Configuring Billing Settings

SigmaMD’s Billing Settings let you control pricing, taxes, accounting periods, and membership terms — helping you stay profitable, compliant, and organized. To access these settings, navigate to Billing and then select Settings in the sub-menu.

This guide covers each section of the Billing Settings screen and how to configure them for your practice.

Global Markup

Apply a fixed amount or percentage increase to all charge items in your practice to help cover overhead costs or maintain profit margins. Note: Global markup does not affect membership charges.

• Fixed Amount: Adds a set dollar amount to each item.
• Percentage: Increases the price by a percentage.

Sales Tax Profiles

Set up tax rates for different jurisdictions to comply with local tax laws.

• Add New Tax Profile: Create separate profiles for each location where you collect sales tax.
• Edit: Update profiles to reflect changes in tax rules or your service areas.

Accounting Periods

Define how and when your financial reporting periods close.

• Manual: Keep periods open until you choose to close them.
• Automatic (days after month-end): Lock periods a set number of days after the month closes.
• Automatic (when invoices are paid): Lock periods only when all invoices for that month are paid.

For more details, see Understanding Accounting Periods.

Charge item handling

When enabled, eligible lab, imaging, and dispensed medication charges are automatically added to a patient’s draft invoice. The system prioritizes the patient's membership invoice and if none available chooses the invoice due sooner. When no invoice is available, a new draft will be created.

• Charges are added only to draft invoices
• Invoices must still be reviewed and issued to collect payment
• You can change the invoice on the final step of ordering or dispensing

If disabled, charges must be added manually.

Membership Terms

Outline the terms and policies members agree to when joining a membership plan.

• Can be a simple consent checkbox or a PDF that requires a signature.
• Helps ensure clarity between your clinic and your members.

For more details, see How to Add New Agreements, Documents, or Terms to Your Memberships.

Best Practices

• Review these settings regularly to keep up with operational, regulatory, or pricing changes.
• Confirm that your markup and tax settings comply with local regulations.