Verification of Benefits (VOB) for Behavioral Health
The payer call, worked for you.
Some verifications can't be settled by an electronic response. The plan is carved out. The payer omits the out-of-network detail. The authorization answer depends on the level of care.
Submit the patient and plan information in PayerLenz. A verification specialist works the call, tracks the request through the queue, and returns the completed VOB with reimbursement benchmark data attached.
The Process
From request to completed worksheet
1
Submit
Enter the patient, member, payer, and requested service details. The request enters your account queue, where your team can see it without sending a separate email or spreadsheet.
2
Track
Follow the request as it moves through the verification process. Status changes are visible in the platform, and in-app alerts tell you when the request advances or the result is ready.
3
Review
Open the full benefit detail in PayerLenz. The completed worksheet stays with your other verification activity instead of being buried in one staff member's inbox.
4
Put the rate beside the benefit
Each completed VOB includes reimbursement benchmark context from adjudicated behavioral health claims, matched by level of care. Admissions can review what the plan says and what comparable claims have paid in the same document.
The Worksheet
What comes back
- Member and plan details confirmed during the verification
- Available in-network and out-of-network benefit information
- Deductible and out-of-pocket totals, met amounts, and remaining amounts when provided
- Behavioral health copay or coinsurance detail
- Authorization requirements and relevant call findings
- Carve-out information identified during the work
- Call reference details captured by the verification team
- Reimbursement benchmark context for the matched payer, state, and level of care where data is available
The completed VOB records information obtained during verification. It doesn't guarantee coverage, authorization, medical necessity, or payment.
When It's Worth It
Use Live VOB for the cases that cost staff time
Limited electronic responses
The payer confirms active coverage but leaves the fields that matter to behavioral health blank.
Carve-outs
The medical plan and behavioral health administrator are not the same organization, and the team needs to identify who owns the benefit.
Complex out-of-network plans
The benefit structure, reimbursement methodology, or authorization path can't be resolved from a portal response alone.
High-stakes admissions
The benchmark has limited supporting data, the expected reimbursement range is wide, or the admission decision warrants a live confirmation before the team proceeds.
$39.99
Per Delivered VOB
Live VOB is priced per completed verification, on any paid plan, and you're only billed when the completed worksheet is actually delivered to your account.
Hand off the call. Keep control of the answer.
Send the difficult verification to a team that works behavioral health benefits every day.
Two Tools, One System
Real-Time Eligibility and Live VOB work together
| Real-Time Eligibility | Live VOB | |
|---|---|---|
| Best for | Fast electronic benefit checks | Complex or incomplete verifications |
| Work performed by | Your team in the platform | PayerLenz verification specialist |
| Timing | In seconds when the payer responds electronically | Based on payer access and call completion |
| Benefit source | Electronic payer response | Live verification findings |
| Benchmark context | Shown with the result | Attached to the completed worksheet |
| Status tracking | Check history | Queue status and in-app alerts |
| Pricing | Included allotment, then per-check | $39.99 per delivered VOB |
Start electronically when speed matters. Escalate to Live VOB when the plan needs a person on the phone.
What does a completed verification of benefits (VOB) worksheet include?
It includes deductible and out-of-pocket totals, met and remaining, where the payer provides them, behavioral health cost-share, authorization requirements, and reimbursement benchmark context for the matched payer, state and level of care where data exists. It is a written record of what the payer said, not a summary of what someone remembers being told.
How is a live VOB priced?
At $39.99 per delivered VOB on any paid plan. You are billed when the completed worksheet is delivered, not when the request is submitted, so a call that produces nothing usable does not produce a charge either.
Who makes the payer call?
PayerLenz does. Your team submits the case and gets the completed worksheet back, which is the point: the call still happens, it just stops consuming an admissions coordinator's afternoon.
Does a live VOB tell me what the claim will pay?
No, and no verification does. A VOB documents the benefit structure the payer describes. What comparable claims have actually paid is a separate question, which is what the benchmark data answers, and the two are meant to be read together.