The PayerLenz platform
Coverage is one answer. Reimbursement is the other.
PayerLenz gives behavioral health admissions and billing teams both. Check a patient's eligibility, see what the payer has actually paid for comparable care, hand off complex VOBs, and track claims performance from one account.
Built by the billing professionals at Revenue Logic. Grounded in real behavioral health claims.
Five parts of the revenue cycle. One operating view.
| Product | What it answers | Availability |
|---|---|---|
| Reimbursement Benchmarks | What has this payer paid for this level of care, in this state? | Live |
| Real-Time Eligibility | Is this patient covered, and what do the benefits look like? | Live |
| Live VOB | Can a verification specialist work the payer call for us? | Live |
| AR Dashboard | What is open, what was allowed, and when are we likely to be paid? | Live |
| Billing Workflow | Can the rest of the claim lifecycle run in the same system? | Coming soon |
Reimbursement Benchmarks
See the rate before you admit
An active benefit doesn't tell you whether PHP will reimburse at $675 per day or $2,900 per day. Search real, adjudicated behavioral health claims by payer group, state, level of care, and reimbursement methodology.
- Most-likely rate plus P25 / P50 / P75 / P90 spreads
- Filter by payer group, state, level of care, and reimbursement method
- BCBS resolved to the alpha prefix and home plan
- Trust score on every row, from claim volume and recency
Real-Time Eligibility
Real-time eligibility with a dollar answer
Run the patient's name, date of birth, member ID, and payer. Get the live benefit response with reimbursement context attached, instead of a bare coverage answer.
- Coverage, deductibles, and OOP max, in-network and out-of-network
- Cost shares, prior-auth flags, and carve-out detection
- One-click carve-out follow-up
- 30-day history, PNG/JPEG export, print to PDF
Live VOB
Full verifications, worked for you
Submit a request and the PayerLenz verification team works the payer call. The request is tracked from queue to delivery, with reimbursement benchmark data attached to the finished worksheet.
- Tracked queue: in queue, call made, pending, delivered
- Live in-app alert the moment a request moves
- Full worksheet: identity, benefit grids, reimbursement basis
- Export worksheet to PDF, PNG, or JPEG
AR Dashboard
Your AR, live
See 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
- Percent allowed and percent paid at a glance
- Projected payment dates by month
- CSV/Excel upload with a claims template
Billing Workflow — coming soon
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.
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 |
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.
Put a rate expectation beside every coverage answer.
See how PayerLenz fits your admissions and billing workflow.