Behavioral Health RCM Solutions by Role

Four teams. One rate expectation.

PayerLenz answers the same question for everyone in the revenue cycle: what is this payer likely to pay for this level of care, in this state, before the admission decision is made. What changes by role is where that answer needs to land.

Admissions
$1,326/day
Billing & RCM
9.0% paid
Multi-Facility
4sites
RCM Firm
250 payers
One Rate Expectation
$1,326/day
The same expected reimbursement, wherever it gets checked.
250 Payer Groups Benchmarked
20 States and Growing
500,000+ Adjudicated Claims in the Pool

Built For The Role

Built for the role, not the org chart

Admissions Teams

Answer the call with the rate, not just the coverage.

A family on the phone asking "will insurance cover this?" is really asking two questions, and your team has only ever been able to answer one of them.

Explore Admissions Teams →
  • Live benefit response and expected reimbursement, same screen
  • Trust score on every rate, so reps know how much to weigh it
  • 30 days of check history, one-click rerun
  • Escalate to Live VOB when the plan needs a human
Billing & RCM Directors

Reconcile before the claim goes out. Not after the denial.

Admissions makes the promise. Utilization review builds the plan. Then the remit hits your desk at 40% of what everyone assumed.

Explore Billing & RCM Directors →
  • Full percentile distribution (P25–P90), not a blended average
  • U&C, MNRP, MRC, and NAP tracked separately
  • AR tracked against your own remittance history
  • Contribute claims data, cut your plan fee up to 25%
Multi-Facility Groups

One rate standard across every facility you run.

Right now, whether an admit makes financial sense depends partly on which location answers the phone. PayerLenz puts every location on the same benchmark data, under one account.

Explore Multi-Facility Groups →
  • Same benchmark data, eligibility logic, and dashboard everywhere
  • Facilities unlimited, seats pooled across the group
  • Central leadership and local admissions see the same number
  • Contribution discounts scale with volume, up to 25% off
Billing Companies & RCM Firms

The rate data your competitors don't have.

Every billing company can promise clean claims and fast follow-up. Fewer can sit across from a client and say what a payer is likely to pay before the claim exists.

Explore Billing Companies →
  • Trust-scored benchmarks to back up client conversations
  • Pull rate data before a contract is signed, for prospecting
  • One account across your whole book of clients
  • Client contributions compound your benchmark edge

FAQ

Solutions by Role: Common Questions

See all FAQs →
How is PayerLenz different for each role? +

PayerLenz answers the same question for everyone in the revenue cycle: what a payer is likely to pay for this level of care, in this state, before the admission decision is made. What changes by role is where that answer needs to land, on the call for admissions, in the reconciliation for billing, across every location for multi-facility groups, or in a client conversation for a billing company.

Do all four teams see the same number? +

Yes. Whichever team asks the question, the answer comes from the same claims pool, so the number doesn't change depending on who's looking at it.

Can billing companies use this across their whole client book? +

Yes. Billing companies and RCM firms get one account across their whole book of clients, with pooled seats and unlimited facilities, so rate transparency becomes part of the service instead of a per-client add-on.

Does a multi-facility group need a separate account per location? +

No. Facilities are unlimited on every plan, and seats are pooled across the whole customer group, so every location reads from the same benchmark data, eligibility logic, and dashboard under one account.