Procure-to-Pay, PO Workflows & Spend Governance3 min readUpdated September 2026

Airbase vs Procurify for Medspa and Outpatient Clinic Groups

For a multi-location medspa or outpatient clinic group, Procurify suits catalog-based requisitions and Airbase suits cards with consumable limits, but neither fixes off-process ordering alone. A nurse injector low on stock before a booked weekend may call the distributor directly instead of waiting on approval.

Vendors Covered in this Article

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The order: clinical staff, not procurement staff, are buying

In Procurify, the nurse injector would submit a requisition from a mobile app, selecting the product and quantity from a pre-approved catalog, which routes to a location manager for a fast approval. In Airbase, the more common pattern is a card already issued to the clinic with a spend limit set for consumables, letting the purchase happen immediately and get reviewed afterward. Neither approach stops the injector from calling the distributor directly if the in-system path feels slower than a phone call, which is why the catalog and the card limit both need to be set generously enough for routine restocking.

The gap: inventory drift between what's ordered and what's used

The order itself is only half the problem. Clinical staff track product usage in a practice management or EMR system, not in whatever tool handled the purchase, so the two records drift apart over time. Neither Airbase nor Procurify reconciles purchased units against clinically logged units; that connection has to be built separately, usually as a monthly count compared against the purchase history each platform can export.

The approval: who actually should sign off on a controlled or high-cost product

Injectables and certain devices carry higher unit costs and, in some states, additional documentation requirements around who can order and administer them. Set a distinct approval tier for these categories, routed to a clinical director or practice owner rather than a general operations approver, so the sign-off reflects both the cost and the clinical oversight the product requires.

The payment: distributor terms versus your own cash timing

Aesthetic and device distributors often offer better terms to practices that pay reliably on schedule rather than late. BILL or a similar AP automation layer on top of either platform can help you hit those payment windows consistently, which protects the terms and any loyalty pricing your practice has negotiated, something that's easy to lose if invoices sit unpaid because nobody noticed them in an approval queue.

The rollout for a group this size

Start with your highest-volume, highest-cost product line, injectables if that's your core business, and build the catalog and approval path around it first. Add device consumables and retail product next. Bring lower-stakes categories, office supplies, front-desk equipment, in last, once the clinical team trusts that the in-system path is genuinely as fast as calling a rep.

Roll out the ordering path in this sequence:

  1. Start with your highest-volume, highest-cost product line, injectables if that is your core business, and build the catalog and approval path around it.
  2. Route injectables and higher-cost devices to a clinical director or practice owner rather than a general operations approver.
  3. Add device consumables and retail product next, keeping retail categories separate from clinical consumables.
  4. Bring lower-stakes categories like office supplies and front-desk equipment in last, once clinicians trust the in-system path is as fast as calling a rep.

What to check before you commit to either platform

Ask specifically how each tool handles mobile purchase requests, since your ordering will mostly happen from clinical staff on the floor between appointments, not from someone sitting at a desk. Also confirm how easily you can export purchase history by product and location; when a distributor renegotiates pricing or you're comparing product performance across locations, you'll want that data without rebuilding it from individual invoices.

Retail product sold to patients is a different category entirely

Skincare and retail lines sold directly to patients need to be tracked separately from clinical consumables, since one is inventory you resell and the other is a cost of delivering a service. Blending the two in your purchasing categories makes it harder to see true margin on the clinical side of the business. Set up distinct categories from the start, even if both flow through the same purchasing tool, so your reporting doesn't require someone to manually split them out later.

New location openings strain the approval structure fastest

A new clinic opening needs a burst of initial equipment and inventory purchases that don't fit a routine restocking limit, and treating that launch period the same as ongoing operations usually means either a bottleneck at the worst possible time or a limit set so high it stays loose long after opening. Build a temporary, elevated purchasing tier for the first month or two of a new location, then step it down to your standard clinic-level limit once the location is operating normally.

Separately, some purchases may need to be tied to a supervising physician's authorization rather than just a purchasing approval, depending on your state and the product involved. This isn't something either platform enforces on its own, so build it into your workflow as a distinct step for the relevant categories, and check with your practice's compliance advisor on which products require it in each state you operate in, since the rules aren't uniform.

Executive Capability Standard

What Good Looks Like

Good procurement for a medspa or outpatient clinic group means clinical staff have a fast, in-system way to restock high-turnover products, with purchase and clinical usage reconciled regularly rather than left to drift apart.

Building The Capability (5-Stage Skill Ladder)

1. Learn:Understand which product categories are high-frequency and clinically driven versus which are routine back-office purchases, since they need different approval speeds.
2. Do Manually:Run a monthly comparison between purchased units and clinically logged usage by location to catch drift before it becomes a larger inventory gap.
3. Delegate:Assign a clinical director to own approval for injectables and device consumables, separate from whoever approves general operating purchases.
4. Automate:Build a pre-approved product catalog into your purchasing tool so routine restocking doesn't require a case-by-case approval conversation.
5. Buy:Have Frank, MeetMyCFO's AI CFO, review purchase-to-usage variance by location to flag where inventory drift is turning into a real cost problem.

How to Get Started

Disclosure: We may earn a commission if you buy through some links on this page. It doesn't change what we recommend.

Frequently Asked Questions

How do we stop clinical staff from ordering directly from distributor reps?

Make the in-system path as fast as a phone call: a pre-approved product catalog with same-day approval for routine restocking removes most of the incentive to go around the process. If staff are still calling reps directly, ask why, the answer is usually that the approved path is too slow, not that staff don't want to follow it.

Can either tool track how much product was actually used on patients?

No, that data lives in your practice management or EMR system. Neither Airbase nor Procurify connects purchase records to clinical usage automatically; you'll need a periodic manual reconciliation between the two to catch drift.

Should injectable and device purchases have a different approval path than office supplies?

Yes. Route higher-cost clinical products to a clinical director or practice owner rather than a general approver, both because of the cost and because some products carry state-level documentation requirements around who can order them.

About the numbers

This guide doesn't quote a sourced benchmark. Figures in it are estimates or general guidance, so check them against your own numbers.

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