For Billing & RCM Directors
Reconcile before the claim goes out. Not after the denial.
Your team already knows how to work a denial. The better question is how many of them existed because nobody knew the expected rate at admission. PayerLenz gives billing payer-specific reimbursement benchmarks, eligibility built for BH plan design, and live AR reporting, so expected vs. actual stops being a month-end forensics exercise and becomes something you set up front.
Where The Variance Actually Starts
You're the last to know, and the first to answer for it
Admissions makes the promise. Utilization review builds the plan. Then the remit hits your desk at 40% of what everyone assumed, and suddenly the variance is a billing problem. It was never a billing problem. It was an information problem, three departments upstream, months earlier.
Fixing that requires one thing: the same rate expectation, visible to admissions, UR, and billing, at the moment of the admit. That's what PayerLenz was built to put in place.
What everyone assumed, versus what the remit actually paid.
One Number, Front To Back
Where it fits your workflow
The Benchmark Side
Every eligibility check returns the expected out-of-network reimbursement for that payer, state, and level of care, so front end and back end work from one number and "what did we think this would pay?" has an answer on file.
- Full percentile distribution (P25/P50/P75/P90), not a blended average
- U&C, MNRP, MRC, and NAP claims tracked separately
- BCBS resolved to alpha prefix and home plan
- Trust score on every benchmark, from a 250 payer-group pool
That matters most in payer conversations. When a payer quietly moves from the 80th percentile to the 40th, a trust-scored benchmark carries more weight than "we think you used to pay more," and it's the difference between noticing in 30 days and noticing in two quarters.
The AR Side
AR tracks against your own history, not a generic industry curve, with trend views so a bad month reads as a bad month and not a crisis.
- Billed, allowed, and paid on open and closed claims
- Allowed and paid percentages by payer
- Projected payment timing built from your actual remittance pattern
- Trend views across open and closed claims
There's also a discount attached to work your team already does. Your team touches claims data all day; contribute it de-identified and cut your plan fee up to 25% every cycle, while the pool your own benchmarks come from gets deeper at the same time.
Built By Practitioners
Built by an RCM firm, not a software company guessing at RCM
PayerLenz is the first product from Revenue Logic, a white-glove revenue cycle firm that works behavioral health claims every day. The people who designed the benchmark logic have personally worked the denials it's meant to prevent, and the methodology behind every figure is published, not buried. Read how the data works.
Revenue Logic
A white-glove behavioral health revenue cycle firm
Methodology Published, Not Buried
Explore The Platform
See how it works, in detail
This page covers what billing and RCM directors get. Here's the full platform behind it.
| Platform Feature | What It Does |
|---|---|
| Reimbursement Benchmarks | See the rate before you admit, from real adjudicated behavioral health claims |
| Real-Time Eligibility | Live benefit response with reimbursement context attached, in seconds |
| Live VOB | Complex payer calls worked by a verification specialist, tracked to completion |
| AR Dashboard | Open and closed claims, billed vs. allowed vs. paid, built from your own history |
| Billing Workflow (Coming Soon) | Full claims and billing workflow, in the same system that priced the admit |