Frequently asked questions:
What is Grand Rounds?
Grand Rounds is a third-party expert in confidential medical record management. Partnering with
Grand Rounds allows us to deliver the expertise of Boston Children's specialists to you no matter
where you are.
Can the online second opinion program be used for medical emergencies or urgent care?
This program IS NOT designed to handle medical emergencies, or provide immediate treatment guidance. If this is a medical emergency,
please immediately call your local
emergency service number (911 in the United States) to get prompt medical attention or go to your nearest hospital, emergency
room, or urgent-care center. The turnaround time for this service is 5-7 business days from the time the records are collected. Please do not rely on electronic communications
for assistance with immediate, urgent medical issues.
Who chooses the physician who will provide my child's online second opinion?
After carefully reviewing your second opinion request and medical records, our experienced team 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 Grand Rounds as well as Boston Children's will try to accommodate that request, but we
cannot guarantee that specialist will be assigned to your case.
When will I know if my request has been approved?
Once our personal care coordinator has evaluated the request, he/she will contact you if there is any additional
information required before we formally approve the case. Otherwise, your case will be processed according to our
Does a Boston Children's doctor examine my child?
No. Online second opinions are performed remotely. Therefore, there is no need for an in-person
examination. The Boston Children's physician will provide your second opinion after carefully
reviewing all of the comprehensive
medical information that is collected by Grand Rounds, which includes your local doctor's findings during your
child's physical examination.
When is payment due?
An online second opinion from Boston Children's costs $675 for most requests, and $975
for Cancer & Blood Disorder requests. Payment is due when your online second opinion request
is submitted. All major credit cards (MasterCard, Visa, American Express and Discover) are accepted.
You may also
use your Health Saving Account (HSA) or Flexible Spending Account (FSA) to cover the cost.
Why is there a separate fee for Cancer and Blood disorder cases?
An online second opinion from Boston Children’s costs $675 for non-Cancer cases, and $975 for Cancer
& Blood Disorder cases. The cost difference between case types is due to the multidisciplinary & complex
nature of Cancer & Blood Disorder cases often requiring multiple specialists input.
Does my insurance cover the second opinion?
Currently, most health plans do not cover online second opinions or consultations, so patients are responsible for
the cost of the consultation. 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. We are happy to assist with any questions
regarding this process.
What if I cannot afford the consult or ancillary fees for an online second opinion?
Please contact Boston Children's Hospital Patient Financial Services at (617) 355-3397 for additional options when
seeking an expert second opinion.
Are there any states or countries where you do not offer this service?
We may not be permitted to offer online second opinions to patients who are residents of or have current mailing
addresses in certain countries. If you would like to find out if online second opinion services are available in
your country, or to make arrangements to be seen in the US in one of our many Massachusetts-based offices,
please go to the Boston Children's
Centers & Services
page to select the
program that your child needs.
What if I decide that I would prefer a face-to-face appointment during this process?
If you wish at any time to stop the online Second Opinion process and travel to Boston for a face-to face visit,
please contact your personal care coordinator. However, you may not cancel your consultation once you have authorized
us to proceed (upon completion of the online steps), we have received payment, and we have begun working on your
Can my medical records collected for this request be in a language other than English?
We are not able to process requests that are not in English, and we regret that we cannot provide a document
translation service. All documents pertaining to your online second opinion must be translated into English prior to
them being submitted to Grand Rounds.
What kind of computer do I need to access an online medical second opinion?
As long as your computer has Internet access and a common web browser, it is likely you may use our site and
successfully submit a request. Our online Second Opinion Program website is compatible with all current operating
systems and most browsers. We use secure browsing and data transmission technologies that meet stringent healthcare
industry standards to safeguard your medical information while it is both in transit and at rest on our internal
servers. This ensures that the only people who can access your data are you, the Grand Rounds coordinating team, and
the Boston Children's staff.
Do I need an email account to request an online second opinion?
Yes. Our staff will need to communicate with you via email to let you know that new information has been sent to
your secure online portal account, which you will set up during the registration process. We do not send any medical
information to your email account, since email is not a secure environment. We strictly send reminders and/or status
update notifications about your second opinion, letting you know to log on to your secure account.
Who will obtain my medical records and clinical information?
If you are based in the US, the Grand Rounds team will work with the physician practices and
hospitals that you designate to collect all of your relevant medical records and information.
This includes paper documents, CDs, radiological (e.g. x-ray) films, pathological slides and
paraffin blocks. If the Boston Children's specialist requires additional documentation for
your child, we and Grand Rounds will work with you to obtain that information.
International patients are required to collect and upload their medical records. Grand Rounds
will be available to guide you through this process.
Will my medical records and radiological (x-ray) films or pathology specimens be returned?
All copies of paper medical records that are sent to Grand Rounds 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.
Can I check on the status of my online second opinion request?
Yes. You may check the status of your request at any time. Simply go to the Grand Rounds online second opinion portal
and log in to your secure account. Grand Rounds staff will communicate with you via email to let you know that new
information has been sent to your secure online account. We do not send any medical information to your email account,
as it is not a secure environment. We strictly send reminders and/or status updates about your second opinion, letting you
know to log on to your secure account. We recommend checking your email at least once a day. We will notify you by email
- your online request has been received and started
- your supporting medical materials have been received
- our experts have begun their review process
- your second opinion is complete and available on the website
We may also contact you via phone or email if we have a question about your request. Since email is not a secure
environment, we will not include any specific medical questions or information in the email. Instead, we will
instruct you to contact the personal care coordinator or go to the Grand Rounds website and log on to your secure
account for information regarding your online second opinion.
How will I receive my online second opinion report?
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 account. Your local physician will be able to securely retrieve the report
from our second opinion portal using his or her own credentials. He or she can view the report online, print it out,
or download it at their convenience. You should log onto the secure online portal with your own private credentials
to retrieve a PDF copy of your report which you can view online, print out, or download at your convenience.
What will my online second opinion report include?
Your child's Boston Children's specialist will send you and your local treating physician a very thorough second
opinion report addressing the specific questions you asked. 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.
Once you have received your second opinion, you are welcome to come to Boston Children's for your treatment.
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
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.
What if my local treating physician and I have additional questions after I receive my online medical second opinion report?
We understand that you both may have some additional questions once you receive your second opinion report. Please
work with your personal care coordinator should you have any additional questions after you receive your report.
Will you store my credit card information?
Neither we nor Grand Rounds store any credit card information in our system. All financial transactions are processed
by Grand Rounds securely using industry standard payment processing tools.
Will you share my medical information with anyone else?
No. Only the Grand Rounds and Boston Children's team managing your case will see your medical information. This team may
- your personal care coordinator
- Grand Rounds staff physician who helps triage your request to the most appropriate Boston Children's specialist
- Boston Children's physician(s) who author(s) your second opinion
- any medical consultants, such as pathologists, radiologists or other Boston Children's health care professionals
who may be asked to review your case
If I decide to bring my child to Boston Children's for treatment, can he or she see the same doctor who provided my online second opinion?
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.