Silna Health
Also known as: Silna, Care Readiness Platform
Care Readiness Platform automating prior auths, benefit checks, and continuous insurance monitoring for ABA and therapy specialties: payer rules applied automatically with exception escalation, 99.8 percent auth success, $27M from Accel and Bain.
Silna Health's Care Readiness Platform automates front end revenue cycle work for specialty providers (ABA therapy, physical, occupational, and speech therapy, behavioral health): its AI engine manages the entire prior authorization process from expiration tracking and proactive reminders through form generation, submission, and continuous payer follow ups, automatically applying payer specific documentation rules per specialty and escalating exceptions for human review, with LLMs scanning patient documentation to extract key information. Specialty specific benefit checks verify coverage, accumulations, authorization requirements, and visit limits in real time (30 minute verifications cut to 30 seconds), and continuous insurance monitoring flags lost coverage and detects new plans. Reports a 99.8 percent authorization success rate across 50,000+ patients in 45 states. $27M raised from Accel and Bain Capital Ventures; founded 2023 in New York.
Vendor details
Canonical URL
https://www.silnahealth.com
Category
Healthcare agent
Funding status
$27M total: $22M Series A co-led by Accel and Bain Capital Ventures (Mar 2025) after $5M seed from the same firms; angels include Ramp, Opendoor, Truework, and Eight Sleep co-founders; NYC, founded 2023
Company status
independent
Use cases & customers
Primary use cases
Target customers
Deployment options
Integrations
Integrates with any EHR (generic integration), supports 1,000+ payers across commercial and government, and operates across eight major insurance portals; 45 states.
Sources & related URLs
Capability coverage
5.5 / 14 capabilities · 39%
| Integrations & Tool CallingGeneric integration with any EHR and support for 1,000+ payers across eight major insurance portals is asserted, without a documented connector catalog, Silna materials 2026-07-22 | Partial |
|---|---|
| Workflow OrchestrationThe engine manages the entire prior authorization lifecycle from tracking and form generation through submission and continuous payer follow ups, escalating exceptions for human review, Silna materials 2026-07-22 | Full |
| Knowledge Grounding & RAGPayer specific documentation rules are encoded per specialty so customers need not track them internally, with LLMs extracting key information from patient documentation, Silna materials 2026-07-22 | Partial |
| Human Oversight & GuardrailsIndustry proven rules are applied automatically with exceptions escalated for human review, and submissions are described as guided, Silna materials 2026-07-22 | Partial |
| Security, Identity & GovernanceNo security attestations, HIPAA program details, or governance documentation in retrieved materials, Silna materials 2026-07-22 | Unable to verify |
| Observability & AuditabilityAuthorization status is tracked with approvals communicated promptly through continual payer follow ups; no audit console documented, Silna materials 2026-07-22 | Partial |
| Memory & State PersistenceNo documented persistent memory capability, Silna materials 2026-07-22 | Unable to verify |
| Deployment & Data ResidencySaaS delivery; no self host or residency options documented, Silna materials 2026-07-22 | Partial |
| Prebuilt Agents, Templates & PacksSingle care readiness product line without an agent or template library, Silna materials 2026-07-22 | Unable to verify |
| Triggers & Channel CoverageContinuous insurance monitoring autonomously flags coverage loss and detects new plans, and expiration tracking proactively triggers submissions ahead of lapses, Silna materials 2026-07-22 | Full |
| Model Flexibility & RoutingAI engine with LLM document scanning documented, without customer model choice, Silna materials 2026-07-22 | Partial |
| APIs, SDKs & MCP ExtensibilityNo customer facing API, SDK, or extensibility surface documented, Silna materials 2026-07-22 | Unable to verify |
| Testing, Debugging & OptimizationNo customer facing testing or evaluation tooling documented, Silna materials 2026-07-22 | Unable to verify |
| Browser & Computer UseOperates across eight major insurance portals with built in payer communication, though the automation mechanism is not documented, Silna coverage 2026-07-22 | Partial |
Pricing
Contact sales
What is public
No pricing is published; third party listings note custom enterprise quotes with implementation scoping.
Variable cost rationale
Front end RCM platforms typically price per patient or per authorization volume; Silna does not publish its basis.
Sales call required
Yes — required for paid access
Free / trial
None public
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