Silna Health is an AI-powered Care Readiness Platform (CRP) designed to automate and streamline front-end Revenue Cycle Management (RCM) for specialty healthcare providers. The platform's core mission is to clear patients for care in hours, not weeks, by managing complex insurance workflows upfront. It is particularly focused on serving providers in specialties such as Applied Behavior Analysis (ABA) Therapy, Physical Therapy, Occupational Therapy, Speech Therapy, and Behavioral Health.
The platform's three core functions are:
- Prior Authorizations: The AI-powered engine manages the entire prior authorization process, including tracking upcoming authorizations, sending weekly reminders, guided submissions, and follow-ups. It leverages AI and large language models (LLMs) to scan patient documentation and extract key information, reducing the administrative burden.
- Benefit Checks: Silna automatically checks specialty-specific benefits, including coverage, accumulations, authorization requirements, and visit limits, to ensure fast patient intake and accurate out-of-pocket cost estimates. The platform verifies 100% of commercial and government payors.
- Insurance Monitoring: On a regular basis, the system checks that each patient plan remains active, flags any lost coverage, and detects any new insurance plans, preventing claim denials due to eligibility issues.
By combining automation with built-in payor communication, Silna claims to cut pre-visit administration by up to 95% and boasts a 99.8% success rate for authorizations. The solution integrates with any EHR system and supports over 1000 payors, allowing providers to redirect resources from paperwork to patient care.