{
  "version": "1.0",
  "schema": "https://entitymap.org/spec/v1.0",
  "profile": "core",
  "publisher": {
    "name": "PayerLenz",
    "url": "https://payerlenz.com",
    "sameAs": [
      "https://www.linkedin.com/company/payerlenz/",
      "https://theorg.com/org/payerlenz",
      "https://www.trustradius.com/products/payerlenz",
      "https://revenuelogic.io/"
    ]
  },
  "generated": "2026-08-31T00:00:00Z",
  "verificationStatus": "self-declared",
  "entities": [
    {
      "entityId": "e_001",
      "@type": "SoftwareProduct",
      "name": "PayerLenz",
      "description": "Reimbursement benchmarking and real-time eligibility verification for behavioral health treatment centers, built from adjudicated claims data. A product of Revenue Logic.",
      "hasChunks": [
        {
          "chunkId": "c_001",
          "text": "Know what payers actually pay before you admit.",
          "sourceUrl": "https://payerlenz.com/",
          "pageTitle": "PayerLenz: Behavioral Health Reimbursement Benchmarking & Eligibility",
          "publisher": "PayerLenz",
          "retrieved": "2026-07-29T00:00:00Z",
          "contentType": "definition",
          "relevanceScore": 0.95
        },
        {
          "chunkId": "c_002",
          "text": "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.",
          "sourceUrl": "https://payerlenz.com/",
          "pageTitle": "PayerLenz: Behavioral Health Reimbursement Benchmarking & Eligibility",
          "publisher": "PayerLenz",
          "retrieved": "2026-07-29T00:00:00Z",
          "contentType": "definition"
        },
        {
          "chunkId": "c_003",
          "text": "Built by the billing professionals at Revenue Logic.",
          "sourceUrl": "https://payerlenz.com/",
          "pageTitle": "PayerLenz: Behavioral Health Reimbursement Benchmarking & Eligibility",
          "publisher": "PayerLenz",
          "retrieved": "2026-07-29T00:00:00Z",
          "contentType": "evidence"
        },
        {
          "chunkId": "c_004",
          "text": "Revenue Logic is a white-glove revenue cycle firm built for behavioral health. PayerLenz is that experience, productized: the first product from Revenue Logic.",
          "sourceUrl": "https://payerlenz.com/",
          "pageTitle": "PayerLenz: Behavioral Health Reimbursement Benchmarking & Eligibility",
          "publisher": "PayerLenz",
          "retrieved": "2026-07-29T00:00:00Z",
          "contentType": "evidence"
        }
      ],
      "relations": [
        {
          "predicate": "INCLUDES",
          "targetId": "e_002",
          "targetName": "Reimbursement Benchmarking"
        },
        {
          "predicate": "INCLUDES",
          "targetId": "e_003",
          "targetName": "Real-Time Eligibility Verification"
        },
        {
          "predicate": "INCLUDES",
          "targetId": "e_004",
          "targetName": "Live VOB"
        },
        {
          "predicate": "INCLUDES",
          "targetId": "e_005",
          "targetName": "AR Dashboard"
        },
        {
          "predicate": "INCLUDES",
          "targetId": "e_006",
          "targetName": "Claims Data Contribution Program"
        },
        {
          "predicate": "OFFERS",
          "targetId": "e_010",
          "targetName": "PayerLenz Pricing Plans"
        }
      ]
    },
    {
      "entityId": "e_002",
      "@type": "SoftwareProduct",
      "name": "Reimbursement Benchmarking",
      "description": "Search tool that returns the most-likely reimbursement rate plus a percentile spread for a given payer group, state, level of care, and reimbursement method, built from adjudicated behavioral health claims.",
      "hasChunks": [
        {
          "chunkId": "c_005",
          "text": "See the rate before you admit.",
          "sourceUrl": "https://payerlenz.com/",
          "pageTitle": "PayerLenz: Behavioral Health Reimbursement Benchmarking & Eligibility",
          "publisher": "PayerLenz",
          "retrieved": "2026-07-29T00:00:00Z",
          "contentType": "definition",
          "relevanceScore": 0.93
        },
        {
          "chunkId": "c_006",
          "text": "Search what a payer has actually paid for behavioral health care, built from adjudicated claims in the PayerLenz pool.",
          "sourceUrl": "https://payerlenz.com/",
          "pageTitle": "PayerLenz: Behavioral Health Reimbursement Benchmarking & Eligibility",
          "publisher": "PayerLenz",
          "retrieved": "2026-07-29T00:00:00Z",
          "contentType": "definition"
        },
        {
          "chunkId": "c_007",
          "text": "An active out-of-network benefit doesn't tell you whether PHP pays $675 a day or more than $2,900 a day. In our pool, the same payer does both, depending on the home plan and reimbursement methodology.",
          "sourceUrl": "https://payerlenz.com/",
          "pageTitle": "PayerLenz: Behavioral Health Reimbursement Benchmarking & Eligibility",
          "publisher": "PayerLenz",
          "retrieved": "2026-07-30T00:00:00Z",
          "contentType": "statistic"
        },
        {
          "chunkId": "c_008",
          "text": "BCBS resolved to the alpha prefix and home plan. Trust score on every figure, from claim volume and recency.",
          "sourceUrl": "https://payerlenz.com/",
          "pageTitle": "PayerLenz: Behavioral Health Reimbursement Benchmarking & Eligibility",
          "publisher": "PayerLenz",
          "retrieved": "2026-07-29T00:00:00Z",
          "contentType": "procedure"
        },
        {
          "chunkId": "c_009",
          "text": "Payer groups: 250. States with claims in the pool: 20. Adjudicated claims: 500,000+. A state's presence in the pool does not mean every payer and level of care in that state has a published benchmark; every published benchmark is built from at least eleven matched claims.",
          "sourceUrl": "https://payerlenz.com/",
          "pageTitle": "PayerLenz: Behavioral Health Reimbursement Benchmarking & Eligibility",
          "publisher": "PayerLenz",
          "retrieved": "2026-07-30T00:00:00Z",
          "contentType": "statistic"
        }
      ],
      "relations": [
        {
          "predicate": "INSTANCE_OF",
          "targetId": "e_008",
          "targetName": "Out-of-Network Reimbursement Variance"
        }
      ]
    },
    {
      "entityId": "e_003",
      "@type": "SoftwareProduct",
      "name": "Real-Time Eligibility Verification",
      "description": "Real-time eligibility check that returns coverage status, deductibles, and out-of-pocket maximums alongside the expected out-of-network reimbursement for that payer, state, and level of care, in a single result.",
      "hasChunks": [
        {
          "chunkId": "c_010",
          "text": "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.",
          "sourceUrl": "https://payerlenz.com/",
          "pageTitle": "PayerLenz: Behavioral Health Reimbursement Benchmarking & Eligibility",
          "publisher": "PayerLenz",
          "retrieved": "2026-07-29T00:00:00Z",
          "contentType": "definition",
          "relevanceScore": 0.92
        },
        {
          "chunkId": "c_011",
          "text": "One check, both answers: covered, and for how much.",
          "sourceUrl": "https://payerlenz.com/",
          "pageTitle": "PayerLenz: Behavioral Health Reimbursement Benchmarking & Eligibility",
          "publisher": "PayerLenz",
          "retrieved": "2026-07-29T00:00:00Z",
          "contentType": "definition"
        },
        {
          "chunkId": "c_012",
          "text": "Behavioral health cost-shares, prior-auth flags, and carve-out detection.",
          "sourceUrl": "https://payerlenz.com/",
          "pageTitle": "PayerLenz: Behavioral Health Reimbursement Benchmarking & Eligibility",
          "publisher": "PayerLenz",
          "retrieved": "2026-07-29T00:00:00Z",
          "contentType": "evidence"
        }
      ],
      "relations": [
        {
          "predicate": "INSTANCE_OF",
          "targetId": "e_007",
          "targetName": "Verification of Benefits (VOB)"
        }
      ]
    },
    {
      "entityId": "e_004",
      "@type": "SoftwareProduct",
      "name": "Live VOB",
      "description": "Full-service verification of benefits where PayerLenz's verification team works the payer call directly, with tracked status and benchmark data attached to the resulting worksheet.",
      "hasChunks": [
        {
          "chunkId": "c_013",
          "text": "Submit the patient's details and the verification team works the payer call.",
          "sourceUrl": "https://payerlenz.com/",
          "pageTitle": "PayerLenz: Behavioral Health Reimbursement Benchmarking & Eligibility",
          "publisher": "PayerLenz",
          "retrieved": "2026-07-29T00:00:00Z",
          "contentType": "definition",
          "relevanceScore": 0.88
        },
        {
          "chunkId": "c_014",
          "text": "Every request moves through a tracked queue — call made, review, delivery — and you get a live alert the moment it moves.",
          "sourceUrl": "https://payerlenz.com/",
          "pageTitle": "PayerLenz: Behavioral Health Reimbursement Benchmarking & Eligibility",
          "publisher": "PayerLenz",
          "retrieved": "2026-07-29T00:00:00Z",
          "contentType": "procedure"
        }
      ],
      "relations": [
        {
          "predicate": "INSTANCE_OF",
          "targetId": "e_007",
          "targetName": "Verification of Benefits (VOB)"
        }
      ]
    },
    {
      "entityId": "e_005",
      "@type": "SoftwareProduct",
      "name": "AR Dashboard",
      "description": "Live accounts-receivable view built from a facility's own uploaded claims history — open vs. closed claims, billed/allowed/paid amounts, and projected payment dates by month.",
      "hasChunks": [
        {
          "chunkId": "c_015",
          "text": "Open and closed claims at a glance — billed, allowed, and paid — with projected payment dates by month, built from your own claims history.",
          "sourceUrl": "https://payerlenz.com/",
          "pageTitle": "PayerLenz: Behavioral Health Reimbursement Benchmarking & Eligibility",
          "publisher": "PayerLenz",
          "retrieved": "2026-07-29T00:00:00Z",
          "contentType": "definition",
          "relevanceScore": 0.85
        }
      ],
      "relations": []
    },
    {
      "entityId": "e_006",
      "@type": "SoftwareProduct",
      "name": "Claims Data Contribution Program",
      "description": "Program where customers contribute de-identified claims data to strengthen the benchmark pool, earning a discount on paid plans or free searches on the free tier.",
      "hasChunks": [
        {
          "chunkId": "c_016",
          "text": "Contribute de-identified claims data and earn up to 25% off your plan each cycle, or earn free searches on the free tier.",
          "sourceUrl": "https://payerlenz.com/",
          "pageTitle": "PayerLenz: Behavioral Health Reimbursement Benchmarking & Eligibility",
          "publisher": "PayerLenz",
          "retrieved": "2026-07-29T00:00:00Z",
          "contentType": "procedure",
          "relevanceScore": 0.87
        },
        {
          "chunkId": "c_017",
          "text": "Contribute qualifying de-identified claims data each billing cycle and earn a discount on your next cycle's plan fee, from 2.5% at 100 lines up to 25% at 2,000+ lines.",
          "sourceUrl": "https://payerlenz.com/pricing/",
          "pageTitle": "PayerLenz Pricing: Free, Essentials & Professional Plans",
          "publisher": "PayerLenz",
          "retrieved": "2026-07-29T00:00:00Z",
          "contentType": "procedure"
        },
        {
          "chunkId": "c_018",
          "text": "For every 10 accepted rows, you earn 1 historical search credit, up to 50 per rolling 90-day period.",
          "sourceUrl": "https://payerlenz.com/pricing/",
          "pageTitle": "PayerLenz Pricing: Free, Essentials & Professional Plans",
          "publisher": "PayerLenz",
          "retrieved": "2026-07-29T00:00:00Z",
          "contentType": "procedure"
        }
      ],
      "relations": [
        {
          "predicate": "IMPROVES",
          "targetId": "e_002",
          "targetName": "Reimbursement Benchmarking",
          "confidence": "inferred",
          "context": {
            "condition": "contributed claims data deepens and refreshes the benchmark pool the rate estimates are built from"
          }
        }
      ]
    },
    {
      "entityId": "e_007",
      "@type": "Concept",
      "name": "Verification of Benefits (VOB)",
      "alternateName": "VOB",
      "description": "Confirming that a patient's insurance policy is active and outlining plan details such as deductibles — distinct from confirming what a payer will actually reimburse for a given level of care.",
      "hasChunks": [
        {
          "chunkId": "c_019",
          "text": "A VOB tells you the patient is covered.",
          "sourceUrl": "https://payerlenz.com/",
          "pageTitle": "PayerLenz: Behavioral Health Reimbursement Benchmarking & Eligibility",
          "publisher": "PayerLenz",
          "retrieved": "2026-07-29T00:00:00Z",
          "contentType": "definition",
          "relevanceScore": 0.86
        }
      ],
      "relations": [
        {
          "predicate": "PART_OF",
          "targetId": "e_009",
          "targetName": "Revenue Cycle Management (RCM)"
        }
      ]
    },
    {
      "entityId": "e_008",
      "@type": "Concept",
      "name": "Out-of-Network Reimbursement Variance",
      "description": "The documented pattern in which a single payer allows very different reimbursement amounts for the same level of care depending on plan type, sub-policy, and reimbursement method.",
      "hasChunks": [
        {
          "chunkId": "c_020",
          "text": "An active out-of-network benefit doesn't tell you whether PHP pays $675 a day or more than $2,900 a day. In our pool, the same payer does both, depending on the home plan and reimbursement methodology.",
          "sourceUrl": "https://payerlenz.com/",
          "pageTitle": "PayerLenz: Behavioral Health Reimbursement Benchmarking & Eligibility",
          "publisher": "PayerLenz",
          "retrieved": "2026-07-30T00:00:00Z",
          "contentType": "evidence",
          "relevanceScore": 0.9
        }
      ],
      "relations": []
    },
    {
      "entityId": "e_009",
      "@type": "Concept",
      "name": "Revenue Cycle Management (RCM)",
      "alternateName": "RCM",
      "description": "The financial process treatment-center billing teams run from insurance verification through claims and collections.",
      "sameAs": [
        "https://en.wikipedia.org/wiki/Revenue_cycle_management"
      ],
      "hasChunks": [
        {
          "chunkId": "c_021",
          "text": "Revenue Logic is a white-glove revenue cycle firm built for behavioral health.",
          "sourceUrl": "https://payerlenz.com/",
          "pageTitle": "PayerLenz: Behavioral Health Reimbursement Benchmarking & Eligibility",
          "publisher": "PayerLenz",
          "retrieved": "2026-07-29T00:00:00Z",
          "contentType": "definition",
          "relevanceScore": 0.75
        }
      ],
      "relations": []
    },
    {
      "entityId": "e_010",
      "@type": "SoftwareProduct",
      "name": "PayerLenz Pricing Plans",
      "description": "Three-tier pricing: a free tier funded by contributed data, and two paid tiers (Essentials and Professional) scaled by eligibility-check and historical-search volume.",
      "hasChunks": [
        {
          "chunkId": "c_022",
          "text": "Start free, or pick a plan. Contributing data lowers your price either way.",
          "sourceUrl": "https://payerlenz.com/pricing/",
          "pageTitle": "PayerLenz Pricing: Free, Essentials & Professional Plans",
          "publisher": "PayerLenz",
          "retrieved": "2026-07-29T00:00:00Z",
          "contentType": "definition",
          "relevanceScore": 0.9
        },
        {
          "chunkId": "c_023",
          "text": "Free: $0/month. 15 historical searches at signup (valid 90 days), 2 user seats, no setup fee, no credit card required.",
          "sourceUrl": "https://payerlenz.com/pricing/",
          "pageTitle": "PayerLenz Pricing: Free, Essentials & Professional Plans",
          "publisher": "PayerLenz",
          "retrieved": "2026-07-29T00:00:00Z",
          "contentType": "statistic"
        },
        {
          "chunkId": "c_024",
          "text": "Essentials: $399/month. 100 eligibility checks per cycle, 120 historical searches per cycle, 5 user seats included, unlimited facilities, full benchmarking pool access, $200 one-time setup.",
          "sourceUrl": "https://payerlenz.com/pricing/",
          "pageTitle": "PayerLenz Pricing: Free, Essentials & Professional Plans",
          "publisher": "PayerLenz",
          "retrieved": "2026-07-29T00:00:00Z",
          "contentType": "statistic"
        },
        {
          "chunkId": "c_025",
          "text": "Professional: $665/month. 250 eligibility checks per cycle, 300 historical searches per cycle, 10 user seats included, unlimited facilities, full benchmarking pool access, $200 one-time setup.",
          "sourceUrl": "https://payerlenz.com/pricing/",
          "pageTitle": "PayerLenz Pricing: Free, Essentials & Professional Plans",
          "publisher": "PayerLenz",
          "retrieved": "2026-07-29T00:00:00Z",
          "contentType": "statistic"
        }
      ],
      "relations": []
    }
  ]
}