Know what payers actually pay.
Before you admit.
A VOB tells you the patient is covered. It has never told you what the claim will pay. PayerLenz attaches that missing number to every check, in the same result.
Built from adjudicated claims, not vendor estimates.
260+ PAYER GROUPS · 21 STATES AND GROWING · 500,000+ ADJUDICATED CLAIMS
The Most Expensive Unknown in Admissions
"Covered" is not a number
An active OON PHP benefit can pay $675/day. It can also pay $2,900+/day. Same payer, state, and level of care.
The EOB is the most expensive report you'll ever read
It tells you exactly what the payer pays. It arrives 60-120 days after the care is delivered.
Every admit is a bet
Without rate expectations, the front end runs on instinct. The house always knows the odds.
MADE FOR YOUR TEAM
Solutions Built for Every Role, at Every Scale.
Answer the call with the rate, not just the coverage.
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Reconcile before the claim goes out. Not after the denial.
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The rate data your competitors don't have.
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One rate standard across every facility you run.
Learn more →From "Is it Covered?" to "What Will it Pay?"
Eligibility, benchmarks, VOBs, and AR reporting, already live in one login, each built on the same claims pool.
See the rate before you admit
Search real, adjudicated claims by payer, state, level of care, and reimbursement method, and see the full percentile spread.
- Most-likely rate plus P25 / P50 / P75 / P90 spreads
- Filter by payer group, state, level of care, method
- BCBS resolved to the alpha prefix and home plan
- Trust score on every row, from claim volume and recency
- Free tier: 15 historical searches at signup
70% of UCR means nothing until you know it resolves to $878 a day
The EOB used to arrive months after the census decision. Now it arrives before it.
Real-time eligibility with a dollar answer
Enter the patient's name, DOB, member ID, and payer. Get the live benefit response with reimbursement attached.
- Coverage, deductibles, and OOP max, in/out network
- Cost-shares, prior-auth flags, carve-out detection
- One-click carve-out follow-up
- 30-day history, PNG/JPEG export, print-to-PDF
- Included on every paid plan
Full verifications, worked for you
Submit a request and the PayerLenz team works the payer call. Tracked queue, live alerts, benchmark data attached.
- Tracked queue: Submitted, Assigned, In Review, Delivered
- In-app alerts as your request moves
- Full worksheet: identity, benefit grids, reimbursement basis
- Export worksheet to PDF, PNG, or JPEG
- Paid plans submit unlimited requests
Coordinators used to wait on hold for this. Now they watch the queue move.
Teams using PayerLenz stop reconciling AR from memory.
Your AR, live
Open and closed claims at a glance, built from your own claims history rather than a generic industry curve.
- Open vs. closed claim totals: billed, allowed, paid
- % allowed and % paid at a glance
- Projected payment dates by month
- CSV/Excel upload with a claims template
THE CLAIMS POOL
A benchmark that gets sharper with every claim.
When you search PayerLenz, you're pulling from the largest behavioral health claims pool built for this exact problem. Every contribution tightens the spread and adds coverage for the next search.
BENCHMARKED
GROWING
IN THE POOL
Every VOB tool tells you a patient is covered. PayerLenz tells you what that coverage is worth.
Click through a real benchmark search, start to finish, dashboard to trust score.
Questions billing and admissions teams ask before they rely on the number.
PayerLenz combines reimbursement benchmarks, eligibility, Live VOB, and AR reporting for behavioral health.
See all FAQs →What makes PayerLenz different from a standard VOB tool?
A standard VOB tool focuses on the patient's coverage and benefit structure. PayerLenz adds a reimbursement benchmark built from adjudicated behavioral health claims, so you see coverage and value without confusing the two.
Is a reimbursement benchmark a guarantee?
No. It's decision support based on historical, adjudicated claims. Payment on a specific claim depends on the member's plan, authorization, medical necessity, coding, contract terms, and payer adjudication.
Can we use PayerLenz across multiple facilities?
Yes. Every plan allows unlimited facilities, with seats pooled across the account.
Do I have to contribute data to use PayerLenz?
No. You can buy a paid plan without contributing. Contribution lowers your plan fee; free users earn search credits instead.
Is PayerLenz HIPAA compliant?
PayerLenz operates on HIPAA-eligible infrastructure with vendor BAAs in place, and a BAA is executed with every paid customer during onboarding.
Software from people who bill for a living
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.
Kyle McHenry
In behavioral health RCM since 2012. Kyle founded Revenue Logic, the firm built exclusively for BH, with a decade inside the claims data PayerLenz is built on.
Preston Powell
Years helping treatment centers grow census through digital marketing and admissions consulting, with 200+ facilities served. Closes the loop between marketing spend and revenue.