Humata Health vs Silna Health
Two Prior Authorization vendors, side by side. Facts from public sources; judgments are ours.
At a glance
Derived from public facts · a rough scale, not a ranking
| Humata Health | Silna Health | |
|---|---|---|
| Pricing model | Enterprise contract (custom) · Priced on volume and workflow complexity | Not published · Quote-based |
| Speed to go live | EHR-embedded, standard integration project | Share data files; Silna handles setup |
| Automation model | Autonomous agents · Touchless prior auth, exception-based review | Autonomous agents · AI runs benefit checks and auths |
| Built for | Mid-size groups, Enterprise systems, Payers | Small practices, Mid-size groups |
| Security posture | SOC 2 Type II, HITRUST, HIPAA | SOC 2 Type II, HIPAA |
| Company maturity | 3 yrs (est. 2023) | 3 yrs (est. 2023) |
| Financial backing | $25M+ · Series A | $27M · Series A |
| Named customers | 5 named | None public |
| Published results | No public numbers | Specific numbers public |
| Documented integrations | 4 listed | None documented |
| Third-party validation | None found | None found |
Bottom line
- Pick Humata Health if prior auth volume is drowning your staff and you want touchless submissions inside the EHR with payer-grade compliance credentials.
- Pick Silna if you run a therapy or specialty practice (ABA, PT/OT, behavioral) and want benefit checks and prior auths done for you within weeks of signing.
Humata Health
AI prior authorization for providers and payers
- Founded
- 2023
- HQ
- Orlando, FL
- Stage
- Series A
- Raised
- $25M+
What it does
- Matches payer policies to determine if prior auth is required
- Auto-gathers and bundles clinical documentation for submission
- Submits authorizations touchlessly across payer connections
- Monitors auth status and flags changes after submission
- Detects CPT mismatches before submission
- Supports gold-carding and exception-based review workflows
Where it's strong
- Founder Jeremy Friese, MD previously built and sold Verata Health, so this is a second product in the same category, not a first attempt.
- Strategic investors on the payer side (Blue Venture Fund, Optum Ventures, Highmark Ventures) give it unusual payer connectivity for a provider-facing tool.
- Real deployment scale for its age: roughly 225 hospitals and 42,000 physicians, plus CMS selecting it as a technology partner for the WISeR model.
What buyers should weigh
- Headline metrics like 96% first-pass approval and 45% fewer manual touches are vendor-reported, so validate them against your own service lines in a pilot.
- Its role as an AI clinical-review partner in the CMS WISeR model puts it on both the provider and payer sides of prior auth, which some provider organizations may see as a conflict.
- The company traces back to prior authorization assets from Olive AI, which shut down, so diligence which parts of the platform are new versus inherited.
Named customers
Texas Health Resources · Hartford HealthCare · Renown Health · Rochester Regional Health · Lee Health
Integrations
Silna Health
Prior auth and benefits automation for therapy providers
- Founded
- 2023
- HQ
- New York, NY
- Stage
- Series A
- Raised
- $27M
What it does
- Automates benefit checks and eligibility verification before visits
- Prepares, submits, and tracks prior authorization requests
- Monitors authorizations and flags expirations and renewals
- Covers 1,000+ payers across all 50 states
- Sits alongside existing EHR and practice management systems
- Built for ABA, PT/OT, speech, psychiatry, and other therapy specialties
Where it's strong
- Purpose-built for therapy and specialty providers like ABA, where prior auth volume is the core operational pain.
- Fast deployment because it sits alongside your stack rather than requiring deep EHR integration.
- Strong reported results: insurance verification cut from 30 minutes to 30 seconds and approvals in hours with a claimed 99.8% success rate.
What buyers should weigh
- Young company (founded 2023) with a short track record and no large publicly named customers.
- Narrow front-end focus: it handles benefits and auth, not claims, denials, or the rest of the revenue cycle.
- The no-integration approach means data lives in a separate staff-facing tool rather than flowing into your EHR automatically.
Compare against the rest of Prior Authorization
Deciding between these two?
First Pass tracks Prior Authorization every week: funding, launches, and what changed since this page was written.