Why Two Patients With the Same Insurance Plan Get Reimbursed Differently
Two members of the same payer group can be reimbursed at rates that differ by more than four times for identical care. The four variables
August 13, 2026
Kyle McHenry
Kyle McHenry is the founder of Revenue Logic and CFO of Webserv. He has worked behavioral health revenue cycle since 2012, founding an RCM company he led as president until its 2020 acquisition by Prosperity Behavioral Health, then serving as VP of revenue cycle management and VP of business development through 2023. He presented on maximizing cash collections at The Business of Healing in 2021. PayerLenz was built from the adjudicated claims data his teams accumulated over more than a decade of billing the same payers across thousands of behavioral health claims.
Articles by Kyle McHenry
What Determines an Out-of-Network Behavioral Health Reimbursement Rate
Out-of-network payers price behavioral health claims two distinguishable ways, and the gap is roughly threefold. What the claims show, and why no payer tells you
August 6, 2026
PayerLenz vs VerifyTX: An Honest Feature and Pricing Comparison
Both run real-time eligibility, but only one attaches an expected reimbursement rate. Where VerifyTX is the better tool, where it is cheaper, and which bottleneck
July 29, 2026