictory entries across sources
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outdated medication lists and dose drift
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overconfident phrasing when the record is uncertain
Bottom line: the output is designed for trust via provenance, not trust via vibes.
Frequently asked questions
What is a medical record review?
A medical record review is a structured analysis of your available clinical documents (outside records, hospitalizations, imaging, labs, specialist notes) to produce a coherent summary and timeline. In our service, a physician verifies key items and flags contradictions and missing information.
Is this a second opinion?
This is a record review and care planning consult. We help clarify what the chart says, what is uncertain, and what questions to bring to your treating clinicians. It is not a replacement for in-person medical evaluation.
Can you find errors in my medical record?
We can often identify inconsistencies (e.g., conflicting diagnoses, duplicated conditions, medication list drift, missing discharge summaries). We provide a concise list of questions and items to confirm with your treating team.
Do you identify missed diagnoses?
We do not promise to “find missed diagnoses.” We can highlight unexplained symptoms, gaps in workups, and conflicting documentation that may warrant discussion with your clinicians.
Do you review imaging and lab results?
We summarize key reported findings when present in the documents. We generally rely on the official reports (not re-interpreting images) unless you provide additional materials and the scope is agreed.
How is this different from using ChatGPT or another chatbot?
General chatbots can generate plausible text that is not supported by your records. Our workflow uses AI-assisted extraction plus physician review of the primary records to reduce hallucinations and ensure the summary is clinically coherent.
Is this covered by insurance?
No. This is a separate concierge service (not part of our home-based primary care) and is out-of-pocket.
How much does it cost?
Billing is hourly, and total cost depends on record volume and complexity. We provide an estimate after an initial review of your record bundle.
What do I receive at the end?
A structured summary, a timeline, and a “Recommendations Summary” you can share with your doctors, plus a video consult to review findings and align next steps with your goals.
Do I need my doctor's permission to get a second opinion?
You don’t need your doctor’s permission to seek a second opinion. Patients can request a second opinion at any time.
The American Medical Association’s Code of Medical Ethics supports patients seeking additional clinical perspectives and encourages physicians to respect and facilitate second opinions when a patient or clinician believes it would be helpful. A second opinion is meant to complement your care—it does not require changing or leaving your current treating physician.
