Reimbursement Data for Rehabs
Know What Payers Actually Pay You're Collecting
- Written By: Preston Powell
- Published: July 7, 2026
- Updated: July 7, 2026
A verification of benefits tells you the patient is covered. It doesn’t tell you what the payer will pay. This capability closes that gap. Real reimbursement benchmarks built from behavioral health claims, plus real-time eligibility checks that return the patient’s benefits with an expected dollar figure attached to every result.
Trusted by 200+ Treatment centers nationwide
Admitting on Coverage Isn't Admitting on Data
Every VOB says the patient is covered. Almost none of them say what the payer will pay. This is what we built to fix that.
01
Coverage isn't a rate.
A benefits verification confirms coverage — it doesn't tell you what the payer will pay. The same payer pays anywhere from $675 to $2,225 a day for PHP.
02
Every eligibility check returns a dollar figure.
Enter patient name, date of birth, member ID, and payer. PayerLenz returns the expected out-of-network reimbursement attached to the same result.
03
Built from 260+ payer groups across 19 states.
The benchmarks are pulled from adjudicated behavioral health claims, not vendor estimates. BCBS is resolved to the alpha prefix and home plan.
04
Every rate carries a trust score.
Each figure is scored on claim volume and recency, so you know whether a rate is based on hundreds of recent claims or a handful of old ones.
05
Built by people who bill for a living.
Webserv CEO Preston Powell co-founded PayerLenz with Revenue Logic founder Kyle McHenry, to close the gap between admissions and revenue.
06
The pool grows with every contribution.
Contribute de-identified claims and earn up to 25% off your plan each cycle, or free searches on the free tier.
The most expensive unknown in admissions
Every treatment center running out-of-network reimbursement admits patients on incomplete information. The VOB comes back active. The insurance card looks right. The intake team says yes. Three months later, the EOB arrives with a rate no one predicted — and by then, the census decision, the staffing, and the cost of care are already committed.
"Covered" isn't a number.
An active out-of-network benefit doesn't tell you whether PHP pays $675 a day or $2,225 a day. In our claims pool, the same payer does both, depending on plan and reimbursement method. The benefit isn't the rate.
You find out months later.
The EOB arrives long after care has been delivered — pricing discovery after the sale. By the time you learn what a payer paid, the census decision, the staffing, and the cost are already spent.
Every admit is a bet.
Without rate expectations, admissions and utilization decisions run on instinct and anecdote. Your team deserves the actual distribution: what this payer has paid, how often, and how recently.
From "is it covered?" to "what will it pay?"
PayerLenz has four connected surfaces built for admissions leaders, billing teams, and finance operators. Each answers a different piece of the reimbursement question — and each surface feeds the next.
Benchmarks
See the rate before you admit.
Search what a payer has actually paid for behavioral health care, built from adjudicated claims in the PayerLenz pool.
- Most-likely rate plus P25 / P50 / P75 / P90 spreads per result
- Filter by payer group, state, level of care, and reimbursement method
- BCBS resolved to the alpha prefix and home plan
- Trust score on every figure, from claim volume and recency
Results
24 rows · 29,443 claims aggregated
CA
Commercial payer
All time
| LOC | CLAIMS | MOST LIKELY | P50 | P90 | TRUST |
|---|---|---|---|---|---|
| MH IOP | 3,975 | $725 | $862 | $2,240 | 63 |
| RTC | 3,680 | $1,125 | $1,131 | $2,252 | 54 |
| MH PHP | 3,106 | $1,175 | $959 | $1,186 | 73 |
| PHP | 2,141 | $675 | $796 | $1,003 | 60 |
| OP Group | 2,087 | $125 | $402 | $1,047 | 53 |
Eligibility
Real-time eligibility with a dollar answer.
Enter the patient's name, date of birth, member ID, and payer. In seconds, PayerLenz returns the payer's live benefit response with the expected out-of-network reimbursement attached.
- Coverage status, deductibles, and out-of-pocket maximums — met and remaining
- Behavioral health cost-shares, prior-auth flags, and carve-out detection
- Expected out-of-network reimbursement on the same result
- 30-day check history with branded PNG and JPEG exports
JOHN DOE
Active Coverage
NATIONAL PPO · SELECT PLAN
Out-of-Network — Deductible & out-of-pocket
IND. DEDUCTIBLE
$3,000
Met $1,250 · Remaining $1,750
IND. OOP MAX
$6,500
Met $1,940 · Remaining $4,560
Behavioral Health (General)
Covered
OON coinsurance 50% · prior auth required for RTC and PHP
Expected OON reimbursement · MH PHP · CA
$1,175/day
Live VOB
Queue
4 of 4 shown
Queue
In Progress
On Hold
Approvals
J. A.
National PPO · MH RTC
Delivered2h ago
M. R.
Commercial HMO · PHP
Pending review4h ago
S. K.
Regional plan · IOP
Call made6h ago
D. T.
National PPO · RTC
In queue9h ago
Live VOB
Full verifications, worked for you.
Submit the patient's details and the verification team works the payer call. Every request moves through a tracked queue, and you get a live alert the moment it moves.
- Tracked status on every request, from queue to delivery
- Live in-app alerts the moment results land
- Benchmark data attached to every VOB worksheet
- Full benefit detail, delivered in-app
Billed
Claim total
$4.82M
1,240 claims
Known Payment Exp.
Paid so far
$391.4K
212 claims
Potential Incoming
Predicted total allowed
$1.06M
486 claims
Gross Billed by Month
ClosedOpen
| ALLOWED | PAID | CLAIMS | |
|---|---|---|---|
| 2026-07 | $943,392 | $873,717 | 644 |
| 2026-08 | $308,549 | $296,305 | 175 |
| 2026-09 | $113,782 | $102,365 | 57 |
Dashboard
Your AR, live.
Open and closed claims at a glance — billed, allowed, and paid — with projected payment dates by month, built from your own claims history.
- Open vs. closed claim totals — billed, allowed, and paid
- Percent allowed and percent paid at a glance
- Projected payment dates by month
- Trailing-12-month performance charts
The Proof
Built on real claims, not vendor estimates
260+
Payer groups covered in the benchmark pool
29,443
Adjudicated behavioral health claims aggregated — and growing every cycle
19
States represented, with new markets added each release
63/100
Median trust score on benchmark rows
Every rate figure in PayerLenz is tied to real adjudicated claims from behavioral health providers. When a benchmark says $1,175 for PHP in California, that's the median of 3,106 actual PHP claims paid by California commercial payers.
Software from people who bill for a living
PayerLenz is the first product from Revenue Logic, the white-glove behavioral health revenue cycle firm. It was co-founded by Kyle McHenry, who has spent since 2012 inside the verification, claims, and payer-behavior data that PayerLenz is built on, and Preston Powell, CEO of Webserv, whose work has spent years closing the loop between marketing spend, admissions decisions, and reimbursement outcomes across more than 200 treatment centers.
Kyle McHenry
Founder of Revenue Logic. Behavioral health revenue cycle since 2012. Kyle built PayerLenz on top of the claims data his firm has been inside for over a decade — the same data his verification and billing teams use every day.
Preston Powell
CEO of Webserv and co-founder of PayerLenz. Has helped more than 200 treatment centers grow census through digital marketing and admissions consulting. His work at Webserv closes the loop between marketing spend, admissions volume, and revenue realized.
Preston Powell serves as both CEO of Webserv and co-founder of PayerLenz. We're disclosing this relationship openly because we believe PayerLenz solves a real reimbursement-intelligence problem that most of the treatment centers Webserv serves are already living with. Webserv does not receive commissions on PayerLenz signups.
Marketing gets patients in the door. PayerLenz makes sure admissions can say yes with rate data.
Webserv builds admissions engines. We drive qualified traffic through SEO, paid media, and creative — and we optimize the funnel from first click to first call. What happens after the call has always been the missing chapter. PayerLenz is that chapter, productized.
01
Webserv drives admissions
Full-funnel marketing — SEO, paid search, paid social, landing pages, creative — moves qualified patients to your intake team. You get the call.
02
PayerLenz answers what the payer will pay
At the intake moment, PayerLenz returns live eligibility with expected out-of-network reimbursement attached. Your team now knows the rate, not just the coverage.
03
Revenue Logic maximizes collections
Once care is delivered, Revenue Logic works the claims. Every part of the loop is built by the same operators who've been inside behavioral health billing for over a decade.
Then the next call comes in, and it starts again.
MARKETING SERVICES FOR REHABS
See The Whole Patient Acquisition System
Organic Admissions
Build sustainable, long-term patient acquisition through search visibility and content authority.
Paid Admissions
Drive immediate results with targeted advertising and optimized conversion experiences.
Admission Ops
Streamline your admissions process with data-driven operations and conversion tracking.
Performance Creative
Websites, landing pages, and ad creative built as part of the patient acquisition system.
COMMON QUESTIONS
Frequently Asked Questions About Payerlenz
A traditional VOB confirms coverage — active or inactive, deductibles, cost-shares, prior authorization requirements. PayerLenz returns coverage plus expected reimbursement for the payer, state, and level of care attached to the same result. The benchmark answer is built from real adjudicated behavioral health claims, not vendor estimates or self-reported rate cards.
You still get the full VOB — deductibles, OOP max, cost-shares, prior-auth flags, carve-out detection. You also get the dollar answer.
Adjudicated claims contributed by behavioral health providers. The pool currently spans 260+ payer groups across 19 states and 29,000+ claims, and it grows each cycle. Every figure carries a trust score from claim volume and recency, so you know whether a rate is based on hundreds of recent claims or a handful of older ones.
Providers who contribute de-identified claims earn discounts — up to 25% off per cycle — or free searches on the free tier. Every contribution improves the pool for everyone.
No. PayerLenz replaces the reimbursement guessing your admissions team is doing right now. Your billing team still bills. Your RCM partner still works claims. What changes is that admissions can now say yes or route a patient with a real rate expectation attached, and finance can forecast AR from actual claim histories rather than trailing averages.
If you don't have an RCM partner, Revenue Logic offers full white-glove revenue cycle services. If you have one you like, PayerLenz sits alongside them.
Yes. PayerLenz is built for behavioral health treatment centers, which means it was designed under HIPAA from the first line of code. Data is encrypted in transit and at rest, and Business Associate Agreements are available. De-identified claims contributed to the benchmark pool are stripped of all PHI before aggregation.
Contact PayerLenz support at payerlenzsupport@revenuelogic.io for BAA and compliance documentation.
Preston Powell, CEO of Webserv, co-founded PayerLenz with Kyle McHenry. We're disclosing that openly. The reason we built it: Webserv has spent years watching treatment centers drive admissions traffic — and then leave revenue on the table because admissions teams didn't have rate data.
Marketing without a working reimbursement layer produces expensive admissions. PayerLenz is the reimbursement layer.
PayerLenz has a free tier — searches earned by contributing de-identified claims data — and paid plans. Full pricing is on the PayerLenz pricing page.
Contributing claims data can bring your plan cost down by up to 25% per cycle, so most active providers end up paying substantially less than list price.
Stop admitting blind.
Start free with searches you earn by contributing claims data, or pick a plan and put real rate expectations in front of your admissions team this week.