Account under review, and you sell home health instruments. Migrate everything to a new Shopify store.
The email arrived without warning: your Shopify Payments account is under review. Checkouts still work. Money still lands. But the language is formal and it asks for documents you may not have ready — bank statements, tax returns, proof of product source, clarity on your business structure. The clock is invisible and no one tells you how long it will take. Here is what changes what you do. This is the moment you still have influence. A review is not a decision; it is an open question. The processor is asking because something triggered a flag — a sudden jump in volume or order value, a rise in chargebacks, documents that did not match, or simply the product category you chose. Your job is to answer the exact question asked, with evidence, and nothing else. Do not volunteer new information or try to rewrite your story. And critically: prepare a copy of your store right now, while you still have full access. If the review clears, you never need it. If it does not, you will have lost the only window where you could have saved it.
Move all of it into a new store, from $247
One-time packages, no per-record metering, no quotes. The order form unlocks the moment you pay, counts are matched against your old store, and the entire migration then runs a second time — the second pass has to create nothing.
What you are looking at
- "We are reviewing your account to ensure it meets our requirements — please provide documents by [date]"
- Bank statements, tax returns, government ID, or proof of business registration — the list depends on what triggered the review
- Checkouts processing normally while the background review runs, creating false confidence that nothing is wrong
- "Your account remains under review" — weeks or months later, with no clear next step or timeline
- Support responses that repeat the policy without explaining what specifically needs to be fixed
The real deadline is invisible: the date Shopify's or the processor's underwriter makes a final decision. You cannot know when that is, so the clock that matters is the one you control — getting a full backup of your store today, while you have admin access. A review that goes wrong becomes a suspension, and a suspension can become an account closure. Once access is gone, your data is unreachable.
Why it happened — specifically for home health instruments
Stripe's policy lists health instruments as a restricted category, which means Shopify Payments will not decline you outright at signup, but will review for therapeutic claims and refund patterns. The primary trigger is marketing language: if your product description says it treats, cures, prevents or relieves a condition—pain, inflammation, circulation, sleep—an underwriter reads it as an unapproved medical device, which moves the category from restricted to prohibited. The secondary trigger is chargeback and return rates. High-value devices attract disputes because customers expect results and refund when they do not see them. Once your chargeback ratio climbs, the processor is exposed and will cut the account.
Rule out the easy fix first — then deal with the real one
Rule this out first: there is no documented Shopify-specific route for home health instruments. Most merchants try to stay with Shopify Payments by softening the claims in their product descriptions, and some succeed for a time. But the underlying issue—that you are selling high-ticket items where customers have outcome expectations—does not go away. When the first significant wave of returns and chargebacks hits, Shopify Payments will review your merchant data again, find the category designation, and terminate. A better path is to apply to a high-risk acquirer now, before the disputes, and move to a gateway that accepts the category. That way you are not applying after a termination, which is far harder to reverse.
It only helps if all of these are true:
- Your product descriptions use no therapeutic language—only structure and function claims or device specifications.
- Your chargeback and return rates remain below the acquirer's threshold—typically under 1–2% of volume.
- You have not been terminated by Shopify Payments or flagged in a processor network.
- Your home country does not prohibit the specific device type you sell.
If any one of them does not hold, you are where everyone else on this page is: you need a store built around a gateway that will actually accept you — and everything you have built has to move into it without losing the catalog, the customers, the order history or the rankings.
What this means for a business like yours
💎 High average order value, so fraud and disputes cost more per event
A single dispute or fraud event at your order size is enough to trigger a review, and the processor is now sizing reserves against your entire account exposure. The reviewer wants evidence that you know who your customer is and that the transaction was legitimate—identity, shipping address match, any authentication you ran. Pull the flagged order: invoice, shipping confirmation, customer communication, proof of delivery. Answer about that specific transaction. Do not volunteer that you have other high-value orders or high-value customer segments. While the review runs, prepare a copy of your store on a gateway comfortable with your AOV and category—you are still in the window where you have negotiating room, and building silently does not weaken your position. If the review outcome requires a move, you will already be ready.
📦 Thousands of SKUs, deep variant matrices, distributor feeds
A volume spike or a category flag triggered the review, and now you need to answer about your product range and sourcing. The reviewer wants to understand your distributor feeds and variant matrix—which products are auto-updated, which are manual, where compliance happens. You cannot hand-rebuild thousands of SKUs, so explain your control: how do you prevent a feed from pushing restricted items into unrestricted geographies, how do you audit claims language across variants, where does the review happen. Answer narrowly about the flagged product or category. While the review runs, start a copy of your full catalog on a gateway that accepts your category and can handle distributor feeds—do not try to simplify or prune the catalog yet. A prepared copy with all your variants and feeds means you can move the whole operation if needed, rather than rebuilding from scratch during an emergency.
What you actually have to fix
Underwriters do not change their minds because you asked. They change them because the facts changed. For home health instruments, these are the facts that move the decision:
Rewrite product descriptions to remove all therapeutic claims
This is the single highest-yield fix and the one merchants resist most, because therapeutic language is what sells high-ticket health devices. Anything that says or implies your product treats, prevents, cures or relieves a condition—pain, inflammation, circulation, sleep quality—reads to an underwriter as marketing an unapproved medical device. Audit every product page, your homepage, blog posts, email sequences and customer reviews for this language. Replace it with structure-and-function claims: what the device does mechanically or physiologically, not what condition it addresses.
Document your refund and dispute history for the past year
Acquirers underwriting home health instruments ask for monthly chargeback rates, refund rates and the reasons customers cite for returns. Pull this data from your Shopify admin and be honest about patterns. If your return rate is high, you must understand why and have a plan to lower it—better product descriptions, clearer expectations, improved customer support or a different customer segment. Do not hide the numbers; they will ask anyway and will decline if you withhold them.
Prepare device certifications and regulatory compliance documentation
Home health instruments are regulated differently by jurisdiction. Gather any CE markings, FDA 510k filings, TGA listings or equivalent certifications your devices carry. If your devices are not certified in your home market, that will be disclosed during underwriting anyway, and transparency helps. If you sell devices into Japan, note that the category is restricted there and plan accordingly—you may not be able to process Japanese sales.
Verify beneficial ownership and business registration documents
High-risk acquirers require clear ownership documentation: articles of incorporation, a register of beneficial owners, and director/shareholder identification. If your business is new or has had ownership changes, have these ready. If you operate under a DBA or multiple legal entities, each will need to be disclosed, because acquirers screen them separately against MATCH and other networks.
What underwriting will ask you for
- Detailed product compliance summary showing claims made (or not made) and the basis for any therapeutic positioning
- Device certification or registration documents (CE, FDA 510k, or equivalent for your jurisdiction)
- Customer refund and chargeback history for the past 12 months
- Supplier contracts and product sourcing documentation
- Marketing samples: website screenshots, email campaigns, social media posts showing the exact claims you make
- Proof of business registration and beneficial ownership
- Processing history from any prior merchant accounts
Getting underwritten for home health instruments
High-risk acquiring is an entire industry that exists for businesses Stripe declines, and several of them publicly underwrite home health instruments. What none of them will tell you up front is the number that actually matters: what your business gets offered, once they have seen your volume, your claims and your history. Rate, reserve and settlement terms vary enormously between applicants in the same category.
Get real quotes from high-risk processors that accept home health instruments
Six taps and three details. We put it in front of the high-risk acquirers that actually underwrite your category and come back with what they will offer you — rate, reserve and settlement terms — so you are comparing real numbers instead of cold-emailing brokers for a fortnight.
The recovery playbook
- Read the request and answer only that questionDo not assume you know what triggered the review. Read the email carefully and identify the exact documents or clarifications they asked for. If they asked for bank statements showing business revenue, send bank statements — not tax returns, not personal documents, not a general business overview. If they asked about your supplier, name the supplier and provide a wholesale agreement or invoice — not a marketing story about your brand. Do not volunteer information they did not ask for. Every piece of paper you add becomes another thing they can scrutinize, and underwriters look for inconsistencies. Stick to the question.
- Get a verified copy of your store — today, while you have accessThis is the step people skip because the review feels temporary and checkouts are still open. It is not temporary, and access can vanish without notice. A negative review decision is usually followed by an account suspension or closure. Once that happens, admin access can be revoked immediately, and you lose the ability to export anything — catalog, orders, customer data, SEO metadata, theme files, discounts, redirects, metafields. Shopify's own CSV export cannot carry metafields, orders, gift card codes, videos, themes, menus, discounts or redirects. That is why a backup taken during the review, while you still have full control, is the only insurance that works. You will almost certainly not need it. But if you do, it is the difference between a bad month and a dead business.
- Gather any supporting documents they did not ask for but might needWhile you are responding to the stated request, identify supporting evidence you can provide without volunteering it — documents that backstop your answer to their question. If they ask about volume and you have a marketing invoice showing a paid campaign, or a supplier invoice showing you bought stock in bulk to meet demand, keep those nearby. Do not send them unless they ask, or unless your first response does not clear the review and you are invited to provide more. Let them lead on scope. Over-documenting looks like you are hiding something.
- Respond before the deadline, using the communication channel they specifiedRead the email again for the exact submission method and deadline. Send your response through that channel, not through support or a different email address. If they asked you to upload documents via your Shopify admin, do that — it leaves a timestamped record. If they gave you an email address or support ticket, use that. Include a clear note stating what you are submitting and why: "Per your review request of [date], I am providing [documents] which show [specific fact you are answering]." Do not oversell; be factual and brief. Save a copy of everything you send, and the timestamp.
- Prepare for a second gateway before you hear backA review can take weeks or months to resolve, and you cannot know the outcome in advance. Do not wait for a clearing decision to act on your backup plan. Research payment gateways that publicly advertise your product category and accept merchants with histories similar to yours. Stripe, Square, Wise, 2Checkout and others operate alongside or instead of Shopify Payments for many merchants — but approval is not guaranteed, and each has its own underwriting. The time to gather your account information and test integrations is now, while your store is fully functional and you are not under time pressure. If the review clears, you delete the backup and move on. If it does not, you have already removed the panic from the migration decision.
And then there is the part that actually loses businesses
If you do need a new store, the payments problem turns out to be the easy half. This is what is sitting in your current store right now, and what happens to each piece when someone tries to move it by hand:
Why this category in particular
A home health store's catalog is dangerous to move by hand because compliance metadata lives in custom metafields. Device certifications, regulatory registration numbers, warranty terms, clinical study references and safety warnings are often stored as metafield values—and a manual CSV export-and-import loop cannot carry metafield definitions or their values at all. If copied naively, the fields render as blank on the new store, so a customer sees a product page without its certification badge, warranty terms or safety information. On a regulated device, that is not cosmetic.
| What you own | How much of it | What breaks doing it by hand | What we do instead |
|---|---|---|---|
| Product images | 3,040images≈ 13 hrsbulk re-upload, ~15 sec each | By handthe CSV carries image URLs and alt text, but they point at your OLD store's CDN — so the moment the old store goes, every image 404s. Re-upload and Shopify appends a dedupe suffix to the filename, which breaks every theme section and product description that referenced the original URL | Automatedevery file re-uploaded through the API with its alt text and variant attachment intact, its content type preserved so image-restricted fields still accept it, and every reference to the old URL rewritten |
| Product descriptions | 380descriptions≈ 2 hrsone pass to repair inline image links — the CSV carries the text | By handdescriptions are full of inline images and links pointing at the old store's CDN. Paste them into the new store and the text survives perfectly while every embedded image quietly dies — which you usually discover from a customer, not from a report | Automatedbodies copied verbatim, then a second pass rewrites every source-CDN URL inside them to the re-uploaded file on the new store |
| Product attributes & variants | 1,520variants≈ 45 minthe CSV carries these; the time is verifying option order | By handoption ORDER is part of the product's identity. Rebuild "Size, Colour" as "Colour, Size" and every theme swatch, saved customer URL and app that keys on variant position breaks — silently, because the product page still renders | Automatedvariants upserted by SKU with option names and order preserved, so swatches, deep links and app data keep working |
| Metafields & metaobjects | 3,040metafields≈ 20 hrsonly the reference, JSON and metaobject fields, ~1 min each | By handthe product CSV carries simple text and number metafields — but not metaobjects, and not reference or JSON types, which is exactly where app data and theme content live. Reference fields are the real trap: copy the value and it still points at objects in the OLD store, so the page renders and the custom block is silently empty | Automatedwritten in dependency order after their targets exist, with embedded references re-pointed at the new store's objects — and any value whose reference cannot be resolved is dropped rather than written broken |
| SEO data & redirects | 690records≈ 5 hrsredirects one at a time, plus a handle audit | By handany handle that changes becomes a dead URL with no redirect, and existing 301s are not in the product CSV at all. Years of accumulated ranking and backlinks end up pointing at pages that no longer resolve — the most expensive thing on this page to get wrong, and the slowest to notice | AutomatedSEO titles, meta descriptions and handles carried across, and every existing 301 recreated, so nothing that used to rank starts 404ing |
| Your custom theme | 1theme≈ 6 hrs2–10 hrs depending on how customised it is | By handa theme is not just its files. The settings, section content and block ordering are stored against the store, so a file copy gives you the layout and none of the content. Hardcoded asset URLs and tracking snippets also still point at the old store | Automatedyour live theme pulled and pushed as-is, then scanned for tracking snippets and hardcoded URLs that need re-pointing |
| Product videos | 45videos≈ 3 hrsre-upload and re-attach, ~4 min each | By handthe product CSV does not carry video or 3D media, so every one is a manual re-upload. They also cannot be pulled straight from a remote URL — the bytes have to be downloaded and staged first, and a wrong content type lands the file as a generic attachment that media-restricted fields then reject | Automatedvideo bytes downloaded, staged through a proper upload target, re-attached to the right product, and verified as processed rather than silently failed |
| Customers | 1,850customers≈ 2 hrsCSV import, then cleaning up the rows that fail | By handthe importer works, but marketing consent is the exposure: the CSV carries the current opt-in state and NOT the timestamp or source behind it. Re-opting someone in is a compliance breach, dropping them burns list revenue you paid for, and you cannot prove which happened afterwards. Default-address designation is also lost | Automatedcustomers upserted by email with every address, the default-address designation, and email and SMS consent states and timestamps preserved exactly as they were |
| Order history | 3,200orders≈ 8 hrsa paid third-party importer, plus a day of mapping and reconciliation | By handShopify's own CSV importer cannot create orders at all, so the hours here assume you buy a third-party importer — key them in by hand instead and 9,400 orders is closer to 390 hours, which is why nobody does that and why order history is simply abandoned in most DIY moves. Then support cannot answer a warranty claim, repeat-purchase segments are empty, and every returning-customer flow starts from zero. Getting the mapping wrong duplicates orders or re-dates them to today, and both are worse than not importing at all | Automatedfull order history recreated through the API with line items, properties, customers re-associated, original dates and tracking numbers intact |
| Navigation menus | 3menus≈ 1 hrsabout an hour to rebuild and relink them all by hand | By handmenu items store resource IDs, not paths, so nothing about them is portable — every link has to be re-pointed at the equivalent collection, page or product on the new store | Automatedmenus rebuilt with their nesting, and every item re-pointed at the equivalent object on the new store |
| Discount codes | 35discounts≈ 1 hrsabout 1 hr via the discount CSV, or ~3 hrs rebuilt by hand | By handthe discount CSV covers basic codes, but automatic discounts, quantity breaks and combination rules are not in it and have to be reconstructed by hand. A subtly wrong rule is worse than a missing one, because nobody notices until it has been over-discounting for a fortnight | Automateddiscounts recreated through the API with their rules, usage limits and dates intact, including automatic and free-shipping types |
| Blogs & pages | 30articles & pages≈ 2 hrsrecreated one at a time, ~4 min each | By handno CSV route for either. Articles also have no SEO fields of their own — their title and description tags live in metafields — so a hand-rebuilt blog loses its SEO even when every word of the text is right | Automatedarticles and pages recreated with authors, tags and publish dates, their SEO written to the metafields Shopify actually stores it in, and inline image URLs rewritten |
| Apps & app data | 10apps≈ 10 hrsabout 1 hr per app to reinstall, reconfigure and re-test | By handmost app data lives in metafields on your products and customers, so reinstalling the app gets you an empty app: reviews gone, subscription plans gone, loyalty balances gone, bundles gone. Flows and automations have to be rebuilt by hand and re-tested, and anything with its own billing has to be re-subscribed | Automatedthe metafield data your apps rely on migrates with the products and customers it hangs off, so a reinstalled app finds its data waiting instead of an empty store |
See these numbers for YOUR store, free
The figures above are a typical store in your category. The demo scan connects read-only to yours and counts the real thing — every product, variant, image, customer, order and metafield — then tells you exactly what a migration would carry across. No card, and it never writes to your store.
▶ Run the free demo scanDoes this need a new company?
A new legal entity does not reset a MATCH listing or clear your processing history. If you have been terminated by Shopify Payments or another acquirer, those records follow you as an individual and as your business for five years, regardless of company restructuring. The honest answer is that you do not need a new entity to fix this category—you need honest underwriting from an acquirer willing to accept home health instruments, combined with product descriptions that do not trigger medical-device scrutiny. Starting fresh with a new entity and hiding your history will be discovered during KYC and will result in immediate decline.
Frequently asked
Will Shopify Payments process home health instruments?
Shopify Payments is underwritten by Stripe, which lists health instruments as restricted. You will not be declined at signup, but the account is under review from the start. It will remain active until your chargeback or return rate spikes, at which point Shopify Payments will terminate it. If you are reading this, your account has likely already been cut. The way forward is a high-risk acquirer—not a return to Shopify Payments.
Which payment gateways and processors accept home health devices?
Several high-risk acquirers publicly underwrite health instruments: Authorize.net via a high-risk MID, PaymentCloud, Soar Payments and Easy Pay Direct are the most common. Each has different underwriting criteria, reserve requirements and pricing. The gateway—Shopify Payments, Stripe, PayPal—is not the constraint; the merchant account behind it is. You will need to apply to one of these acquirers and have them approve you before you migrate your store.
What reserve should I expect?
High-risk acquirers typically hold a rolling reserve of 5–10% of your monthly volume, held for 90–180 days. The exact percentage and duration depend on your processing history, chargeback rate and volume. If you have been terminated before, expect the higher end. Ask each acquirer for their specific terms before you commit.
Will my product certifications and warranty data survive the move?
Only if you migrate using an API-based tool that can read and write metafields. Shopify's own CSV export cannot carry metafield data at all, so certification numbers, warranty terms and regulatory registration data will be left behind. A proper migration tool will copy them, but you must verify the count and spot-check a sample of products after the move to ensure nothing was silently dropped.
How long does a Shopify Payments review actually take?
There is no published timeline. Merchants commonly report decisions within two to four weeks, but some reviews remain open for months with no communication. The processor does not announce when a decision has been made; you find out either when you receive a follow-up email asking for more information, or when your account status changes without notice. Checking your account settings regularly for status changes is safer than waiting for an email.
What happens to my money during the review?
Payouts typically continue during an active review. Money from orders you process lands in your bank account on your normal schedule. The risk is not immediate loss; it is the outcome of the review. If the review goes against you, that is when payouts stop. The balance may then be held against potential chargebacks or disputes for weeks or months depending on the reason for the suspension.
Will they tell me why they are reviewing my account?
The first email usually says why — it mentions a document request, a dispute threshold, a volume change, or your product category. If it is vague, reply asking for clarity on exactly what the underwriter is concerned about. Be factual and non-defensive: "I want to ensure I address your concern — can you clarify whether this is about my supplier documentation, my transaction volume, or something else?" Sometimes they will detail it; sometimes they will not. Either way, answer what they asked for.
If I cannot find the documents they asked for, what should I do?
Tell them. Do not fabricate or send a substitute. If they asked for a bank statement and your bank account is new, or if you do not have incorporation papers because you operate as a sole trader, say so in your response. Explain what you do have instead, and why. For example: "I do not have formal incorporation papers as I operate as a sole proprietor — my government-issued ID and the business registration attached show my authority to operate." Underwriters understand that not every business has every document type. What they cannot forgive is documents that appear forged or misdated.
Can I appeal if they reject my account?
A review is not the same as an appeal. If your account is rejected after this review, you can ask why — and if the rejection was based on incomplete or outdated information, you can submit a formal appeal. But you cannot appeal a policy. If your product category is on the processor's restricted list, appealing your story will not change the category restriction; it means moving to a processor that accepts it. If the category is legal in your jurisdiction but restricted by the processor, you need a different gateway. A new Shopify store with a different gateway, or a migration to a new platform, is then the real option — not another appeal.
Move everything, verified twice, from $247
Pick a package and the migration order form unlocks immediately. Your existing store is only ever read from — we never write to it, so nothing you still have can be made worse. How the migration runs, step by step →