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Silna Health

Also known as: Silna, Care Readiness Platform

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Healthcare agentindependentVerified 2026-07-22

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

prior authorization automation for therapy specialtiesspecialty benefit verificationcontinuous insurance eligibility monitoringpatient financial clearance

Target customers

ABA therapy providersphysical and occupational therapyspeech therapybehavioral healthcardiac rehab

Deployment options

SaaS

Integrations

Integrates with any EHR (generic integration), supports 1,000+ payers across commercial and government, and operates across eight major insurance portals; 45 states.

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

Contact onlyMedium variable cost

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

Verified 2026-07-22

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