What You Should Know:
– Silna, a healthcare technology company redefining how providers navigate prior authorization, today announced the launch of Predictive Document Intelligence, the industry first AI-powered capability designed to proactively prevent prior authorization denials and care delays before requests are ever submitted.
– Prior authorization continues to be one of the most significant barriers to timely care in the U.S.
Fixing the Front-End Failures That Stall Care
Silna is building the industry’s first Care Readiness Platform to modernize healthcare’s most complex administrative workflows—including prior authorization, benefit verification, and real-time insurance monitoring. Since emerging from stealth in 2025, the platform has reduced pre-visit administrative work such as insurance verification from roughly 30 minutes to 30 seconds. Headquartered in New York City, Silna is backed by leading investors including Accel and Bain Capital Ventures.
The need is structural, not marginal. According to American Medical Association data, prior authorization delays care for 94 percent of patients, contributes to treatment abandonment in more than 82 percent of cases, and consumes an average of 12 hours per physician per week. Nearly 60 percent of claim denials stem from upstream issues—missing prior authorizations, minor documentation inaccuracies, or outdated eligibility—rather than the claim itself. These front-end failures create avoidable delays, rework, and uncertainty for patients, providers, and payors alike.
Predictive Intelligence That Clears Patients for Care—Before Submission
Silna’s Predictive Document Intelligence addresses these failures upstream. As a core component of the Care Readiness Platform, the technology evaluates whether clinical documentation meets payor- and specialty-specific requirements before submission—ensuring patients are actually cleared to receive care. By improving the accuracy and completeness of authorization requests, Silna helps providers avoid preventable denials, reduce resubmissions, and move patients into treatment faster, while supporting more reliable relationships with payors. Over time, consistent, high-quality submissions can also strengthen provider standing in programs such as gold carding, where applicable.
The platform takes a proactive approach to prior authorization and front-end insurance workflows by performing all required checks upfront. Powered by AI and designed for ease of use, Silna combines predictive intelligence with experienced therapeutic and authorization specialists to deliver accuracy, speed, and confidence at scale.
Silna’s Care Readiness Platform includes two purpose-built technologies:
- Predictive Document Intelligence: AI-driven validation of clinical documentation against a continuously updated library of payor- and specialty-specific requirements, flagging missing or inconsistent information before submission.
- Prior Authorization API: Direct workflow integration that surfaces submission criteria in real time, validates documentation pre-submission, and provides live status updates to reduce denial and resubmission cycles.
“Prior authorization was intended to support evidence-based care, but it has become a reactive bottleneck,” said Jeffrey Morelli, co-founder and CEO of Silna Health. “Once a request is denied, providers are pulled into time-consuming rework and appeals that delay care and create payment uncertainty. Silna prevents problems before they start—determining upfront whether a patient is truly ready for care so providers can avoid denial workflows altogether and move patients into treatment faster.”
This launch builds on Silna’s momentum following a $27 million total funding round announced last year, led by Accel and Bain Capital Ventures. Now supporting more than 150,000 patients nationwide, Silna is deploying that capital to replace fragmented, manual authorization workflows with intelligent, scalable infrastructure—improving access to care by making readiness the default, not the exception.
