Silna Health

What Silna Health does

Silna Health is a New York-based, venture-backed healthcare technology company founded in 2023 that operates an AI-powered Care Readiness Platform automating upstream insurance workflows for U.S. healthcare providers. The platform addresses prior authorization management, specialty-specific benefit verification, and continuous eligibility/insurance monitoring — processes that historically consume tens of minutes per patient visit and drive a meaningful share of the estimated $500B in annual U.S. healthcare administrative waste. Silna's core technical differentiator is multimodal orchestration that coordinates across EDI transactions (270/271, 277/278), payor web portals, phone agents, OCR-driven document intelligence, fax, and email as first-class channels, rather than automating a single channel in isolation. Its January 2026 Predictive Document Intelligence release extends the platform into proactive denial prevention by evaluating clinical documentation against payor-specific medical necessity criteria before submission. The company serves vertical-specialty providers — primarily ABA therapy, physical/occupational/speech therapy, post-acute/senior living, and Medicare-heavy practices — with documented outcomes including 76% reduction in authorization turnaround time, 79% reduction in submission time, and 18,000+ administrative hours absorbed at named customers including AnswersNow, ABS Kids, HealthPRO Heritage, First Steps For Kids, Zion Physical Therapy, and Behavior One.

Silna monetizes through quote-based enterprise SaaS subscriptions sold via a direct enterprise sales motion, with a 'Contact Sales' CTA throughout the website indicating custom pricing per provider size and patient volume. The company distributes exclusively through direct sales — no resellers, marketplaces, or OEM channels are documented — and maintains a G2 #1 ranking in Prior Authorization with 4.8/5 stars and 480+ verified reviews, complemented by SOC 2 Type II (via Vanta) and HIPAA-compliant infrastructure. As of the most recent disclosure, Silna supports 150,000+ patients across 1,000+ payors in all 50 states, was backed by a $27M total raise ($5M seed in 2023 plus $22M Series A in March 2025) co-led by Accel and Bain Capital Ventures with angel participation from founders of Ramp, Truework, Eight Sleep, Opendoor, and Speak, and operates from 45 W 27th St, FL 8 in New York City with an 11-50 employee team drawing on alumni of Palantir, Two Sigma, Meta, Amazon, Ramp, and Bain & Company.

Name

Silna Health

Legal name

Silna Health, Inc.

Website

https://silnahealth.com

Company type

Private

Founded year

2023

Operating status

Operating

Headcount range

11–50 employees

Short description

Silna Health operates an AI-powered Care Readiness Platform that automates prior authorizations, benefit checks, and continuous insurance monitoring for U.S. healthcare providers in ABA therapy, physical/occupational/speech therapy, post-acute, and senior living verticals, serving 150,000+ patients across 1,000+ payors in all 50 states.

Ownership category

akta.pro rank

Product category

Healthcare Revenue Cycle Automation

NAICS

Computer Systems Design and Related Services (54151), Computer Systems Design Services (541512)

SIC

Services-Health Services (8000), Services-Computer Integrated Systems Design (7373), Services-Computer Programming Services (7371)

akta.pro primary industry

Payer-Provider Data Exchange (X12, prior auth, claims/clinical attachment) (HLACABAK)

akta.pro secondary industries

HIE Platforms & Network Services (Community/Regional/National) (HLACABAB), API Management & Developer Portals for Health Data (HLACABAD), Terminology Services & Semantic Interoperability (SNOMED/LOINC/RxNorm mapping) (HLACABAJ)

Keywords

• Prior authorization automation
• Healthcare revenue cycle
• Insurance eligibility monitoring
• Benefit verification software
• Care readiness platform

Headquarters

HQ city

New York

HQ country

United States

HQ region

North America

Offices1 record

Markets served

GTM type

B2B

Offering type

Software

Cost components

Personnel, Technology or R&D, Marketing or Sales, Operations

Revenue model

1. Subscription-based SaaS: Silna operates as a subscription-based platform providing prior authorization automation, benefit checks, and insurance monitoring services to healthcare providers. The platform is accessed via web application with pricing likely per-provider or per-patient-volume basis based on the enterprise sales motion.

Pricing tiers

Go-to-market motion2 records

Distribution channels1 record

Marketing channels5 records

Core offering

Silna Health provides an AI-powered Care Readiness Platform that automates healthcare providers' upstream insurance workflows — including prior authorizations, benefit checks, and continuous insurance monitoring — before patient care is delivered. The platform uses multimodal orchestration to coordinate across EDI transactions, web portals, phone agents, document intelligence, fax, and email to handle variability in payor workflows, enabling healthcare providers to reduce administrative burden and accelerate patient access to care.

Product overview

Silna Health offers the Care Readiness Platform, an AI-powered unified platform that combines three core modules—Prior Authorization, Benefit Checks, and Insurance Monitoring—along with Predictive Document Intelligence and Payor Discovery features. The platform uses multimodal orchestration to automate insurance workflows across portals, phone agents, fax, and email channels, replacing manual administrative work. The system reduces pre-visit administrative time from 30 minutes to 30 seconds and supports over 150,000 patients across 1,000+ payors in all 50 states.

Differentiator

Problem solved

Functional benefit

Products and services

• Care Readiness Platform Unified AI-powered platform for healthcare providers that coordinates prior authorizations, benefit checks, and insurance monitoring through multimodal orchestration across portals, phone, fax, and email channels to ensure patients are cleared for care before visits.
• Prior Authorization AI-powered prior authorization management that handles the entire process from tracking upcoming authorizations and sending weekly reminders to guided submissions, follow-ups, automated expiration alerts, and escalation handling.
• Benefit Checks Automated specialty-specific benefits verification covering coverage, accumulations, authorization requirements, and visit limits to provide 100% accurate out-of-pocket quotes before patient intake.
• Insurance Monitoring Continuous eligibility monitoring that checks patient plan status in real-time, flags lost coverage, detects new insurance plans, and identifies Medicaid MCO plan switches to prevent claim denials.
• Predictive Document Intelligence AI-powered clinical compliance solution that evaluates clinical documentation against payor-specific medical necessity guidelines before submission, generates and OCRs authorization forms, identifies the true payor from insurance cards, and predicts denial risk to improve first-pass approval rates.
• Payor Discovery

Quantifiable outcome

• 76% reduction in prior authorization turnaround time (from 29 days to ~7 days)
• +6 more outcomes

Named customers6 records

Segments5 records

Ideal customer profiles3 records

Technology focussed Yes

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

AI capability6 records

Feature5 records

Scale indicators6 records

Recent moves6 records

Expansion highlights6 records

Broad incumbents

• Availity: Healthcare information network connecting providers and payors for eligibility, authorization, and claims workflows. A broad incumbent whose multi-payor portal and APIs overlap with Silna's orchestration layer.
• Waystar: Established healthcare revenue cycle technology platform offering prior authorization, eligibility verification, and claims management to providers. A broad incumbent whose AuthAccel and patient-access suites compete with Silna's full platform, especially at large IDNs.
• Experian Health: Major patient access and RCM vendor offering eligibility, benefit verification, and prior authorization automation. Competes with Silna across the patient access workflow with strong payor data assets and enterprise distribution.
• Olive AI: Healthcare AI automation company addressing revenue cycle, prior authorization, and administrative workflows for hospitals and providers. A broader incumbent whose prior auth offering overlaps Silna's core product.

Direct peers

• Cohere Health: AI-powered prior authorization and utilization management platform serving payors and providers. Direct competitor to Silna's PA and benefit-verification offering, with a similar clinical-intelligence approach and overlap in therapy and specialty provider segments.
• Anterior: AI-native clinical decision support and prior authorization automation company targeting payors and providers. Competes head-to-head with Silna in automating clinical documentation review for PA, with comparable LLM-driven architecture.
• Alaffia Health: AI platform for utilization management and prior authorization serving health plans and providers. Directly overlaps Silna's payor-facing and provider-facing PA workflows with a similar AI-first architecture.
• Infinx: Prior authorization and revenue cycle automation company serving hospitals, imaging centers, and specialty providers. Directly comparable to Silna on PA automation, with a hybrid AI-plus-human operations model.

Emerging players

• Akasa: AI-powered revenue cycle automation company for health systems, including authorization status checking and eligibility workflows. Overlaps with Silna's automation thesis but skews more toward hospital systems.
• Notable: Intelligent automation platform for healthcare including prior authorization, eligibility, and patient intake workflows. Comparable to Silna on AI-driven patient access automation for specialty and ambulatory providers.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key risks6 records

Key highlights7 records

Customer concentration

Compliance2 records

Revenue estimate

Valuation estimate

Number of profiles

Profiles3 records

Funding overview

Funding rounds2 records

Investors2 records

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about Silna Health