A VOB tells you the patient is covered. PayerLenz tells you what the payer is likely to pay: reimbursement benchmarks built from real behavioral health claims, and real-time eligibility checks that return the patient’s benefits with that dollar figure attached. Built by the billing professionals at Revenue Logic.
An active out-of-network benefit doesn’t tell you whether PHP pays $675 a day or $2,225 a day. In our pool, the same payer does both, depending on plan and reimbursement method. The benefit isn’t the rate.
The EOB arrives long after the care is delivered. That’s pricing discovery after the sale. By then, the census decision, the staffing, and the cost are already spent.
Without rate expectations, admissions and utilization decisions run on instinct and anecdote. Your team deserves the actual distribution: what this payer has paid, how often, and how recently.
Search what a payer has actually paid for behavioral health care, built from adjudicated claims in the PayerLenz pool.
Enter the patient’s name, date of birth, member ID, and payer. In seconds, PayerLenz returns the payer’s live benefit response with the expected out-of-network reimbursement attached.
Submit the patient’s details and the verification team works the payer call. Every request moves through a tracked queue, and you get a live alert the moment it moves.
Open and closed claims at a glance, billed, allowed, and paid, with projected payment dates by month, built from your own claims history.
Contribute de-identified claims data and earn up to 25% off your plan each cycle, or earn free searches on the free tier. Every contribution deepens the pool your own benchmarks are built from.
Revenue Logic is a white-glove revenue cycle firm built for behavioral health. We’ve spent our careers inside the work this software is made of: verifications, claims, payer behavior, and the reimbursement data underneath all of it.
PayerLenz is that experience, productized: the first product from Revenue Logic, built on a simple belief: billing shouldn’t be opaque, and it shouldn’t be your problem.
Between them: both halves of treatment-center economics, getting patients in the door, and getting paid for the care. revenuelogic.io →
In behavioral health revenue cycle since 2012. Kyle founded Revenue Logic, the white-glove revenue cycle firm built exclusively for behavioral health, and has spent over a decade inside the claims data PayerLenz is built on.
Preston has spent years helping treatment centers grow their census through digital marketing and admissions consulting, with more than 200 facilities served. His work closes the loop between marketing spend, admissions, and revenue.
Start free with searches you earn by contributing data, or pick a plan and put real rate expectations in front of your admissions team this week.
