Toptal helps digital health company modernize commerce platform and accelerate delivery.

A digital health company partnered with Toptal to strengthen its engineering capacity as growing electronic health record (EHR) integrations, financial reporting, and billing demands put pressure on its healthcare commerce platform.

Client

A US-based digital health company modernizing its healthcare commerce platform and finance workflows.

Employees

800+

Revenue

$168M

Industry

Healthcare and Life Sciences

Delivered Services

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Challenge

Fragmented reporting tools, incomplete integrations, and manual payout reconciliation were slowing finance workflows and contributing to payment issues. The legacy Rails architecture also made it increasingly complex to roll out new partner pricing and product updates safely.

Solution

Rebuilding Finance Workflows

Toptal developed EHR integrations and reusable reporting pipelines using Ruby on Rails, GraphQL, React, and MySQL, alongside validation-first APIs for more accurate order and billing workflows.

Modernizing Legacy Architecture

Adapter layers allowed Toptal to update legacy commerce components without a full rewrite, with feature-flagged rollouts, idempotent background jobs, and staged schema migrations reducing deployment risk.

Outcome

Streamlining Finance Operations

The new integrations delivered self-service financial reporting with asynchronous exports, reduced manual reconciliation, and strengthened billing, refund, and payout processes.

Accelerating Platform Delivery

Toptal delivered approximately 186 merge requests and 581 commits over 24 months, supporting faster partner pricing and promotion updates while keeping checkout and mobile clients stable.

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