> ## Documentation Index
> Fetch the complete documentation index at: https://docs.sigmahmis.com/llms.txt
> Use this file to discover all available pages before exploring further.

# Sigma Health HMIS: Cloud-Native Clinic Revenue Platform

> Sigma Health HMIS connects clinic billing, insurance claims, and payment reconciliation into one continuous revenue trail from visit to cash.

Sigma Health HMIS is a cloud-native Health Management Information System designed to stop clinics from losing revenue after a patient visit. In most clinics, billing, claims, and payments live in separate systems — or worse, in spreadsheets and paper files. That gap is where revenue leaks: claims get submitted late, payments arrive unmatched, and rejections go unnoticed until month-end. Sigma closes that gap by connecting every visit to an invoice, every invoice to a claim, and every claim to a payment, all in one platform that your team can access from anywhere without managing a single server.

## The Revenue Trail

Sigma is built around a simple principle: money should always be traceable back to the care that earned it. The three-step revenue trail keeps that traceability intact across every patient encounter.

<Steps>
  <Step title="Visit → Bill">
    Every patient encounter logged in Sigma automatically generates a visit-linked invoice. Charges are attached at the point of care, so nothing is forgotten between the consultation room and the billing desk.
  </Step>

  <Step title="Bill → Claim">
    Each invoice feeds directly into a claim. Sigma pre-fills claim fields — scheme codes, diagnosis information, authorization numbers, and payer details — from the patient record and the visit data. Your billing team reviews and submits without re-keying anything.
  </Step>

  <Step title="Claim → Payment">
    When the insurer processes the claim, Sigma captures the remittance and matches it to the original claim. Partial payments, rejections, and underpayments are surfaced immediately so your team can act — not discover the problem three months later.
  </Step>
</Steps>

## Who Uses Sigma HMIS

Sigma is designed for the clinical operations teams responsible for revenue — not just the people providing care.

* **Reception** staff register patients, record visit details, and ensure demographic and scheme information is captured accurately before the billing cycle begins.
* **Billing Staff** create and review invoices, prepare and submit insurance claims, and manage claim follow-up when insurers respond with approvals, rejections, or partial payments.
* **Claims Staff** monitor claim submissions, track statuses through the full claim lifecycle, and handle resubmissions when claims are rejected or returned.
* **Finance** staff oversee payment reconciliation, review remittance advices, and report on outstanding balances across locations.
* **Admin** users manage team access and permissions, configure insurer schemes, and have full visibility across all modules and locations.

## Core Modules

<CardGroup cols={3}>
  <Card title="Billing" icon="file-invoice-dollar" href="/modules/billing">
    Generate visit-linked invoices with built-in billing rules. Capture every charge at the point of care.
  </Card>

  <Card title="Claims" icon="shield-check" href="/modules/claims">
    Submit claims to insurers, track their status in real time, and manage rejections and resubmissions.
  </Card>

  <Card title="Payments" icon="money-bill-wave" href="/modules/payments">
    Match remittances to open claims, reconcile deposits, and flag discrepancies automatically.
  </Card>
</CardGroup>

## Key Capabilities

Sigma HMIS ships with a comprehensive set of features designed around real clinic billing workflows:

* **Visit-linked invoicing** — every invoice is generated from an encounter record, eliminating manual charge capture
* **Built-in billing rules** — apply scheme-specific rules and fee schedules automatically at the time of invoicing
* **Full claim status tracking** — monitor each claim through its complete lifecycle: Submitted, Awaiting Response, Approved, Rejected, Paid, or Waiting
* **Remittance matching** — automatically reconcile insurer payments against open claims and flag unmatched amounts
* **Real-time revenue dashboard** — see outstanding invoices, pending claims, and received payments at a glance
* **Multi-insurer and multi-scheme support** — manage relationships with multiple medical aid schemes and private insurers in a single workspace
* **Role-based access control (RBAC)** — assign granular permissions so each staff member sees only what their role requires
* **Cloud-native, no servers required** — Sigma runs entirely in the cloud; your team can access it from any browser, and your IT team has nothing to maintain

<Note>
  Sigma HMIS is an administrative platform for clinical billing, claims management, and payment reconciliation. It does not provide medical advice or clinical decision support.
</Note>


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