Orthopedics
Get surgical authorizations approved — not stuck in review.
Silna automates insurance verification, prior authorization management, and cost share estimates for orthopedic practices — handling the complexity of surgical auths, imaging approvals, and multi-provider episodes so your team can focus on patient outcomes.
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Orthopedic practices navigate the most authorization-intensive environment in healthcare — with 90%+ of surgical procedures requiring PA, conservative treatment failure documentation mandates, multi-provider coordination across surgeons, imaging, PT, and DME, and up to four separate authorization entities per patient episode.
We care about better care.
Verify surgical, imaging, and injection coverage across the full episode
Automatically check benefits for joint replacements, arthroscopy, MRI, viscosupplementation, and post-op PT — including facility-specific cost differences between ASC and hospital outpatient, PT carve-outs, and DME benefit managers — so patients understand their full financial picture before scheduling.
Submit complex surgical authorizations with complete clinical documentation
Silna automatically detects whether supporting clinical documentation meets payor-specific criteria — including imaging reports, conservative treatment history, and functional limitations — and submits to the correct entity, whether that's the medical plan, Evicore, Carelon, or a PT carve-out manager.
Prevent surgical cancellations from coverage lapses or network issues
Continuously monitor patient insurance status, in-network status for all providers in the surgical episode (surgeon, facility, anesthesia), and remaining PT visit limits — catching issues before they cause last-minute cancellations or post-procedure claim denials.
Customer Story
How AnswersNow Reduced Authorization Turnaround by 76% with Silna
Integrate Silna with your existing tools.
Silna connects seamlessly with the EHR and practice management systems orthopedic practices already use — so you can automate insurance workflows without disrupting your current setup.
Taking care of healthcare.
