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.

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.