Silna Health vs SparkChange
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
| Silna Health | SparkChange | |
|---|---|---|
| Pricing model | Not published · Quote-based | Enterprise contract (custom) · Platform subscription plus services |
| Speed to go live | Share data files; Silna handles setup | Health system project, impact claimed in 30 days |
| Automation model | Autonomous agents · AI runs benefit checks and auths | Software platform · RPA-style automations plus analytics |
| Built for | Small practices, Mid-size groups | Enterprise systems |
| Security posture | SOC 2 Type II, HIPAA | SOC 2 Type II, HIPAA |
| Company maturity | 3 yrs (est. 2023) | 8 yrs (est. 2018) |
| Financial backing | $27M · Series A | Bootstrapped |
| Named customers | None public | 4 named |
| Published results | Specific numbers public | No public numbers |
| Documented integrations | None documented | 2 listed |
| Third-party validation | None found | None found |
Bottom line
- 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.
- Pick SparkChange if you run a health system on Oracle Health and want missing and retroactive authorizations caught and fixed before they become denials.
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.
SparkChange
Finds missing auths and fixes them before denials
- Founded
- 2018
- HQ
- Kansas City, MO
- Stage
- Bootstrapped
- Raised
- n/a
What it does
- Detects auth-required services upstream of scheduling
- Flags and corrects auth discrepancies after service
- Automates retro-authorization before claims go out
- Auto-builds appeals for historical auth denials
- Eligibility verification automation at health system scale
- Spark360 analytics for AR and payer performance
Where it's strong
- Handles the full auth lifecycle including retro-auth and denial appeals, not just submission.
- Founding team of Cerner revenue cycle engineers knows Millennium workflows from the inside.
- Published health system results, including 18,800 FTE hours saved at an academic system.
What buyers should weigh
- Depth is on Oracle Health (Cerner); Epic shops should probe fit carefully.
- Part platform, part consulting firm, so scope and staffing shape what you actually get.
- Self-funded regional company; smaller footprint than national auth vendors.
Named customers
Centra · University Health Kansas City · LMH Health · St. Joseph's Health
Integrations
Compare against the rest of Prior Authorization
Deciding between these two?
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