10 best Medius alternatives for AP automation in 2025

Medius is a full accounts payable (AP) automation platform with a focus on source-to-pay. But finance teams find the interface outdated and unintuitive. And if they need to personalize the system, they have to go through the support team.

These pain points are enough to send teams searching for an AP solution that better fits their needs — something with faster onboarding, easier usability, and more flexibility when it comes to customization.

If that’s you, or you want to get started with the right AP platform from the get-go, these 10 Medius alternatives are the perfect place to start:

1. Rillion — Flexible, AI-driven AP automation
2. MineralTree — Invoice to pay system for mid-market business
3. Sage Intacct — In-depth financial management for growing companies
4. Tipalti — Centralized, global payments system
5. Quadient — Invoice-to-pay automation with solid PO matching
6. Ramp — All-in-one US spend management
7. Basware — Procure-to-pay solution for global enterprises
8. Yooz — Lean financial ops for growing businesses
9. Coupa — Unified procurement and expense control for big business
10. Stampli — People-first AP automation

Compare Medius alternatives

Here’s a quick look at the best Medius alternatives, who they fit, and what makes them stand out:

1. Rillion

Flexible, AI-driven AP automation

As an end-to-end AP automation platform, Rillion uses AI to make invoice processing touchless, accelerate approvals, and streamline payments from one intuitive platform.

It also adapts to each company’s needs with AI-guided routing, customizable approval rules, automated reminders, and multi-entity management, all backed by reliable ERP integrations. It’s a flexible, accurate, secure, and easy-to-use alternative to Medius.

Rillion includes all the traditional features of an AP automation solution, with AI applied where it makes a real difference:

• AI invoice capture that extracts data across invoice formats with over 90% accuracy and suggests correct general ledger codes based on past patterns.
• Automated approval workflows that can be set to customizable rules or AI-driven suggestions.
• Payment automation including secure virtual cards and automated reconciliation
• Advanced reporting and analytics for spend visibility across entities

Multi-entity, mid-market organizations benefit most from Rillion’s ability to route invoices, approvals, and payments across different subsidiaries or locations, all from a single dashboard.

Other key features in the Rillion platform:

• Multi-entity management: Approve invoices, manage spend, and gain real-time visibility across multiple companies or locations from one screen. Perfect for healthcare groups, hospitality chains, or manufacturers with distributed finance operations.
• Advanced PO matching: Rillion handles complex purchase order matching, including partial deliveries, multiple POs on one invoice, and external POs. This ensures invoices are validated accurately before payment, even in industries with complex procurement flows.
• Riley, the AI Assistant: Ask the built-in AI questions about invoices, suppliers, or workflows and get instant answers. Riley helps users navigate the system, resolve issues quickly, and stay productive without delaying AP financial tasks.
• Role-based approval workflows: Assign permissions based on roles to improve security, compliance, and efficiency. Finance leaders maintain control, and approvers get automated reminders with the option to approve via mobile or desktop.
• Virtual card payments with rebates: Securely pay vendors using virtual cards, reducing fraud risk while earning rebates, turning AP from a cost center into a value driver.
• 50+ ERP Integrations: Sync invoices, approvals, and payments directly into 50+ leading ERPs (including Microsoft Dynamics, NetSuite, Sage Intacct, and SAP Business One), eliminating double entry and ensuring clean data for month-end close.
  

Why Rillion is a good Medius alternative

Compared to Medius, Rillion applies AI more directly to everyday AP tasks, especially coding, routing, and user assistance. You won’t have to manage complicated template workflows, because AI predicts the workflow for each invoice, even when multiple people are involved, and it decides when an invoice should take another route than usual.

This reduces manual corrections, speeds up approvals, and makes it easier for teams to manage both PO and non-PO invoices.

And with over 50 ERP integrations and advanced reporting across entities, Rillion is easier to adopt, faster to process invoices, and more robust for finance leaders who need visibility and control.

What to be aware of

Rillion doesn’t have a native mobile app. Approvers can approve payments from their phones, but finance teams don’t have an app to manage AP while on the go.

Stand out feature - 3-way PO matching

One of the biggest challenges AP teams face is making sure invoices are accurate before payment.

Many systems rely on 2-way matching, checking the invoice against the purchase order. But this doesn’t confirm whether the goods or services were actually received.

Rillion goes further with 3-way PO matching.

Every invoice is automatically checked against both the purchase order and the goods receipt. If everything matches, the invoice can flow through for approval and payment without anyone touching it. If something doesn’t add up, Rillion flags it instantly so your team can investigate before money leaves the business.

Who is Rillion built for?

Rillion is best suited to mid-market companies processing 10,000+ invoices annually, particularly in industries like healthcare, manufacturing, and hospitality. It’s especially valuable for organizations with multiple entities or subsidiaries that need consolidated visibility and streamlined workflows.

Rillion is for finance leaders who want to:

• Cut invoice processing and approval time with AI-driven automation, going 85% faster
• Centralize AP across multiple entities for better control and reporting
• Reduce fraud risk and payment errors with secure, automated vendor payments
• Eliminate manual double entry through seamless ERP integration (with 50+ leading ERPs)
• Give AP teams peace of mind with intuitive, user-friendly software
• Work with a trusted partner to implement AI across their finance processes, confidently and securely

Read here how Björn Axén has used Rillion’s AP automation to cut hours spent processing invoices, increased visibility over spend, and given their finance team greater confidence in the numbers.

2. MineralTree

Invoice to pay system for mid-market businesses

MineralTree provides a modern AP and payments solution for small to medium-sized companies that want end-to-end automation without replacing their ERP.

It combines invoice capture, approvals, and payments in one platform to cut down on data entry, reduce approval bottlenecks, and give suppliers faster, more predictable payments.

While Medius is better for larger companies with large invoice volumes, MineralTree is more suited to smaller companies that want an easy to use AP system with strong payment options.

MineralTree’s key features include:

• Invoice capture & workflows: OCR and machine learning extract invoice data, apply GL codes, and route for approvals with reminders and escalations.
• Payment execution (TotalPay): Pay vendors via ACH, check, wire, FX transfer, or virtual card.
• ERP integrations: Syncs with NetSuite, QuickBooks, Sage Intacct, Microsoft Dynamics, and others.
• Fraud controls: Role-based access, dual approvals, audit trails, and two-factor authentication.
• Analytics & dashboards: Tracks invoice cycle times, working capital outflows, and card rebates.
• Fast implementation: Typically quicker to deploy than large ERP-style systems.

Why MineralTree is a good alternative to Medius

MineralTree sits between lightweight invoice tools and heavy enterprise suites. It covers the full invoice-to-pay process, from capture to payments, and it works well with different ERPs.

In comparison to Medius, it’s easier to use and has stronger payment features. AP teams often praise its intuitive interface, reliable ERP integrations, and responsive support. Many like the flexibility of paying vendors in different ways and the bonus of rebates from virtual card payments.

What to be aware of

For larger organizations that manage hundreds of invoices each month, MineralTree may be too simple.

Some users report delays when processing invoices or syncing with certain ERPs like QuickBooks.

Stand-out feature – TotalPay

MineralTree’s TotalPay engine supports multiple payment types and identifies which vendors accept virtual cards, steering payments that way to generate rebates while still meeting supplier preferences.

3. Sage Intacct

In-depth financial management for growing companies

Like Medius, Sage Intacct is a cloud-based financial management platform for organizations that have outgrown entry-level accounting tools. Unlike Medius, Sage has a built-in ERP that can scale with your business.

Sage Intacct is made for finance teams managing complex, multi-entity structures, consolidations, and real-time reporting, with a focus on giving CFOs and controllers instant visibility and automation without constant IT support.

Sage Intacct’s key features include:

• AI data extraction: Use Sage AI to extract details from invoices by uploading or emailing it.
• Reconciliation simplified: Auto-match against information drafted by AI to save you time and hassle, simplifying month-end.
• Customizable dashboards & reports: Build role-specific dashboards and slice data any way you need, without IT support to view data in real-time.
• Automated workflows: Handle recurring journal entries, approvals, and billing automatically, reducing manual work.
• Strong core GL & compliance controls: Role-based access, audit trails, and approvals keep finances secure and audit-ready.
• Cloud-native scalability: Add entities, users, or geographies seamlessly, with integrations into payroll, CRM, and business apps.

Why Sage Intacct is a good alternative to Medius

Medius is often used as an add-on to Sage Intacct’s ERP, but you can focus your AP within the Sage Intacct system.

Like Medius, Sage extracts invoice data, reconciles it with POs, provides multi-entity accounting, and it also has strategic dashboards to track cash flow.

Mid-sized companies and non-profits use Sage Intacct to consolidate entities, manage projects and grants, and automate workflows without taking on the complexity of larger systems.

What to be aware of

Moving from Medius, it may take time to get used to Sage Intacct and learn how to use it effectively. That said, if you already use it as an ERP, that shouldn’t be a problem as you’re already used to the software.

Custom reporting can take time to master, and some users note slow payment processes and mixed support experiences.

Stand out feature - Risk management

Sage Intacct’s compliance and dashboard features give finance teams real-time visibility into spending against budgets.

With built-in internal controls, budgets are automatically enforced, lowering overspend risk. It’s less about last-minute corrections and more about steady, predictable financial control.

4. Tipalti

Centralized, global payments system

Tipalti is an accounts payable software with an emphasis on global mass payments.

For finance teams working with multiple currencies, Tipalti speeds up their invoice cycles, cuts down on manual work, improves compliance, and cleans up audit trails.

Tipalti’s key features include:

• Global mass payments: Send payments to 200+ countries, 120+ currencies, using multiple payment methods.
• Invoice processing automation: Optical character recognition (OCR) capture, 2- and 3-way matching, plus approval workflows to reduce manual work.
• Supplier self-service portal: Vendors onboard themselves, upload tax and banking details, and track payment status, saving your team time.
• Tax & compliance automation: Collect and validate W-8/W-9 forms, apply withholdings, and generate year-end reports in a single system.
• Multi-entity and multi-currency support: Manage subsidiaries, currencies, and banking setups within a centralized platform.
• Fraud & risk controls: Built-in validation, sanction screening, and audit trails for security and compliance.
• ERP & accounting integrations: Connect to major ERPs and accounting systems to continuously sync data.

Why Tipalti is a good alternative to Medius

If Medius is falling short on international payments and tax compliance management worldwide, Tipalti could be the answer.

It also has a supplier portal that helps you to manage vendors with less effort, cutting support tickets by letting vendors onboard, submit tax details, and track payment statuses on their own.

Teams in industries like music, adtech, gaming, and business or financial services often select Tipalti because its global payments engine and built-in compliance tools reduce manual work, minimize risk, and make large-scale payouts easier to manage.

What to be aware of

Some users mention that implementation can be time-consuming, take a lot of time and resources from the finance team. Others mention that the UX isn’t as good as other options on the market, making the system feel outdated.

Stand out feature - global payments

Tipalti’s biggest strength is its payments engine. It supports hundreds of countries, dozens of currencies, and multiple payment types (ACH, wire, PayPal, debit, checks).

It also manages FX conversions and compliance behind the scenes. For high-volume, international payables, Tipalti makes it possible to process thousands of payments in one batch transparently and without mistakes.

5. Quadient

Invoice-to-pay automation with solid PO matching

Where Medius is a broad spend management software, Quadient AP Automation (built on the Beanworks platform) gives users comprehensive accounts payable automation.

It provides a centralized platform to capture invoices, route approvals, manage purchase orders, and execute payments to improve visibility and reduce fraud risk.

CFOs get better control, AP managers gain efficiency, and approvers see a straightforward way to sign off on invoices.

Quadient’s key features include:

• AI-powered invoice capture: OCR and machine learning extract header and line-item data, cutting down manual entry.
• Automated approval workflows: Routes invoices, POs, and expenses to the right people with clear audit trails, reminders, and escalation rules.
• Purchase order matching: Two- and three-way matching between invoices, POs, and receipts reduces errors and duplicate payments.
• Multi-entity, multi-currency support: Designed for organizations with subsidiaries or locations, ensuring consistent processes across entities.
• ERP integrations: Sync with systems like Sage Intacct, NetSuite, Microsoft Dynamics, and QuickBooks, keeping vendor and payment data aligned.
• Visibility and reporting: Dashboards and search functions show invoice status, outstanding liabilities, and spending by category or department.
• Mobile and remote approvals: Approvers can review and approve invoices on the go through web or mobile.
• Fraud controls: Access is role-based and full audit trails help finance teams enforce compliance and reduce risk.

Why Quadient is a good alternative to Medius

Both Quadient and Medius automate invoice capture, PO matching, approvals, and payments. But Quadient takes a more streamlined approach.

Its workflows are easier to configure, and finance teams appreciate the centralized dashboards that give them real-time visibility without heavy customization.

For mid-market organizations that find Medius complex or slow to implement, Quadient offers a more straightforward way to modernize AP while still covering the full invoice-to-pay cycle.

What to be aware of

Reviews often mention long setup times, high implementation costs, and frustrating customer service. These pain points can make adoption harder than other alternatives on this list.

Stand out feature - full AP workflow

Quadient AP Automation covers the entire AP cycle in one place; from invoice capture to PO matching to payments.

The emphasis on PO matching helps cut duplicate or fraudulent invoices and gives finance leaders confidence in approvals. For mid-market teams that need visibility and control, this all-in-one workflow is the big draw.

6. Ramp

All-in-one US spend management

Ramp is a US-focused spend management platform that combines corporate cards, bill payments, invoice automation, and expense management in a single system.

Ramp’s bank and credit card integrations are seamless and more complete than Medius’s. It also has a much cleaner interface which speeds up roll out and increases adoption. It’s often used by startups and SaaS companies because it can manage subscription payments and multi-entity operations easily.

Ramp’s key features include:

• Corporate cards with built-in controls: Issues unlimited virtual and physical cards, set granular limits, and block out-of-policy transactions in real time.
• Accounts payable automation (Bill Pay): AI-powered invoice capture, coding, and approval routing simplifies the invoice-to-pay process.
• Flexible vendor payments: Pays suppliers by ACH, check, card, or wire from one platform, with support for international payments where needed.
• Procurement & intake workflows: Manages purchase requests, approvals, and vendor onboarding in a centralized system.
• Expense management: Automatically matches expenses to receipts and policies, reducing manual work.
• Travel booking integration: Enables you to book travel within policy and sync costs directly to budgets.
• Accounting integrations: Integrates with QuickBooks, NetSuite, Xero, Sage Intacct, and other accounting systems for fast reconciliation.
• Analytics & reporting: Real-time dashboards track budgets, vendor payments, and spend by category, helping finance leaders control costs.

Why Ramp is a good alternative to Medius

Ramp is made for companies that are growing quickly in the USA.

Teams often choose Ramp because it is easy to adopt and simple to use. It also helps cut down AP cycle times and improves budget discipline.

Finance leaders appreciate its clean interface and intuitive workflows, which reduce training time and improve adoption across the organization.

What to be aware of

If you are a larger company who is used to Medius, you may find Ramp’s reporting and analytics shallow. For instance, you can’t create granular reports showing spending during a specific time period.

Stand out feature - Unified US-based system

Ramp’s defining feature is its ability to unify cards, AP, procurement, and expense management into a single system with a clean, easy-to-use interface.

Ramp combines invoice automation and bill pay with real-time corporate card controls, so that finance teams can manage all spend types in one place, reducing complexity and increasing visibility.

7. Basware

Procure-to-pay solution for global enterprises

Basware is a global procure-to-pay and AP automation platform aimed at large enterprises with complex, multinational operations.

It connects finance teams and suppliers through one of the biggest e-invoicing networks worldwide, supporting compliance across multiple countries and formats.

Basware provides the scale and compliance that you may find lacking in Medius. It’s also better than Medius at managing relationships with suppliers and giving them the transparency into invoice status that they need.

Basware’s key features include:

• Global e-invoicing network: Connects with suppliers in 175+ countries, supports multiple formats, and ensures compliance with local e-invoicing mandates.
• Invoice automation at scale: AI-powered invoice capture, coding, and two-, three-, and even four-way PO matching enable “touchless” processing for large invoice volumes.
• Procure-to-pay suite: Goes beyond AP to include requisitioning, catalog management, sourcing, and supplier management.
• Supplier portal & onboarding: Vendors can submit invoices, track status, and manage compliance documents, reducing AP workload.
• Compliance & audit controls: Provides full audit trails, tax compliance features, and global regulation support for multinationals.
• Analytics & spend visibility: Dashboards and reporting across AP and procurement show liabilities, spend by category/vendor, and exception handling.
• ERP integrations: Basward has strong integrations with SAP, Oracle, Microsoft Dynamics, NetSuite, and hybrid multi-ERP setups.

Why Basware is a good alternative to Medius

It is a strong fit for enterprises that need an end-to-end purchase-to-pay software with global coverage, strict compliance, and large-scale supplier connectivity. Compared to Medius, Basware stands out for its depth in e-invoicing and compliance.

If you want to connect and manage suppliers better and manage even more invoices seamlessly worldwide, Basware is stronger than Medius.

CFOs value the global oversight, while procurement teams use the suite to manage sourcing and supplier relationships alongside AP.

What to be aware of

Basware is an advanced system so the breadth of its features can create a steep learning curve during onboarding for Medius users. Implementation is also resource-intensive and can be costly.

Some reviews mention that reports aren’t detailed and that you can’t create customized reports, frustrating users that want more in-depth analytics.

Stand out feature - Global e-invoice network

Basware’s defining feature is its global e-invoicing network. It lets enterprises transact electronically with suppliers around the world, no matter the format, while staying compliant with local laws.

This simplifies supplier payments, along with its AI-powered PO matching and ERP automations. Along with the supplier portal, it becomes a powerful enterprise solution.

8. Yooz

Lean financial ops for growing businesses

Yooz is an AP and procure-to-pay platform designed for mid-sized and fast-growing companies.

Yooz stands out from Medius with its “Lean Financial Operations™” framework, aimed at cutting inefficiencies, reducing fraud, and scaling finance without extra headcount.

With more than 7,000 customers and extensive ERP integrations, Yooz emphasizes fast deployment and flexibility.

Yooz’s features include:

• Omnichannel invoice capture: Accepts invoices via email, portal, EDI, or mobile, applying AI to extract, code, and validate data in real time.
• Fraud protection: AI-powered tools for fake invoice detection, atypical amount alerts, IBAN/account verification, and secure user authentication.
• Dynamic workflows & routing: Configurable rules for requisitioning, PO matching, approvals, and exception handling, adaptable to industry-specific needs.
• Automated payments: Includes ACH, virtual cards with cashback, and vendor statement reconciliation for full payment automation.
• Analytics & reporting: Real-time dashboards, audit trails, and budget tracking to improve visibility and compliance.
• ERP integrations: Connects to QuickBooks, Sage, Microsoft Dynamics, NetSuite, Acumatica, and industry-specific ERPs like CDK, Tekion, and Karmak.

Why Yooz is a good alternative to Medius

Yooz provides lighter, faster-to-implement automation than Medius, making it a strong fit for small to mid-sized companies that want efficiency without excessive complexity. It’s especially strong for companies in the automotive and construction industries, because it has industry-specific ERP integrations.

Controllers and CFOs also like Yooz for its fraud prevention features, which reduce the risk of duplicate or fake invoices.

What to be aware of

Users often report integration issues with accounting systems that slow down their work. Reviews also mention that the OCR doesn’t always recognize vendors or amounts written on invoices, creating manual rework.

Stand out feature - Lean Financial Operations™

Yooz’s defining feature is its Lean Financial Operations™ framework, which extends beyond invoice automation to embed efficiency and risk management into every stage of the financial workflow.

It layers fraud detection, payment automation, and flexible workflows into one model, helping companies process invoices faster, lower fraud risk, and scale operations without adding staff.

9. Coupa

Unified procurement and expense control for big business

Coupa is a spend management platform that is more comprehensive than Medius. It brings procurement, invoicing, expenses, payments, and supplier management into one place.

It also has an AI network that learns from community data to surface savings opportunities and better purchasing options.

Finance and procurement teams use Coupa for real-time spend visibility, tighter budget control, and fewer manual steps across purchasing and AP. CFOs and procurement leaders rely on it to track costs, reduce risk, and strengthen supply chains.

Key features include:

• Procure-to-pay automation: Digitize the full requisition, purchase order, invoice, and payment process to save time and reduce errors.
• Supplier management: Onboard, track, and evaluate suppliers with centralized profiles and compliance checks.
• Guided buying experience: Simplify purchasing and reduce non-compliant spend with workflows that guide users to approved suppliers, preferred products, and pre-agreed rates.
• Spend analytics & dashboards: Get real-time visibility into budgets, spend categories, and supplier performance for data-driven decision-making.
• Contract lifecycle management: Automate contract processing, approval, and renewal to improve compliance and reduce risk using Coupa’s AI. Their AI feature can be used within Coupa or embedded straight into Microsoft Word.
• Mobile approvals: Approve requisitions, invoices, and expenses from any device to keep business moving.

Why Coupa is a good alternative to Medius

If you want a single tool that covers the full spend management lifecycle, Coupa is stronger than Medius. In fact, Gartner named Coupa a leader in procure-to-pay solutions.

Coupa is especially strong in manufacturing, finance, healthcare, and technology that require centralized procurement, expense, and supplier management across locations or subsidiaries.

What to be aware of

Users report that Coupa’s interface is complicated, making it difficult to get used to.
On review sites, Coupa’s customer support gets lower approval ratings than Medius.

Stand out feature - Coupa AI

Coupa’s AI analyzes trillions of dollars of anonymized transactions from its buyer network of over 10M. It benchmarks performance and recommends smarter deals to its users.

This AI feature helps finance leaders get insights from a global community: which suppliers pose risks, where better rates exist, and where hidden savings might be found. The goal is to help procurement shift from simply processing transactions to improving profitability and resilience.

10. Stampli

People-first AP automation

If you want a faster, lighter, more user-friendly AP solution than Medius that also offers a collaboration-first approach to accounts payable, look no further than Stampli.

Instead of focusing solely on invoice processing, it centralizes invoices, approvals, and related conversations in one platform. This eliminates the need for email chains, reduces context-switching, and ensures audit trails are always clear.

With strong ERP integrations and an intuitive interface, Stampli is designed to be adopted not just by finance, but by the wider organization.

Stampli’s features include:

• AI-powered invoice capture & coding: Their AI, Billy the Bot™ extracts data, learns your GL accounts, and applies them automatically, reducing manual entry.
• Collaboration built-in: All invoice-related comments, questions, and documents stay attached to the invoice itself, so nothing gets lost in email.
• Custom approval workflows: Routes invoices based on amount, department, or project, with reminders and escalations to keep things moving.
• ERP integration excellence: Pre-built, two-way integrations with NetSuite, Intacct, QuickBooks, Sage, and more ensure data stays in sync.
• Vendor management: Suppliers onboard themselves, upload documents, and track invoice status through a self-service portal.
• Payments & cards: With Stampli Direct Pay and Stampli Cards, companies can manage vendor payments and employee spend in one place.
• Real-time insight: Dashboards and customizable reports give CFOs and AP leaders visibility into spend, approvals, and process efficiency.

Why Stampli is a good alternative to Medius

Both Medius and Stampli provide good customer support that back up two good AP solutions with different focuses.

Stampli is ideal for mid-market companies that want AP automation without Medius’s complexity. It focuses on invoice approvals and user adoption, ensuring faster cycle times and fewer delays.

What to be aware of

Stampli is a simpler AP platform aimed at small and growing businesses, so it doesn’t have Medius’s more advanced features. For example, Stampli’s approval workflows also aren’t as strong as Medius or Rillion, requiring more manual work.

Stand out feature - Billy the Bot™

Billy the Bot™ is Stampli’s AI co-pilot for AP. Billy continuously learns your company’s invoice patterns, including how line items are coded, who approves what, and what anomalies to flag. He automatically codes invoices, spots duplicates, nudges approvers, and keeps the process moving.

How to choose your Medius alternative

The best alternative depends on your company’s priorities, such as whether you need global payments, easier collaboration, faster deployment, or stronger PO matching.

For example, Tipalti is strong in global payments and compliance, but its invoice workflows are less flexible. Quadient appeals to mid-market teams with simpler setup and stronger PO matching. And Stampli focuses on collaboration, making invoice approvals easier for non-finance staff.

But if you’re a mid-market or multi-entity organization, Rillion is the most versatile and reliable Medius alternative. It combines intelligent invoice capture, 3-way PO matching, customizable approvals, and secure payment automation with seamless ERP integrations and AI that speeds up coding, approvals, and team adoption.

If you’re ready to move past Medius’s complexity and get an AP platform that adapts to you, Rillion is the smarter choice. Book a demo today and see the difference for yourself.