Seamless Insurance Eligibility & Online Purchase E-Commerce Platform for Breast Pumps
Overview of Woo-Commerce platform
A custom-built WooCommerce platform designed to simplify the process of acquiring breast pumps through insurance. It bridges the gap between patients and providers by offering a seamless online experience whether users are covered by insurance or purchasing directly. The platform allows users to submit insurance details through an eligibility verification form, automates the coverage check, and presents a curated list of breast pumps qualified under their plan. For users without insurance, VeroHealth offers the option to purchase breast pumps directly through secure checkout.
With end-to-end automation from insurance paperwork handling to real-time eligibility, order placement, and doorstep delivery the platform ensures an effortless experience for new and expecting mothers.
Industry
Healthcare
Project Duration
6 months
Team Size
8
Client Location
New Jersey
Engagement Model
Agile
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Users can quickly check if their insurance covers breast pumps by submitting their details through a simple online form. The system automates the entire process: verifying coverage, checking eligibility, and handling all paperwork on behalf of the customer eliminating complex forms and long wait times.
Once insurance is approved, the user is presented with a personalized catalog of breast pumps that are fully or partially covered under their plan. This ensures customers only see relevant options, making selection faster and more accurate without the need to filter through ineligible items.
For users without insurance coverage, the platform offers a complete shopping experience via WooCommerce. They can browse the full catalog, select a product based on their preferred brand or budget, and pay using a secure, PCI-compliant checkout system integrated with multiple payment gateways.
VeroHealth includes a comparison tool that allows users to view multiple breast pumps side-by-side. This feature displays technical specifications, pricing details, features (e.g., manual vs. electric), and accessories empowering users to make confident, informed choices that suit their personal and medical needs.
Once an order is placed, whether via insurance or direct payment, the system handles the logistics from processing to dispatch. Customers receive their breast pump at no extra shipping cost, with tracking and delivery updates provided to ensure a smooth and timely experience.
Insurance Qualification
Curated Product Selection
Direct Purchase Option
Product Comparison
Direct-to-Door Shipping
Before building the platform, new and expecting mothers faced several obstacles when trying to purchase breast pumps especially through insurance. The process was often overwhelming, unclear, and fragmented. Here are the key challenges we addressed:
Coverage Hassle
cumbersome Insurance Verification: Most users didn’t know if their insurance covered breast pumps or how to check eligibility. Manual calls, unclear forms, and back-and-forth with insurance providers made the process stressful and unclear.
Unclear Choices
Lack of Product Clarity: Expecting mothers struggled to choose the right breast pump due to overwhelming product options, unclear specifications, and no easy way to compare features or prices side by side.
Rigid Checkout
Limited Purchase Flexibility: Users without insurance had no simple way to buy breast pumps directly online with confidence. They needed a platform that offered transparent pricing, verified product info, and easy checkout options.
Scattered Process
How We Solved It
Our goal was to streamline the process of acquiring breast pumps whether through insurance or direct purchase by combining automation, transparency, and user-first design. Here’s how we addressed the major challenges:
01
Instant Coverage Check
- Enabled users to submit their insurance info through a quick online form. The system automatically checks eligibility and handles all paperwork in the background no chasing calls or forms.
02
Pre-Qualified Product Display
- Based on verified insurance, users only see the breast pumps they actually qualify for making the selection process simpler and fully tailored to their plan.
03
All in One Platform
- Combined coverage check, product browsing, ordering, and delivery into one seamless WooCommerce experience removing the need to jump between multiple services.
04
Inclusive Buying Options
- Added support for non-insured users to shop with ease offering clear pricing, secure checkout, and access to the full product catalog with no restrictions.
05
Interactive Comparison Experience
- Integrated a comparison tool allowing users to view pump features, prices, and benefits side-by-side empowering confident, well-informed decisions.
Smart Healthcare
Services
VeroHealth is dedicated to making breast pump access simple, fast, and insurance-friendly. From eligibility checks to free doorstep delivery, every service is designed to support new and expecting mothers throughout the journey.
Hassle-Free Eligibility
Users can easily submit their insurance details through a dedicated form. Our team verifies coverage with the provider and manages all paperwork, ensuring users know exactly what’s covered.
Personalized Pump Recommendations
Based on insurance coverage and brand preferences, users are guided to a curated list of approved breast pumps that match their plan saving time and confusion.
Easy Online Ordering
Once a pump is selected, users can complete their order directly through a secure WooCommerce checkout. Whether insured or paying out-of-pocket, the process is smooth and reliable.
Direct Purchase for Non-Insured Users
Even users without qualifying insurance can explore and purchase breast pumps through the platform no limitations, just clear pricing and verified quality.
Free Home Delivery
Every order is shipped directly to the user’s doorstep at no extra cost. We handle all logistics to ensure quick, contactless, and hassle-free delivery.
Dedicated Customer Support
VeroHealth offers ongoing assistance through live chat, email, and phone helping users at every step, whether it’s checking insurance, selecting a pump, or tracking an order.
Technology Stack
- WordPress (CMS & Frontend): Used to build and manage the website’s content and frontend layout, ensuring easy updates, mobile responsiveness, and a user-friendly experience for customers browsing breast pumps or submitting insurance details.
- WooCommerce (E-Commerce Engine): Powering the product catalog, shopping cart, order flow, and payment handling, WooCommerce makes it simple for users to purchase breast pumps whether through insurance or out-of-pocket.
- Cloud: The platform is hosted on scalable cloud servers to maintain high availability, fast performance, and secure data handling. This setup ensures smooth operations during peak traffic, supports automated backups, and enables easy system upgrades with minimal downtime.
- RESTful APIs: Integrated to securely manage data flow between the eligibility verification system, insurance processing, and product listings enabling real-time updates and automation.
- MySQL (Database): Serves as the backbone for storing customer data, insurance details, product inventory, orders, and user sessions ensuring performance and reliability throughout the user journey.
Frontend
Backend
Database
Cloud
Security
Our Results
Faster Insurance Validation
By integrating a background RPA verification engine, the platform reduced insurance validation time from days to hours even minutes in some cases. This not only sped up the order journey for patients but also decreased the number of incoming support requests related to eligibility status.
Increased Order Conversions
Dynamic product visibility based on insurance status allowed patients to instantly see what was fully or partially covered. This transparency eliminated uncertainty, reduced cart abandonment, and increased the number of completed checkouts boosting overall revenue.
Streamlined Support Operations
Self-service tools like automated notifications, status tracking, cancellations, and prescription uploads empowered patients to manage most actions independently. As a result, support agents experienced fewer repetitive inquiries and could focus on more complex patient interactions.
Secure, Scalable Infrastructure
The platform’s custom-built WordPress plugin architecture hosted on HIPAA- and PCI-compliant infrastructure ensured secure handling of sensitive patient data while allowing seamless scale-up as order volumes, integrations, and user activity grew.
Enhanced Customer Satisfaction
From the moment users registered to the final delivery of their product, every step was personalized and simplified. Clear communication, fast processing, and transparency built trust, resulting in increased retention, referrals, and positive customer feedback.
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