Unlock Seamless Memberships& Payments

Run a membership practice without a billing team. Plans, enrollment, invoicing, employer contracts and the chasing that happens when a card declines — all handled in the chart, not a second system.

The SigmaMD membership plans screen, listing each plan with its price, billing cycle and enrolled member count.

Key Benefits of SigmaMD Memberships & Payments

More Predictability

Age-banded seats, family discounts and commitment terms, billed on the day of the month you choose — with the first cycle prorated automatically.

Flexible Billing

Memberships, one-time services, dispensed medication and labs all bill from the same catalog, on one invoice, with tax and markup applied per category.

Affordable Care

2.4% + 15¢ on cards and a flat 15¢ on ACH. Pass the card cost on with an optional 2.99% surcharge where your state allows it.

The SigmaMD membership plan editor, showing age-banded adult and child seats with an aging-seat rule, charging cycles with a minimum commitment, an enrollment fee, a price cap and group discounts.
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Plans & Pricing

Price the Membership the Way Your Practice Actually Works

Set seats by age band so a child moves up a tier on their birthday without anyone remembering to do it. Add household discounts that trigger on the mix of members, a joining fee that scales with family size, and a commitment that renews on its own. Pause, discount or cancel later without re-enrolling anyone.

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Self-Enrollment

They Join, Sign and Pay Before You Speak to Them

Publish a sign-up link on your practice's own subdomain. The patient picks a plan, signs your membership agreement and puts a card on file in one sitting — no account, no login, no front desk, and no separate e-sign vendor. Point different links at different plans, or price one at $0 to run a waiting list.

The SigmaMD enrollment form a patient fills in to join, showing their details, the chosen plan and its billing cycle, and a toggle for enrolling others.
The SigmaMD charge item catalog listing medications and supplies with category, orderable status and remaining stock levels.
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Charge Items

Everything You Sell, Priced and Stocked

Build a catalog of visits, procedures, labs and dispensed medication with your own markup, per location. Stock counts down as you dispense and back up if you void the charge, with lot numbers and expiry warnings. Order a lab marked pay-in-clinic and the charge finds the open draft invoice itself.

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Invoicing

Every Charge on One Invoice

Membership dues, dispensed medication, labs and one-time services land on a single invoice, with ICD-10 and CPT codes on each line and the modifiers suggested for you. Split revenue across clinicians and locations, take a partial payment, or refund in full or in part.

A single SigmaMD invoice carrying dispensary, lab and visit charges on one bill, each line with quantity, unit price, tax and amount.
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Superbills

Cash Pay, Without Closing the Door on Insurance

Turn any invoice into a superbill. Pick the place of service and the patient's insurance, and SigmaMD carries your rendering NPI and the ICD-10 and CPT codes from each line into a clean PDF the patient submits for their own reimbursement.

The SigmaMD invoice list, with two invoices tagged Superbill alongside their paid and issued statuses.
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Getting Paid

The Work That Happens After a Card Declines

A failed payment retries at 24 hours, 72 hours and again a week later, and the payer is told each time. A nightly sweep catches cards before they expire. Every Saturday your admins get one email listing what is still unpaid. Switching in? We bring saved cards and bank accounts across from Stripe, CardConnect or Authorize.Net at no cost.

A SigmaMD invoice whose card payment is marked Retrying, with a history listing each unsuccessful charge attempt and when the next retry is due.
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Employer Billing

Bill the Employer, Not the Patient

Charge an employer a flat monthly fee or per covered employee, and set coverage rules deciding what the employer pays and what the patient owes. Every invoice line shows the split. Add someone mid-cycle and the adjustment lands on the next draft — the issued invoice is never reopened.

A SigmaMD employer contract set to bill per patient in advance, with invoicing rules for issue date, due date, autopay and first-cycle proration.
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Eligibility Feeds

The Roster Keeps Itself Current

Connect a Paycom eligibility feed and new employees are enrolled automatically, dependents resolved against their employee. When someone leaves, their membership ends after the grace period you set and their dependents come off with them. Anything the feed cannot match waits for you in a review list.

The Eligibility sync tab of a SigmaMD employer, listing each employee and dependent with their review state, last update and eligibility status.