The Healthcare Underwriting Checklist
Every document a telehealth or med spa payment processor asks for, in the order they ask. One page, six sections, and the signals that slow approval.
A complete underwriting packet is the single biggest factor in how fast a healthcare merchant account is approved. Dedicated healthcare processors typically take one to four weeks with everything in hand, and a partial response restarts the queue. This checklist is the packet, section by section.
- Entity and ownershipFormation documents, EIN, owners at 25% or more, IDs, settlement account.
- Licenses and clinical modelState licenses, medical director arrangement, the patient journey, and who is merchant of record.
- Processing historyStatements, chargeback and refund counts, prior terminations, projected volume.
- Website and policiesWhat must be live before you apply: identity, refund and cancellation policy, privacy, recurring-billing consent.
- Certification and risk controlsLegitScript for prescription-adjacent models, descriptors, dispute response, fraud controls.
- ContinuityA second processor filed, reserve terms understood, one owner for the relationship.
The reasoning behind each item, plus reserves, holds, dispute thresholds, and the 72-hour response plan, is in the telehealth and med spa payment processing guide.
Educational material, not legal or financial advice. MDLaunchr is a white-label telehealth platform, not a payment processor or bank; approval, rates, and reserve terms are decided by the processor and its sponsor bank.
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