Secure Rebill Request

Use this page to submit a completed rebill request and any supporting documentation securely to Linguava's Accounts Receivable team.

How to submit a request

  1. Download and complete the rebill request template.
  2. Save the completed file with the Linguava job or invoice number in the file name.
  3. Upload the completed template and supporting documents using the form below.

Download Rebill Request Template

Please do not send patient information through regular email. Avoid including patient names, dates of birth, or other patient details in file names. After the upload is complete, the Accounts Receivable team will be notified.

If the form does not load, open the secure upload form directly.