Independent orthopedic specialist reviews · Written clinical recommendations in 24–48 hours
— For TPAs, self-funded plans & workers' comp
Right
specialist.
Right procedure.
Right time.
Independent orthopedic specialist reviews before high-cost surgical decisions. Get a clear written Surgical Decision Report in 24–48 hours—without an additional physical exam.
✓ Specialist-matched reviews ✓ 24–48h target ✓ Built around your process
— For TPAs, self-funded plans & workers' comp
Right Specialist. Right Procedure. Right Time.
Independent orthopedic specialist reviews before high-cost surgical decisions. Get a clear written Surgical Decision Report in 24–48 hours—without an additional physical exam.
✓ Specialist-matched reviews ✓ 24–48h target ✓ Built around your process
Specialists With Training and Experience From Leading Medical Institutions
— The decision that changes everything
The surgery isn't
the whole claim.
One surgical recommendation can change treatment, recovery time, and total claim cost. Get the right specialist’s judgment before the next step.
01 / TREATMENT
Appropriate care
Is surgery clinically supported?
02 / RECOVERY
Downstream treatment
What comes after the decision?
03 / TIME
Return-to-function
Could a clearer pathway reduce delay?
04 / COST
Financial exposure
What are the implications of the treatment path?
— A Different Clinical Question
Not another denial letter.
A specialist's answer.
Utilization review and independent surgical decision support serve different purposes—and
can work together.
Existing utilization review
Does the treatment meet applicable medical-necessity criteria?
Evaluates recommendations against relevant guidelines, evidence, and coverage requirements.
XPRT2ND Adds
Is this is right procedure, for this case, right now?
An orthopedic subspecialist evaluates the existing records and imaging, then explains the recommendation in writing.
— Alongside your team. Not instead
Your team stays.
We add the specialist.
Not another denial letter. Not a replacement for nurse case management or utilization review. We add condition-matched orthopedic judgment when the surgical decision warrants it.
Existing workflow
Your clinical & claims team
Adjusters and claims team
Nurse case management
Utilization review
Treating clinicians
XPRT2ND Adds
Orthopedic specialist
Condition-specific expertise
Independent case review
Written clinical rationale
Timely recommendation
— Specialist Review, built in.
Real clinical expertise.
Without another exam.
Independent orthopedic specialists evaluate the available medical records, imaging and proposed procedure to provide a documented recommendation your team can use to inform next steps.
— SIMPLE BY DESIGN
From case submission to
clinical clarity.
Four simple steps. The images below illustrate the current case portal; organizational referral
workflows may differ.
01
Start a case
A referring organization initiates a review using the agreed secure submission process.
02
Provide case details
Share the condition, proposed procedure and relevant clinical background.
03
Upload records + imaging
Submit the available records and imaging for specialist evaluation.
04
Match the specialist
XPRT2ND matches the case to appropriate orthopedic subspecialty expertise; the specialist reviews records and returns a written report.
— The actual deliverable
One report.
A clear next step.
Not just another opinion. A structured written assessment that helps the referring organization understand whether the recommended surgery is supported, and what may make sense next.
YES — Surgery supported
The recommendation is clinically appropriate based on the information.
NO — Surgery not supported
An alternative treatment approach may be more appropriate.
...
NOT YET — More steps first
Further evaluation or treatment is recommended before surgery.
— Where we fit
Built for consequential
orthopedic decisions.
Different organizations. One shared priority: ensuring the treatment decision is supported by the right specialty expertise.
Workers' Compensation
An orthopedic subspecialist opinion before major surgery, while your adjuster and nurse stay on the claim.
Self-Funded Plans & Employers
An independent clinical perspective on high-cost spine and joint procedures, supporting appropriate care.
TPA & Strategic Partners
Condition-specific reviews that complement existing claims, utilization and care-coordination programs.
— The case for specialist review
Better-informed decisions.
Meaningful downstream impact.
A previously published spine study provides context for why specialist review matters. These are study findings—not XPRT2ND outcomes.
1,088
Spine cases examined in a previously supplied study
60.8%
Conservative care recommended in that study
$6,705
Reported savings per patient in the study
— clinical expertise at the center
Real specialists.
Condition-matched judgement.
Case reviews are conducted by physicians, not automated recommendation engines. Below are physicians currently featured on XPRT2ND's public site.
Anthony Romeo, MD
Shoulder and Elbow
T. David Luo, MD, PhD
Knee and Hip
Syed Mehdi, MD
Spine
Alejandro Badia, MD
Hand and Shoulder
— questions partners ask
Less friction.
More clarity.
Start with a conversation about your cases, current workflow and where a specialist review would be most useful.
How is this different from utilization review?
Utilization review evaluates medical necessity within applicable criteria. XPRT2ND adds a condition-matched specialist’s clinical judgment about the proposed procedure and timing, with written rationale.
Does XPRT2ND replace our current review process?
No. It is designed to add focused orthopedic subspecialist input alongside existing utilization, claims and care-management workflows.
What types of cases are a fit?
High-cost or clinically consequential orthopedic cases, particularly spine, joint and other major elective surgical recommendations. Eligibility is discussed case by case.
How quickly is a report delivered?
The target is 24–48 hours after complete records are received and the case is accepted. Individual circumstances may affect timing.
Does the patient need another physical exam?
The service is designed as a records-based specialist review, so an additional physical examination is not routinely required for this service.
What do we receive after the review?
A written Surgical Decision Report explaining the clinical assessment, its rationale and the recommended next step.
Can we try this on a small number of cases?
Yes. We can discuss a five-case review to identify where specialist decision support may add value. Scope and case selection are agreed before proceeding.
What if the specialist agrees with surgery?
Then the report explains why surgery is clinically supported. The goal is appropriate care—not producing a denial.
— STart small. see where we fit.