Appeal Arena Rankings

Which AI drafts win when people judge them side by side, which ones get caught making things up, and what people are fighting insurance over.

All synthetic, all aggregate. Every vote below was cast in the Appeal Arena on a made-up case. The condition and treatment lists are counts across many people's appeals, shown only for terms that at least 5 different people entered and that a medical vocabulary recognizes. Nothing on this page comes from any one person's case.
0
votes cast
0
cases judged
390
cases waiting for a referee

Counting votes cast since 2026-10-16, when blind voting began. Earlier votes, cast when the API still named the model, are left out.

Model rankings · All time

Appeal letters

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Chat replies

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Model rankings · Last 30 days

Appeal letters

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Chat replies

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What people are fighting over

The conditions and treatments named most often on appeals: how many different people named each, counted across everyone who used the site and rounded down to the nearest 5.

Conditions

  1. Obesity 155+
  2. Gender Dysphoria 75+
  3. ADHD 30+
  4. Sleep Apnea 25+
  5. Type 2 Diabetes 25+
  6. Depression 20+
  7. Diabetes 20+
  8. Obstructive Sleep Apnea 20+
  9. Type 2 diabetes mellitus 20+
  10. Back Pain 15+
  11. Breast Cancer 15+
  12. Infertility 15+
  13. Migraine 15+
  14. Pregnancy 15+
  15. Anxiety 10+
  16. Asthma 10+
  17. Autism 10+
  18. Autism Spectrum Disorder 10+
  19. Diabetes Mellitus 10+
  20. Endometriosis 10+
  21. Lipedema 10+
  22. Major Depressive Disorder 10+
  23. Morbid Obesity 10+
  24. Osteoarthritis 10+
  25. Psoriasis 10+

Treatments

  1. Colonoscopy 80+
  2. Zepbound 55+
  3. office visit 45+
  4. Physical Therapy 35+
  5. Wegovy 35+
  6. Long term disability 15+
  7. Mounjaro 15+
  8. MRI 15+
  9. Ozempic 15+
  10. Psychotherapy 15+
  11. requested 15+
  12. Ambulance Services 10+
  13. Anesthesia 10+
  14. Emergency services 10+
  15. Facial Feminization Surgery 10+
  16. Laboratory Services 10+
  17. Medication 10+
  18. ordered 10+
  19. Short Term Disability 10+
  20. Surgery 10+
  21. Wegovy Inj 0.25mg 10+
  22. Zepbound (tirzepatide) 10+
  23. ABA Therapy 5+
  24. Acupuncture 5+
  25. Ambulance 5+

How this is counted

  • Win rate is votes a model's draft won over votes it was shown in. Drafts are shown blind (the page gets opaque references, never a model name or a stored order), in random order, so a vote is for the letter, not the brand. Only votes cast since blind voting began count.
  • Caught making things up is how often a referee flagged the draft for inventing a study, a law, a test result, a date or a history that was not in the case. A draft can be flagged and still lose honestly; a flagged draft can never be the vote.
  • Warming up marks a model with fewer than 10 votes; its rates are listed but not ranked against the rest.
  • Cases are synthetic. Each one is written by a model about a real condition and treatment pair, with made-up facts and the published evidence already on file for that pair. No real patient's letter is ever shown.
  • The same data is available as JSON. Counts refresh every few minutes.
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