New · Bill Pay, native to Anatomy

Pay any healthcare bill,
your way — without leaving Anatomy.

Skip Melio. We embedded modern bill pay directly into your back-office, synced to every ledger you touch — QuickBooks, Xero, Sage Intacct, NetSuite — through a single Rutter connection.

Try the demo
HIPAA-readySOC 2 Type IINACHA ACHRTP & FedNow

Pay bill

McKesson Pharmaceutical

Approved

Amount due

$38,900.00

Invoice MCK-77194 · due May 2

Wire
Same day · $15
ACH
1–2 days · Free
Real-time (RTP)
Seconds · $1.50
Synced to QuickBooks → 5110 · COGS — Pharmacy

$1.18M

Paid YTD

across 93 vendors

3.2h

Avg approval time

↓ 41% vs prior tools

5

Payment rails

ACH · RTP · Wire · Card · Check

412

GL accounts

auto-mapped via Rutter

Why build, not buy

Melio is built for SMBs.
Anatomy is built for healthcare back-offices.

Sending your providers to a separate Melio tab fractures the workflow. With Rutter we ship a Melio-class experience inside Anatomy — same accounting sync, same multi-rail, with revenue recognition and EOB context already attached.

Capability

Buy: Melio

Build: Anatomy + Rutter

Embedded inside Anatomy
Separate web app
Native module
Healthcare GL mapping
Generic SMB COA
EOB-aware GL routing
Multi-entity support
1 entity per seat
Unlimited entities
Accounting sync
QBO + Xero only
QBO · Xero · Sage · NetSuite via Rutter
Approval policy by amount
✓ + by vendor + by entity
Custom branding
Co-brand top bar
Fully white-labeled
Programmatic API
Limited
Full REST + webhooks
Pricing model
Per transaction + Premium
Flat platform fee

Everything Melio does — plus the parts only Anatomy can.

5 payment rails, one click

ACH · RTP · Wire · Virtual card · Paper check. Vendor-preferred rail is recommended automatically.

Threshold-based approvals

Route by amount, vendor, entity or GL account. CFO sign-off from email, mobile, or Slack.

AI inbox capture

Forward invoices to bills@yourorg.com — Anatomy extracts amount, due date, and matches the vendor.

EOB-aware GL routing

Bills inherit the same revenue-cycle metadata as your reconciled deposits. No more orphaned codes.

Multi-entity, one inbox

Pacific Health Group, Pacific Anesthesia, Specialty Surgery — pay across entities without switching tools.

Float & reserve accounting

Funds sit in an FBO ledger you control. Earn yield on float — not Melio.

Vendor onboarding kit

Branded W-9 collection, 1099 filings, and ACH micro-deposit verification — entirely white-labeled.

Same-day pay

RTP and FedNow rails for emergency payouts to staffing agencies and locum providers.

Cash-flow forecasting

Anatomy already knows when cash is coming in. We tell you what to pay this week — and what can wait.

How it works

Live in 2 weeks. One Rutter connection lights it up.

01

Connect ledger

QuickBooks, Xero, Sage Intacct or NetSuite — through Rutter's unified API.

02

Auto-import bills

Pull AP from your ledger and your shared inbox. AI extracts amounts + GL hints.

03

Route approvals

Threshold + vendor + entity policy. CFO signs from email or mobile.

04

Pay & sync back

ACH, RTP, wire, card or check. GL entry posts the same second the rail confirms.

Security & compliance

Healthcare-grade controls, by default.

Money movement runs on a bank-sponsored Rutter ledger. PHI never touches the payment rail. Every action is signed, time-stamped, and exportable for auditors.

SOC 2 Type IIHIPAA-readyHITRUST-alignedNACHAPCI DSSFedNow

Audit log · today

09:24:12M.Lin approvedMCK-77194$38,900.00
09:24:14ACH initiatedJPM ••4429$38,900.00
09:24:14GL posted5110 · COGS PharmacyOK
09:24:15Webhook firedpayment.scheduledOK
09:24:18QBO syncbill_pay → billsynced

Don't buy Melio. Build it in.

Same UX. Same rails. Inside the platform your team already lives in.