Our All-in-One Platform: Your Partner in Growth

The Clinician license is required for users who are licensed as MD, DO, NP, PA, or similar. The Core Team license is for medical assistants, office staff, allied health professionals, and other support staff.

Group Plan is for practices running employer-sponsored group plans at scale. It's priced at $500 per clinician per month, flat — with no additional charges based on member count.

Standard practices that grow into employer-sponsored group plan operations at scale graduate to Group Plan pricing at the next billing cycle.

Each practice can designate one Collaborating Clinician at $200/month. This is for the supervising physician of an NP- or PA-led practice — a permanent, structural role where the physician oversees clinical care but does not carry a primary patient panel. The license includes full clinical access — eRx and EPCS included.

Covering clinicians — filling in for a clinician on vacation or leave — are billed at the full Clinician rate for their practice's tier (Standard $350/month, Group Plan $500/month) for any calendar month in which they are active. Billing is not prorated. Please notify our support team before activating a covering clinician.

Scribe is billed as part of your practice account — there is no separate activation required. For practices with 3 or more Clinician licenses, Scribe is included automatically. For smaller practices, the Scribe fee is only added where a user creates 5 or more notes in a given month. Pricing is $75 per user per month on the Standard and Group Plan plans, and $30 per user per month on the Launch plan.

SigmaMD pricing is not based on the number of patients in your practice. Costs are tied to the number of Clinician and Core Team licenses.

No. SigmaMD does not charge per active group plan member at any tier. Group Plan pricing is per clinician, not per member.

The Clinician license provides full clinical access, including charting, telehealth, scheduling, messaging, fax, eRx, lab and imaging ordering, billing tools, and advanced care workflows. It’s designed for providers conducting independent patient visits and managing complete clinical encounters.

Yes. eRx, EPCS, and PDMP are all included with the Clinician license at no additional cost from SigmaMD. For PDMP, some states may require an annual fee.

Yes. Non-prescriber Core Team users can be assigned the Proxy role (queue and prep medications for provider review) or the Prescribing Agent role (transmit non-controlled prescriptions on a licensed provider's behalf). Controlled substances must always be transmitted by the Clinician. See our help center for more details.

Yes. SigmaMD offers API access through an invite-only beta program. Beta access is free; pricing will be introduced at general availability. To request access, contact our support team.

Yes. SigmaMD is offered as a month-to-month subscription with no annual contract required, giving practices the flexibility to adjust as their needs evolve.

Billing does not begin until your go-live or soft launch date. The practice won't be charged during onboarding or setup.

Credit card payments are charged at 2.4% + $0.15 per transaction, and ACH transfers are $0.15 each — these fees are paid by the practice.

Practices can optionally enable credit card surcharge, which passes the credit card processing fee to the patient. When enabled, a 2.99% fee is added to credit card payments only (debit and ACH are not affected), and the practice receives the full invoice amount. The fee appears as a separate line item on the patient's invoice. Surcharge is not available in Colorado, Connecticut, Maine, Massachusetts, and Oklahoma.

We are committed to a seamless transition of your practice to SigmaMD without disrupting operations. Whether it's importing CCD, FHIR, or PDF documents from your existing EHR or securely transferring card and ACH data in a PCI-compliant manner, we ensure a smooth process every step of the way.

SigmaMD provides both onboarding and ongoing support. Before launch, we conduct an onboarding session to review your account configuration, patient billing setup, and key integrations. After launch, we provide ongoing customer support, a detailed Help Center, biweekly Office Hours, and the SigmaMD Facebook Community for peer-to-peer collaboration.