Orthopedics insurance automation

Orthopedics

Surgical approvals, faster.

Silna automates insurance verification, prior authorization, and cost estimates for orthopedic practices, so you can focus on patients.

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Orthopedic practices navigate the most authorization-intensive environment in healthcare, with 90% of surgical procedures requiring prior authorization, conservative treatment documentation mandates, coordination across surgeons, imaging, PT, and DME, and up to four separate authorization entities per patient episode.

We care about better care.

Silna handles the payor complexity of every orthopedic episode, so your team spends less time chasing approvals.

Verify coverage across the full episode

Check benefits for joint replacements, arthroscopy, MRI, and post-op PT, including ASC versus hospital outpatient cost differences. Patients see their full financial picture before scheduling.

Orthopedic Benefit Verification

Submit surgical auths with complete documentation

Silna checks that imaging reports, conservative treatment history, and functional limitations meet payor criteria, then submits to the right entity: the medical plan, Evicore, Carelon, or a PT carve-out manager.

Prevent cancellations from coverage lapses

Silna monitors insurance status, in-network status for every provider in the episode, and remaining PT visit limits. Issues surface before they cause last-minute cancellations or denials.

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.

Insurance Workflows Cut Off