top of page
Home
Get Started
FAQ
Contact
Pay Annual Fee
How To Get Started With Us
Video Tutorials
NPI application
Claim & Legal Documents
Pink Billing Solution Superbill
Billing Agreement
W-9 Fillable Document
Claim Procedure
Submit Claim
Onboarding Form
Artist Name
Name of business
Phone
Email
Proof of insurance
Upload File
Upload supported file (Max 15MB)
NPI number
Proof of tattoo license or some other form of proof that you are practicing legally in your state
Upload File
Upload supported file (Max 15MB)
Banking information
Bank Name
Routing Number
Account Number
Signed Agreement
Upload File
Upload supported file (Max 15MB)
How did you hear about us?
Receipt of $175 payment to Pink Billing Solutions for annual fee
Upload File
Upload supported file (Max 15MB)
W-9 Fillable Form
Upload File
Upload supported file (Max 15MB)
Submit
Thanks for submitting!
bottom of page
