A "care readiness platform" that pairs AI with insurance specialists to handle prior authorizations, benefit checks and insurance monitoring - upfront, not after the denial.
Silna Health, New York City. The company's brand leans on a sunrise motif - a "new dawn for healthcare" - for a business built on unglamorous insurance paperwork.
Every visit to a specialist starts with a hidden gauntlet: is this patient covered, does the treatment need prior authorization, and will the insurer actually pay? For most practices, that work falls to four or five staff members buried in payor portals and fax machines. Silna Health built a platform to do it before the appointment - so the patient shows up already cleared for care.
The company calls it a "care readiness platform," and describes itself as the first of its kind. Instead of chasing denials after they happen, Silna runs the insurance workflow upfront: it verifies benefits, files and tracks prior authorizations, and keeps watching each patient's coverage for changes.
The pitch to providers is deliberately about subtraction. One platform, three core functions, zero extra headcount. Silna folds prior authorizations, benefit checks and insurance monitoring into a single system so practices can redirect people away from paperwork and back toward patients.
The headline result the company repeats: pre-visit insurance verification compressed from roughly 30 minutes to about 30 seconds, and approval times pulled from weeks to a matter of hours. Silna reports a 99.8% success rate on the authorizations it submits.
Silna's product line maps directly to the moments where insurance normally breaks a patient's path to care.
AI manages the full lifecycle - tracking upcoming authorizations, sending reminders, submitting requests, and following up with payors until a decision lands.
Specialty-specific verification of coverage, accumulations, authorization requirements and visit limits - built to produce fast, accurate patient quotes at intake.
Ongoing checks that each patient's plan is still active, flagging lost coverage and detecting new plans before they become a billing surprise.
Launched January 2026 - validates clinical documentation against payor- and specialty-specific rules before submission to prevent denials and resubmissions.
Connectors and a developer API that plug Silna into a provider's existing systems and workflows rather than replacing them.
Analytics that surface top denial reasons, escalation triggers and patient-ineligibility causes in one place.
Silna and its investors frame the opportunity with a set of blunt numbers about a system the CEO says "hasn't changed since the 1970s."
Sources: Silna Health, American Medical Association, American Hospital Association
Physicians spend an average of about 12 hours a week on prior authorization alone. Silna's argument is that most of the damage is done upstream - in documentation and eligibility - long before a claim is ever filed. Fix the front of the process, and the denials at the back largely disappear.
"Prior authorization was intended to support evidence-based care, but it has become a reactive bottleneck."Jeffrey Morelli - Co-Founder & CEO, Silna Health
Upfront, not reactive. Legacy revenue cycle tools and clearinghouses are built to chase denials after the fact. Silna works before the visit to make sure the patient is genuinely ready for care, so the denial never happens.
Minutes to implement, not months. Bain Capital Ventures notes that legacy RCM systems take months to stand up. Silna's team says onboarding is measured in minutes.
AI plus humans, on purpose. Silna deliberately keeps insurance and therapeutic specialists in the loop for complex cases, rather than betting on a purely algorithmic system - an approach it argues has historically underdelivered in healthcare.
The referral signal. Roughly 25% of new customers arrive through provider referrals - a trust metric that is hard to fake in healthcare software.
Silna started where the paperwork pain is sharpest: behavioral health (ABA, mental health), physical, occupational and speech therapy, nephrology, skilled nursing and hospice, home health, and ambulatory specialties like ENT, orthopedics and radiology. Named customers include AnswersNow, First Steps For Kids, Zion Physical Therapy, Behavior One, ABS Kids and Finni ABA.
Silna Health was founded in 2023 by Jeffrey Morelli (CEO), Pavel Asparouhov and Sagar Jajoo. The mission is personal for Morelli: he is the son of a nurse who spent 40 years across specialties - from a ski-hill clinic to the newborn ICU to diabetes care coordination - and who was worn down by the paperwork that pulled her away from patients.
Before Silna, Morelli led data partnerships at Truework, working daily with sensitive verification data. The three co-founders had each shipped industry-informed products across finance, customer verification and billing - the exact seams where healthcare insurance workflows tend to fail. Their shared thesis, in Morelli's words: "If you actually want to solve a fundamental problem, it's important to be nuanced about why it's happening."
Accel and Bain Capital Ventures co-led both of Silna's rounds - a $5M seed followed quickly by a $22M Series A announced in March 2025 - with angels including co-founders of Ramp, Opendoor, Truework and Eight Sleep.
| Round | Amount | Announced | Lead Investors |
|---|---|---|---|
| Seed | $5M | 2024 (disclosed Mar 2025) | Accel, Bain Capital Ventures |
| Series A | $22M | March 2025 | Accel, Bain Capital Ventures (+ Ramp, Opendoor, Truework, Eight Sleep founders) |
| Total | $27M | — | — |
"We're bringing modern technology to a broken system that hasn't changed since the 1970s."Jeffrey Morelli - Co-Founder & CEO
Jeffrey Morelli, Pavel Asparouhov and Sagar Jajoo start the company in New York to rebuild prior authorization.
A previously unannounced $5M seed round led by Accel and Bain Capital Ventures funds the early product.
A $22M Series A brings total funding to $27M; the company reports a 99.8% approval success rate and tens of thousands of patients supported.
Silna ships what it calls the industry's first predictive documentation tool and grows to 150,000+ patients supported.
Silna sits in the fast-growing healthcare automation and revenue-cycle category, competing with legacy RCM vendors and clearinghouses on one side and a wave of AI-first prior-authorization startups on the other. Its wedge is specialty and post-acute providers - practices too small to build large back offices but large enough to drown in payor requirements - and its differentiator is doing the work upfront with a hybrid AI-and-specialist model. With a top G2 rating in its category and referral-driven growth, Silna is positioning itself as infrastructure for care readiness rather than another back-office tool bolted on after the fact.
It runs a "care readiness platform" that uses AI and insurance specialists to handle prior authorizations, benefit checks and insurance monitoring upfront, so patients are cleared for care before their appointments.
It was founded in 2023 by Jeffrey Morelli (CEO), Pavel Asparouhov and Sagar Jajoo, and is headquartered in New York City.
$27 million total - a $5M seed and a $22M Series A - both led by Accel and Bain Capital Ventures, with angels including co-founders of Ramp, Opendoor, Truework and Eight Sleep.
Healthcare providers across behavioral health, physical/occupational/speech therapy, post-acute and ambulatory care - including AnswersNow, First Steps For Kids, Zion Physical Therapy and Behavior One - supporting 150,000+ patients.
Silna implements in minutes rather than months, works upfront to prevent denials rather than reacting to them, and combines AI automation with human insurance specialists for complex cases.