Behavioral Health Revenue Cycle Specialists
The revenue cycle partner built for behavioral health.
Revenue Logic delivers verification, utilization review, claims, follow-up, and reporting at a level most billing companies don’t reach — built by a team that has been doing this work for more than a decade.
High-touch. White-glove. No claim left behind.
Experience
A decade of refined process
Specialization
Behavioral Health, exclusively
Adjudication
96% favorable
A decade of practice.
Revenue Logic was founded to consolidate more than a decade of behavioral health revenue cycle experience into a single, deliberate firm.
That means refined process, not improvisation. Hundreds of payer relationships. A library of denials handled, appeals won, and TPA offers countered, built one engagement at a time.
Our work is rarely visible. Our results are.
Services
The work, done right.
We do not dabble. Every service we offer is purpose-built for behavioral health, executed by people who have done it for a decade, and visible to you in real time.
01 — Verification & Authorization
VOBs in two hours. Authorizations pursued through.
Verifications turned around in two hours plus payer hold time. A quick-check VOB available faster, before intake even concludes. Authorizations worked all the way through, with documentation that holds up under payer scrutiny — and clinical guidance grounded in ASAM and LOCUS standards.
VOB
Quick-check
Utilization Review
02 — Claims & Collection
Submitted weekly. Followed until paid.
Claims go out on a consistent weekly cadence, scrubbed for behavioral-health- specific compliance. Bi-weekly follow-up on every claim. Ninety-six percent of submitted claims reach favorable adjudication — and the rest are accounted for, never abandoned.
Submission
Follow-up
Appeals
Posting
03 — TPA & Repricing
Strategy, and precise execution.
Third-party administrators and repricing networks — Zelis, Data iSight, MultiPlan, Claritev, Viant — quietly compress reimbursements when no one pushes back. We push back. Every offer reviewed, every reduction questioned, every counter documented and pursued.
TPA negotiation
Repricing
Underpayment review
Audit resolution
Process
A weekly rhythm. Visible at every step.
White-glove service is a rhythm, not a slogan. Below is what every client receives — every week, on every account.
Verifications
Returned in two hours.
Quick-check VOBs available even faster. Submitted via email to a named address; acknowledged immediately; full VOB returned within two hours plus payer hold, with reimbursement context drawn from years of payer-level data.
Authorizations
Documented. Defensible.
Utilization review staff who understand payer requirements, ASAM and LOCUS standards, and the documentation that supports continued stays. Every authorized day defensible.
Verifications
Weekly. Without exception.
Claims submitted on a consistent weekly cadence — never delayed by staffing, never held back by exception cases.
Follow-Up
Bi-weekly. No exceptions.
Every claim followed up on a bi-weekly cadence until resolved. Underpayments scrutinized. TPA offers countered. Appeals filed. No claim left behind.
Visibility
Continuous. Yours.
Custom reporting built for your operation — AR totals and projections, reimbursement projections, authorization averages, VOB performance, marketing ROI. Updated continuously. The view we work from is the view you have.
No claim left behind.
A standard, not a slogan
Why Revenue Logic
Two principles. Held above all else.
We do not compete on price. We compete on what moves the top line — and on showing our work at every step.
01 - Transparency
Plain sight, by default.
Every claim, every denial, every dollar — visible and accounted for. Custom dashboards. Plain-English reporting. Direct access to the specialists working your account. No black boxes. No quarterly mysteries.
02 - Performance
Revenue, measured.
We are accountable to a single number: how much more your practice collects with us than without us. Every process is built around moving that number, and every report documents it.
03 - Service
White-glove, at the team level.
A named team that knows your practice, your payers, your clinicians. A decade of refined process behind every interaction — not a ticket queue, not a portal you log into and hope.
04 - Specialty
Behavioral health, exclusively.
No dabbling in other specialties. Every workflow, every payer relationship, every line of code in our infrastructure is purpose-built for the way behavioral health actually bills.
We were leaving money on the table for years without knowing it. Revenue Logic identified the gaps and built a process that actually works for our level-of-care mix.
Founder | Outpatient Mental Health Group
Engagement
Let's start the conversation.
A complimentary thirty-minute consultation to understand your situation and explore how a partnership with Revenue Logic might support the financial health of your practice.
No pitch deck. No pressure. We will not be the right fit for
everyone — and we will tell you so directly.
- How our reporting and visibility work — and what you would see day to day.
- How we approach TPA negotiations and repricing networks.
- The pain points and goals you bring to the call.
- Common challenges similar organizations have solved with us.
- Transparent pricing and implementation timelines.
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