How to Create and Submit an Imaging Order

This guide walks you through the complete process of creating and submitting an imaging order in SigmaMD — covering both electronic and fax-based diagnostic providers.

Step 1: Create a Draft Imaging Order

From the patient chart, click the Order imaging button.

Imaging ordering is enabled when:

  • A diagnostic provider is configured for the practice
  • At least one ordering clinician is registered
  • The patient has a registered address
  • If the patient is a care recipient, a guarantor must be assigned

Next, configure the order:

  • Diagnostic Provider – Choose from available imaging providers
  • Ordering Provider – Auto-filled if you’re logged in as a clinician
  • Billing Type:
    • Pay in Clinic – Your clinic collects payment from the patient; the imaging provider bills the clinic
    • Use Insurance – The imaging provider bills the patient’s insurance directly
    • Pay at PSC – The patient pays at the Patient Service Center (PSC)

Click Next to continue. Your draft is automatically saved.

You can exit the workflow at any point — the draft will be saved and accessible from the Imaging tab in the patient chart.

To delete a draft, click the Delete icon next to the draft order.

Step 2: Add Tests

Build your imaging order by searching for tests by code or name, then click Add to order to include them individually.

Favorite Tests – Click the star icon next to any test to favorite it for quick access. Click the star again to unfavorite.

Remove Tests – To delete a test from the order, click the Remove test button next to it.

Step 3: Complete Required Fields

Before sending the order, ensure the required fields are complete:

  • Pay in Clinic Orders – All tests must have a price
  • Use Insurance Orders – All tests must have a diagnosis

Add Pricing

If a test is missing a price:

  • Click Edit test
  • Enter a Base price
    • Enter $0 if the patient will not be charged for the test.
  • The Retail price will auto-calculate based on markup and tax
  • Click Save

Add Diagnoses

You can add diagnoses in two ways:

  • Directly on the test – Use the Diagnosis field when editing the test
  • Apply to all tests – Click Add diagnosis on the draft order screen

Additional Fields

  • Note to provider – Add an optional note that will be sent with the order
  • Expected on – optionally enter the expected patient visit date to the PSC

Step 4: Send the Imaging Order

  • Pay in Clinic Orders – Click Send order once pricing is complete
  • Use Insurance Orders – Click Continue
    • Select Primary coverage
    • Check Add additional coverage to include secondary or tertiary insurance, if applicable.
    • Select the Guarantor
    • Click Send order to finalize

Step 5: Print or Download the Requisition

After submission, you’ll be taken to the requisition view screen.

Here, you can download or print the requisition.

Can I Edit the Order After it is Transmitted?

No. Once submitted, orders cannot be modified in SigmaMD. To make changes, please contact the diagnostic provider directly.

If you have any questions or need assistance at any step, contact our support team.