The GOLD Surgery Quotation platform now operates as a centralised care navigator for insured patients. Cases are routed to your hospital when the doctor shortlist is set; you submit one sealed facility-fee bid for the case \u2014 the same price applies whichever shortlisted doctor the patient picks \u2014 competing with aggregated market position only. As a Valued Tier participant your bids are reimbursed 100% by the insurer; Standard Tier participants are reimbursed 70% with the patient paying the 30% gap. Hospital ranking uses MS(H) with capability (gate), price, quality, and availability components. See Tier Standing for your tier status and path. Sealed bids are bound by the three-band price guarantee — review the operational guide before submitting.