Solum Health vs Silna Health
Solum Health and Silna Health both handle the insurance work before care: benefit checks, prior authorizations and coverage monitoring. The real difference is focus. Solum is built for ABA and outpatient practices and the RCM teams behind them. It checks benefits by CPT code and runs the appeal when an auth is denied. Silna's site describes a wider specialty list, a public API and out-of-pocket estimates for families.
Both handle the insurance work before care starts
Solum Health
- Benefit checks by CPT code
- Prior, treatment and re-auths, plus appeals
- Medicaid, MCO and TPA coverage monitoring
Built for ABA and outpatient practices, plus the RCM teams that serve them
Silna Health
- Specialty-specific benefit checks
- Prior auths and re-auths, managed end to end
- Insurance monitoring for active patients
Built for Behavioral health, physical health, post-acute and ambulatory care providers
Trusted by the fastest-growing outpatient practices and leading RCM teams
Solum and Silna, Side by Side
What owners, RCM leads and intake teams ask about, answered from each company's public information.
| Capability | Solum Health | Silna Health |
|---|---|---|
| Benefit checks | Benefits by CPT code, with place of service and network status, plus a flag when the service needs an auth. | Checks specialty-specific benefits: accumulations, authorization requirements, visit limits and place of service. |
| Prior auths and re-auths | Every auth type: prior, treatment and re-auth. Auth type, codes and required documents are checked before each auth goes out. Filed in each payer's format, with re-auth deadlines tracked. | Manages the whole prior authorization process: expiration tracking, weekly reminders, guided submissions and follow-ups. |
| When an auth is denied | Solum runs the appeal and tells your team when the payer needs a peer-to-peer or missing information. | Alerts your team to additional information or resubmission requirements, so denials can be appealed quickly. |
| Coverage monitoring | Watches Medicaid, MCO and TPA coverage as often as your clinic needs, and tells your team when something changes. | Monitors active patients for eligibility, new coverage and Medicaid MCO plan switches. Re-verifies eligibility monthly and benefits annually or on request. |
| How results reach your EHR | Connects directly to 40+ EHR and practice management systems, including CentralReach, Motivity, Rethink and AlohaABA. | Syncs with your EHR, intake system or CRM. Also offers a REST API and CSV bulk upload. |
| Specialties | ABA, physical therapy, speech and occupational therapy, infusion, imaging and multi-specialty groups. | Behavioral health, physical, occupational and speech therapy, nephrology, post-acute care and ambulatory specialties. |
| Who it's for | Outpatient practices and the RCM teams that serve them. | Healthcare providers across the specialties above. |
| Referral intake | Reads incoming referral faxes through an AI fax integration. | Not listed on their public site |
| Security | SOC 2 Type II attested. HIPAA compliant, with a signed BAA. | Shows SOC 2 Type II (powered by Vanta) and HIPAA badges on its website. |
| How to start | Book a demo. A 30-day test is set up after the call. | Get started or contact sales through their website. |
The Numbers Behind Solum Health
One result customers report, plus what the platform covers today.
What Solum Does Differently
Benefits checked by CPT code
Your intake team sees limits by CPT code, place of service, network status and whether the service needs an auth, so the auth goes in correctly. Solum also identifies when a TPA or carve-out administrator manages an ABA benefit.
See benefit checks →Solum runs the appeal
When a payer denies an auth, Solum runs the appeal and tells your team if a peer-to-peer or missing information is needed. Solum also tracks re-auth deadlines, so your team isn't tracking renewal dates by hand.
See Authorization Management →No more first-of-the-month Medicaid re-check
Your team stops re-checking every Medicaid patient by hand at the start of the month. Solum checks Medicaid, MCO and TPA coverage as often as your clinic needs and tells you when something changes.
See insurance monitoring →Built for RCM teams, not only practices
Billing companies use Solum alongside ABA and outpatient practices. Customers report 38% fewer denials.
See Solum for billing and RCM teams →What Outpatient Practices Say About Solum
See how practices verify benefits and clear prior authorizations before care starts, without adding staff.
When Silna Health May Fit Better
Silna may be the better fit if your engineering team wants a public REST API, if you want an agent that writes results back into your EHR, intake system or CRM, or if you need out-of-pocket estimates to share with families. Its site also lists specialties Solum doesn't focus on, such as nephrology, SNF and hospice, ENT, orthopedics and DME, and says it checks whether clinical documentation meets payer criteria. If one of those is high on your list, start your Silna demo there.
Questions Worth Asking on Any Demo
- Does the result land in our EHR, or does my team type it in?
- How do we know a benefit check is right? What happens when the payer doesn't answer in real time?
- How do you catch Medicaid and MCO plan changes between visits?
- When an auth is denied, who files the appeal and who handles the peer-to-peer?
- Who does the setup work, and what do the first 30 days look like?
EHRS AND TOOLS OUR CLIENTS USE
Connected to Your Entire Healthcare Tech Stack
40+ Connected Systems
Enterprise Ready Before Your Security Review Starts
HIPAA compliant, SOC 2 Type II attested, and a signed BAA before any PHI moves. Encryption, role-based access, and penetration testing are documented in our Trust Center, so your IT and compliance teams get answers on day one.
Common Questions
Short answers to what practices and RCM teams ask when they compare Solum Health and Silna Health.
Both automate benefit checks, prior authorizations and coverage monitoring. Solum focuses on ABA and other outpatient practices and the RCM teams that serve them. It checks benefits by CPT code, with place of service and network status, and runs the appeal when a payer denies an auth. Silna's public site describes a wider specialty list, a public REST API, an agent that syncs with your EHR, and out-of-pocket estimates for families.
Yes. Both handle the same three jobs before care: benefit checks, authorizations and coverage monitoring. Which one fits depends on your specialty, your payer mix and how you want results to reach your EHR. On each demo, ask them to walk through a few patients like yours, such as a Medicaid patient and an auth that's due for renewal.
Both serve ABA. Solum checks ABA benefits by CPT code, including unit and session limits, identifies when a TPA or carve-out administrator manages the benefit, and tracks re-auth deadlines. Silna's ABA page describes the full authorization lifecycle, checks of clinical documentation against payer criteria, and cost share estimates. The fairest test is your own payers and your re-auth volume.
When a payer denies an auth, Solum runs the appeal and tells your team if a peer-to-peer or missing information is needed. Silna's site says it alerts you to additional information or resubmission requirements so denials can be appealed quickly. On each demo, ask who files the appeal and who handles the peer-to-peer.
Solum connects directly to 40+ EHR and practice management systems, including CentralReach, Motivity, Rethink and AlohaABA. On the demo, ask exactly where results show up in your system and what, if anything, your team still types in by hand.
Sources
- Silna Health homepage
- Silna Health: Prior Authorization
- Silna Health: Insurance Verification
- Silna Health: Insurance Monitoring
- Silna Health: ABA Therapy
- Silna Health: Interoperability and API
Last checked: 2026-11-12.
Product names and trademarks belong to their owners. Information about Silna Health comes from its public website on the date above and may have changed. To suggest a correction, email hello@getsolum.com.
See Solum on Your Own Payer Mix
Book a demo and bring your toughest payers. We'll walk through benefit checks, auths and Medicaid re-checks for your specialty.