Behavioral Health Revenue Cycle Management Software
Coverage is one answer.
Reimbursement is the other.
PayerLenz gives behavioral health admissions and billing teams both. Check eligibility, see what a payer actually paid for comparable care, hand off complex VOBs, and track claims from one account.
Built by the billing professionals at Revenue Logic. Grounded in real behavioral health claims.
Eligibility Check
Check eligibility
Benchmark
$900 → $5,995
P25–P90 rate spread
Get reimbursement insights
AR Snapshot
9.8% allowed
Track payments
Operational efficiency
BENCHMARKED
GROWING
IN THE POOL
The Platform
Five parts of the revenue cycle. One operating view.
Reimbursement Benchmarks
What has this payer paid for this level of care, in this state?
Explore Reimbursement Benchmarks →Real-Time Eligibility
Is this patient covered, and what do the benefits look like? Get the answer with reimbursement context attached.
Learn more →Live VOB
Can a verification specialist work the payer call for us? Tracked from request to delivery, with benchmark data attached.
Learn more →AR Dashboard
What is open, what was allowed, and when are we likely to be paid? Built from your own claims history, not a generic curve.
Learn more →Billing Workflow
Coming soonCan the rest of the claim lifecycle run in the same system? One place, from charge entry through payer follow-up.
Learn more →
The Claims Pool
Built around behavioral health reimbursement, not adapted to it
Generic eligibility systems can return a benefit response. Behavioral health teams still have to account for carve-outs, home plans, levels of care, authorization requirements, and reimbursement methodologies that change the value of that benefit.
PayerLenz was built inside Revenue Logic, a behavioral health revenue cycle firm. The product reflects the work its team handles every day: payer calls, EOBs, claim patterns, reimbursement variance, and the decisions made before a patient is admitted.
| A standard eligibility workflow | The PayerLenz workflow |
|---|---|
| Confirms whether coverage appears active | Confirms coverage and adds payer-specific reimbursement context |
| Returns general benefit fields | Surfaces behavioral health cost-share, authorization, and carve-out detail |
| Leaves rate expectations in spreadsheets or staff memory | Searches a shared pool of adjudicated behavioral health claims |
| Ends when the benefit response returns | Connects the result to Live VOB and AR visibility |
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
Billing Workflow
PayerLenz already covers the front end of the revenue cycle and the reporting view at the back. Full claims and billing workflow is next: one place to carry the work forward from charge entry through payer follow-up.
Join the early access list →Solutions for every role, at every scale.
From the front desk to the billing office, everyone works from the same rate data.
See all solutions →Answer the call with the rate, not just the coverage.
Learn more → Billing & RCM DirectorsReconcile before the claim goes out. Not after the denial.
Learn more → Billing Companies & RCM FirmsThe rate data your competitors don't have.
Learn more → Multi-Facility GroupsOne rate standard across every facility you run.
Learn more →
The Contribution Model
The pool gets better when customers contribute
Contributed claims are de-identified before they support aggregate benchmarks. Each accepted contribution adds more evidence by payer, state, level of care, and reimbursement methodology.
PayerLenz returns that value to contributors. Paid customers can earn 2.5% to 25% off the plan fee, based on accepted qualifying contribution volume. On the free tier, contribution earns historical search credits instead: 1 credit for every 10 accepted rows, up to 50 credits per rolling 90-day period, expiring 90 days after grant.