For billing companies & RCM firms
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, and back the number with adjudicated claims data. PayerLenz gives outsourced RCM firms a benchmark and eligibility engine built exclusively for behavioral health, so rate transparency becomes part of your service instead of a question you deflect.
PayerLenz was built inside Revenue Logic, a white-glove behavioral health RCM firm. We know the client call you dread: reimbursement dropped, the facility wants to know why, and your honest answer is an anecdote about what you've seen across other accounts. We also know what changed that call for us. It was the claims data we'd been sitting on for a decade. We built PayerLenz because we needed it, and we're selling it because your clients are asking you the same questions ours asked us.
When a client asks why their BCBS reimbursement moved, you can show a trust-scored benchmark with year-over-year trend, resolved to alpha prefix and home plan, from a pool spanning 260+ payer groups and 21 states. That's a different conversation than “payers have been tightening.” It also changes how you prospect: pull benchmark distributions for a prospective client's payer mix before the contract is signed, and walk into a pitch already knowing what their top five payers actually pay in their state, by level of care. That's a close-rate advantage nobody else in the room has.
Day to day, the eligibility side is built for behavioral health across the whole book: carve-out detection, prior-authorization indicators, and cost-share detail, with the expected reimbursement attached to every check your team runs and check history in the account to keep re-verification fast at volume.
Your book also compounds your edge. Every client's contributed claims deepen the benchmarks you use for every other client, so a ten-facility book builds an intelligence asset a two-facility shop can't match, and the contribution discount, up to 25% at 2,000+ accepted lines, scales with exactly the volume you already have. Pricing fits the model, too: pooled seats, unlimited facilities on every plan, and custom terms for books that don't fit standard volume, so you're not paying per-client platform fees to serve your own customers.
Facilities don't leave billing companies over a missed claim. They leave when they stop believing the firm knows something they don't. Rate intelligence, delivered proactively, is the clearest possible evidence that you do.
Benchmarks and BH-native eligibility across your whole book.