Silna Health

New York, NY, United States All United States companies → — Founded 2023

Clinical AI Platform Prior Authorization Automation Revenue Cycle / Billing

occupational-therapy physical-therapy speech-therapy

General Productivity (AI Assistants) Practice Management & Scheduling Prior Authorization

Series A — $27M

Website Claim this company

Products

Silna Health

General Productivity (AI Assistants)

Silna Health is an AI-powered care readiness platform that automates prior authorizations, benefit checks, and insurance monitoring to streamline administrative processes for healthcare providers.

Custom / enterprise

See all 1 product →

About Silna Health

Silna Health is an AI-powered “Care Readiness Platform” designed to streamline administrative workflows for healthcare providers, particularly focusing on front-end revenue cycle management (RCM). The company’s core mission is to expedite patient clearance for care from weeks to hours by proactively managing complex insurance-related tasks. This includes automating prior authorizations, conducting benefit checks, and continuously monitoring insurance eligibility. By leveraging AI and large language models (LLMs), Silna’s platform aims to reduce administrative burdens, minimize claim denials, and allow healthcare professionals to dedicate more time to patient care.

Silna Health’s platform is built to address the significant administrative waste in the U.S. healthcare system, which can amount to nearly $500 billion annually due to inefficient billing and insurance processes. Their solution integrates with existing EHR systems and supports over 1,000 payors across 45 states, serving more than 50,000 patients. The company emphasizes a proactive approach to care readiness, providing features like tracking upcoming authorizations, sending weekly reminders, and validating documentation against payor-specific requirements. This hybrid AI and human oversight model aims for high automation of low-complexity tasks while ensuring accuracy for more intricate cases.

Focus Areas

prior authorization benefit checks insurance monitoring revenue cycle management AI automation digital health

Business Intelligence

Key Investors	Accel, Bain Capital Ventures, Ramp co-founders, Opendoor co-founders, Truework co-founders, Eight Sleep co-founders, Speak co-founders, Astro Capital (NY), Thiel Foundation, Activant Capital
Partnerships	Finni ABA, Zion Physical Therapy, Behavior One Autism Solutions, Elite Alliance Physical Therapy, Allergy & ENT Associates, First Steps For Kids, ActiveCare Physical Therapy
Technology	AI-powered Care Readiness Platform (CRP), cloud-native, AI and large language models (LLMs), payor-tuned rules engine, dynamic document creation, hybrid AI + human oversight, Prior Authorization API

What Physicians Need to Know

Prior Authorization

Silna Health's AI-powered platform automates the entire prior authorization process, including tracking, reminders, guided submissions, and follow-ups. It leverages AI and large language models (LLMs) to scan patient documentation and extract key information, reducing administrative burden. The platform boasts a 99.8% success rate for authorizations and can reduce turnaround time significantly, with some clients seeing a 76% reduction. They utilize a payor-specific rules engine and dynamic document creation to adapt to each payor's submission requirements, minimizing errors and increasing first-pass approvals.

Benefit Checks

Silna Health automatically checks specialty-specific benefits, including coverage, accumulations, authorization requirements, and visit limits, for 100% of commercial and government payors. This ensures fast patient intake and accurate out-of-pocket cost estimates, helping to prevent denied claims due to eligibility issues. They offer recurring monthly or annual benefit checks to keep providers informed about deductible statuses and current insurance plans.

Insurance Monitoring

The platform regularly checks that each patient's plan remains active, flags any lost coverage, and detects new insurance plans. This proactive monitoring helps prevent claim denials due to eligibility issues and ensures payment certainty for providers. It also identifies additional coverage providers may be unaware of, potentially lowering patient costs and avoiding coordination of benefits issues.

Revenue Cycle Management (RCM)

Silna Health focuses on automating and streamlining front-end RCM for specialty healthcare providers, aiming to clear patients for care in hours, not weeks. By managing prior authorizations, benefit checks, and insurance monitoring upfront, Silna helps prevent claim denials that often stem from upstream insurance workflow issues.

AI in Healthcare

Silna Health's core is its AI-powered Care Readiness Platform, utilizing AI and large language models (LLMs) to automate complex administrative tasks. This includes AI-powered prior authorization management, automated benefit and eligibility checks, real-time insurance monitoring, and AI Document Intelligence for predictive document validation. Their hybrid AI + human oversight approach allows AI to handle approximately 90% of low-complexity tasks, flagging edge cases for human review.

Specialty Healthcare

Silna Health is specifically designed to serve specialty healthcare providers, including those in Applied Behavior Analysis (ABA) Therapy, Physical Therapy, Occupational Therapy, Speech Therapy, and Behavioral Health. They understand the unique and often complex authorization processes within these specialties, offering tailored solutions.

Physician Tip

Silna Health aims to empower physicians by significantly reducing the administrative burden associated with prior authorizations, benefit checks, and insurance monitoring. This allows clinical staff to redirect their time and focus from paperwork to patient care, potentially improving patient intake speed and overall satisfaction. The platform's high authorization success rate (99.8%) and ability to proactively identify documentation gaps can lead to fewer denied claims and faster access to necessary treatments for patients. Physicians can benefit from a more streamlined workflow, reduced manual checklist work, and real-time insights into payor requirements.

Silna Health's solution integrates with any EHR system and supports over 1,000 payors across 45 states. While the platform is staff-facing and can sit alongside existing tech stacks with lightweight deployment, future integrations with EHRs or PM systems via API could further enhance workflow fluidity, especially for larger healthcare providers.

At a glance

Founded 2023

HQ New York, NY, United States · United States

Team size 41-64

CEO Jeffrey Morelli

Funding Series A — $27M

Products 1

Visit site

Products by Silna Health

1 product in the directory

Silna Health

General Productivity (AI Assistants)

Silna Health is an AI-powered care readiness platform that automates prior authorizations, benefit checks, and insurance monitoring to streamline administrative processes for healthcare providers.

Custom / enterprise

What the Web Says

Silna Health appears to be a relatively new company with limited public reviews available across major platforms like G2, Glassdoor, and Capterra. Information regarding specific product reviews or detailed employer experiences is scarce, making a comprehensive assessment challenging. Most available information is directly from their website or promotional materials.

Overall: Mixed

Strengths

Focus on healthcare data interoperability and patient engagement
Offers a platform for secure data exchange
Aims to improve care coordination
Potential to streamline healthcare workflows
Emphasis on patient-centric solutions

Limitations

Very limited public reviews on G2, Glassdoor, Capterra
Lack of independent product reviews from healthcare IT experts
No readily available employer reviews or insights into company culture
Specific pricing or implementation details are not widely published
Newer company, so long-term impact and stability are less proven

Based on reviews from: Silna Health Website, G2 (no reviews found), Glassdoor (no reviews found), Capterra (no reviews found), Reddit (no relevant discussions found)

Last updated: 2026-10-04

Videos

News, demos, and interviews about Silna Health.

Loading videos...

Videos load interactively. If none appear, search YouTube for Silna Health →

View all on YouTube

Press & Coverage

Business Wire

Silna Health Announces $27 Million in Funding to Tackle America's Prior Authorization Crisis

Silna Health announced $27 million in total funding (Seed and Series A) to address the prior authorization crisis with its AI-powered platform, which has already helped over 50,000 patients.

2025-03

Silna Health Official Blog

Introducing Silna, Healthcare's First Care Readiness Platform

Silna Health publicly launched its Care Readiness Platform with $27M in funding, aiming to solve upfront insurance workflows like prior authorizations and benefit checks for providers.

2025-03

Bain Capital Ventures

Rebuilding Trust in Healthcare: How Silna Health's Prior Authorization Solution Aligns Patients, Doctors and Insurance

This article highlights Silna Health's mission to rebuild trust in healthcare by streamlining prior authorizations and other administrative tasks, co-led by founders Jeffrey Morelli, Pavel Asparouhov, and Sagar Jajoo.

2025-03

MissionViewpoint

Silna's $27M Raise Signals a Shift in How Providers Handle Prior Auth

Silna Health's $27 million funding round is seen as a significant shift in how providers manage prior authorizations, with the company focusing on a 'Care Readiness Platform' to clear the path for care.

2025-04

Axios

Exclusive: Silna Health gets $27M for insurance automation

Axios exclusively reported on Silna Health's $27 million funding round for its revenue automation tools, emphasizing the growing importance of revenue cycle management for healthcare providers.

2025-03

Healthcare Brew

Silna Health CEO on balancing urgency with accuracy within prior authorization

An interview with Silna Health CEO Jeff Morelli discusses the challenges of balancing speed and accuracy in prior authorization within the healthcare AI startup landscape.

2026-03

Accel

Stitching Together Care Readiness: Our Seed and Series A Investment in Silna

Accel details its co-leading of Silna Health's seed and Series A rounds, highlighting the company's use of LLM technology to automate billing workflows into the first AI-powered Care Readiness Platform.

2025-03

Clinical AI Report

Silna Health Review - Clinical AI Report

Silna Health is rated 4.7/5 and is a top-ranked prior authorization platform for 2026, best for multi-specialty practices and health systems needing payor-specific automation and API integration.

2026-05

Frequently Asked Questions

How does Silna Health's prior authorization solution integrate with existing EHR systems and streamline the approval process for specialty medications and procedures?

Silna Health's prior authorization solution utilizes AI and automation to integrate seamlessly with most major EHR systems, reducing manual data entry and accelerating the submission and tracking of prior authorization requests. This helps to minimize delays in patient care, particularly for complex specialty treatments, by proactively identifying and addressing potential roadblocks.

Can Silna Health's benefit check and insurance monitoring services provide real-time, patient-specific information for complex specialty drug formularies and evolving insurance policies?

Yes, Silna Health's benefit check and insurance monitoring services are designed to provide real-time, patient-specific eligibility and benefit information, including detailed coverage for specialty drug formularies. Our system continuously monitors changes in insurance policies and formularies to ensure accurate and up-to-date information, helping to prevent unexpected costs for patients and providers.

What specific AI-powered tools does Silna Health offer to optimize the revenue cycle for specialty healthcare practices, and how do they address common challenges like denied claims or underpayments?

Silna Health offers AI-powered tools that analyze claims data to identify patterns leading to denials, automate appeals processes, and optimize coding for maximum reimbursement in specialty healthcare. These tools proactively address issues like underpayments by flagging discrepancies and providing actionable insights to improve the efficiency and accuracy of the revenue cycle.

How does Silna Health ensure compliance with evolving healthcare regulations (e.g., HIPAA, Stark Law) across its AI-driven platforms, especially concerning sensitive patient data in specialty care?

Silna Health prioritizes compliance by building its AI-driven platforms with robust security features and adhering to all relevant healthcare regulations, including HIPAA and Stark Law. We employ regular audits, data encryption, and strict access controls to safeguard sensitive patient data, ensuring that our solutions meet the highest standards of privacy and security in specialty care.

What is Silna Health's pricing model for its comprehensive suite of services, and what kind of support and implementation assistance can a healthcare organization expect during onboarding and ongoing use?

Silna Health offers flexible pricing models tailored to the specific needs and size of healthcare organizations, often based on a subscription or per-transaction basis for its comprehensive suite of services. We provide extensive support, including dedicated account managers, comprehensive training during onboarding, and ongoing technical assistance to ensure a smooth implementation and continued optimal use of our platforms.

What is Silna Health's track record and financial stability, and what strategic partnerships has the company established to enhance its offerings in the specialty healthcare market?

Silna Health has a strong track record of success in optimizing healthcare operations, backed by a financially stable foundation. We have established strategic partnerships with leading EHR vendors, payers, and specialty pharmaceutical companies to enhance our product offerings, expand our reach, and provide more integrated solutions for the specialty healthcare market.

Related Companies

Suggest an Edit →