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.


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.
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.


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.
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.

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 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.

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.

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.
