All evaluations

Medical Long Context Reasoning (MLCR-AA)

An open benchmark from Wisedocs measuring how well models reason over long, fragmented medical records, performing the multi-document synthesis claims professionals rely on when reviewing insurance and healthcare cases. Artificial Analysis evaluates a private held-out set of the hardest cases (expert and compound categories), with accuracy and completeness graded by LLM judges against expert-annotated ground truth.
See example tasks

MLCR (Medical Long Context Reasoning) is an open benchmark from Wisedocs that tests whether AI models can reason over long, fragmented medical records, performing the kind of multi-document synthesis claims professionals do when reviewing insurance and healthcare cases. This requires the model to reason through chronology, causality, treatment patterns, and relevance while working through a record spanning hundreds of visits, just like a human reviewer.
The benchmark is built around realistic, synthetic medical cases of roughly 25,000 to 64,000 tokens.
Responses that stay concise (within five times the length of the reference answer) and contain an answer are graded by a panel of three LLM judges against expert-annotated ground truth. Accuracy and completeness are reported among those judged responses. The headline score still counts overlong and empty responses as failures, and credits a response only when it is concise and judged both accurate and complete by majority vote.
MLCR questions are graded across six tiers of difficulty. The MLCR-AA implementation evaluates a private held-out set of the hardest cases (expert-tier clinical synthesis and compound, multi-part reasoning), which is separate from the publicly released dataset.

All evaluations are conducted independently by Artificial Analysis. More information can be found on our Intelligence Benchmarking Methodology page.

MLCR-AA Score

Claude Fable 5 (Adaptive Reasoning, Max Effort, Opus 4.8 Fallback) scores the highest on MLCR-AA Score with a score of 64.4%, followed by Claude Opus 5 (Adaptive Reasoning, High Effort) with a score of 59.4%, and Claude Opus 5 (Adaptive Reasoning, Xhigh Effort) with a score of 58.3%

MLCR-AA Accuracy (Judged Responses)

GPT-5.6 Terra (max) scores the highest on MLCR-AA Accuracy (Judged Responses) with a score of 93.7%, followed by GPT-5.6 Sol (max) with a score of 92.5%, and Claude Fable 5 (Adaptive Reasoning, Max Effort, Opus 4.8 Fallback) with a score of 90.1%

MLCR-AA Completeness (Judged Responses)

Claude Opus 5 (Adaptive Reasoning, Max Effort) scores the highest on MLCR-AA Completeness (Judged Responses) with a score of 86.1%, followed by Claude Opus 5 (Adaptive Reasoning, Xhigh Effort) with a score of 81.8%, and Claude Opus 5 (Adaptive Reasoning, High Effort) with a score of 81.2%

MLCR-AA Conciseness

Nova Lite scores the highest on MLCR-AA Conciseness with a score of 100.0%, followed by Grok 4.6 (high) with a score of 99.4%, and Gemini 3.1 Pro Preview with a score of 99.4%

Score

MLCR-AA: Score

Share of tasks judged accurate, complete, and concise · Expert + compound (hard) sets · Benchmark developed by Wisedocs · Independently benchmarked by Artificial Analysis
Reasoning models are indicated by a lightbulb icon

The share of responses that stay concise (within five times the length of the reference answer) and that an LLM judge panel rates as both accurate and complete against expert-annotated ground truth. A response past the conciseness limit scores zero without judging; otherwise three LLM judges decide accuracy and completeness by majority vote. Reported over a private held-out set of the hardest cases (expert-tier clinical synthesis and compound, multi-part reasoning) with 3 repeats per question; pass@1.

Medical Long Context Reasoning (MLCR-AA) Accuracy vs. Completeness Among Judged Responses

Accuracy pass rate among judged responses · Completeness pass rate among judged responses · Expert + compound (hard) sets · Benchmark developed by Wisedocs
Most attractive quadrant

Among responses sent to the judge panel, the share where every stated fact is correct. Three LLM judges check for hallucinated or incorrect details; accuracy passes when a majority (2 of 3) find no factual errors. Overlong and empty responses are excluded from this metric and remain failures in the overall pass rate. Reported over the expert and compound (hard) question sets with 3 repeats per question; pass@1.

Among responses sent to the judge panel, the share that include all key facts from the expert-annotated ground truth. Three LLM judges check for omitted information; completeness passes when a majority (2 of 3) find nothing missing. Overlong and empty responses are excluded from this metric and remain failures in the overall pass rate. Reported over the expert and compound (hard) question sets with 3 repeats per question; pass@1.

Token Usage

MLCR-AA: Output Tokens per Task

Output tokens used to run one task, broken down by reasoning and answer tokens
Reasoning models are indicated by a lightbulb icon

The average number of answer and reasoning tokens produced per benchmark task in this evaluation.

Cost

MLCR-AA: Cost per Task

Average cost per task (USD), broken down by input, cache hit, cache write, reasoning, and answer tokens
Reasoning models are indicated by a lightbulb icon

Average cost per task in the evaluation. Costs are split by input, cache hit, cache write, reasoning, and answer token pricing where canonical token counts are available.

Speed

MLCR-AA: Time per Task

Weighted average decode time (minutes) per task; excludes TTFT and overhead time · Lower is better
Reasoning models are indicated by a lightbulb icon

The weighted average time (seconds) per evaluation task. This is calculated by dividing output tokens per task by output speed, weighted by the relative weights of each benchmark in the evaluation.

Score vs. Release Date

MLCR-AA: Score vs. Release Date

Most attractive region

Example Tasks

Frequently Asked Questions

MLCR-AA is Artificial Analysis' evaluation of MLCR, an open benchmark from Wisedocs that tests whether AI models can reason over long, fragmented medical records, performing the kind of multi-document synthesis claims professionals do when reviewing insurance and healthcare cases. Cases are synthetic medical files of roughly 25,000 to 64,000 tokens, with questions graded across six tiers of difficulty, from locating a single fact to expert-level clinical synthesis and compound, multi-part reasoning.

Each model response must first pass a conciseness gate: an answer longer than five times the reference answer scores zero. Concise responses are then graded by a panel of three LLM judges, with accuracy and completeness decided by majority vote, and the headline overall pass rate credits a response only when it is concise and judged both complete and accurate. On this page the primary score is the overall pass rate, evaluated over the expert and compound multi-part (hard) question sets.

Claude Fable 5 (Adaptive Reasoning, Max Effort, Opus 4.8 Fallback) has the highest MLCR-AA score, with an overall pass rate of 64.4% among models with published MLCR-AA results. View model

A claims professional reviewing a record spanning hundreds of visits is not just searching for a single fact; they are reconstructing chronology, causality, treatment patterns, and claim relevance across fragmented documents. MLCR-AA measures exactly this capability, which matters for any organization evaluating off-the-shelf AI for medical record review, insurance claims, and other long-document healthcare workflows.

No. MLCR-AA is reported as a standalone evaluation and does not contribute to the Artificial Analysis Intelligence Index. It is benchmarked independently by Artificial Analysis.

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