10 Oct 2026 · TrustList Editorial
OllyGarden raises $4m seed to clean up OpenTelemetry data
Founded in 2025 by OpenTelemetry contributors, the company launched Minimum Viable Instrumentation with the round. Next Frontier Capital,…
18 of 50 BPO service companies ranked on evidence in the Q4 2026 edition.
Between them, the 50 BPO service companies on this page cover medical (22), information technology (16), financial services (15) and outsourcing (15). They also list work in United States. 50 of them have written a profile you can read before you get in touch.
TrustList ranking
Q4 2026 edition
18 of 50 BPO service companies ranked on evidence held on 9 October 2026: client reviews, vetting, awards and facts each business states on its own website, which we read and date. Nobody pays to be placed.
Positions are fixed for the quarter; the next edition is due in January 2027.
Insurance · Partners
Greenwave, operated by Roheline Laine OÜ, handles insurance claims and provides round-the-clock emergency assistance in the Baltic region and elsewhere in Europe.
Why #1: Founded 2002 · ISO 9001, as stated on its own website, read 29 Sept 2026
Not yet on record: client reviews, vetting.

Consumer Products & Services · Information Technology · Financial Services
Integrated IT Solutions is an IT services company that builds software, websites and mobile apps and runs digital marketing for clients.
Why #2: In business 10+ years · Client numbers stated on its own website, as stated on its own website, read 5 Oct 2026
Not yet on record: client reviews, vetting.
Medical Billing · Medical · Partners
ebix inc. offers medical billing and revenue cycle services for independent physician practices.
Why #3: Founded 1976, as stated on its own website, read 29 Sept 2026
Not yet on record: client reviews, vetting.

Manufacturing · Accounting · Legal · Also in Virginia and United States
ESI is a Xerox business solutions company serving Virginia, including Virginia Beach, Richmond, Roanoke and Charlottesville.
Why #4: Founded 1980, as stated on its own website, read 5 Oct 2026
Not yet on record: client reviews, vetting.

Advertising & Marketing · Hospitality & Leisure · Information Technology · Also in Minneapolis
Call Center Sales Pro, also called CCSP, supplies answering services and outsourced business processes for organisations of any size.
Why #5 (shared): In business 40+ years, as stated on its own website, read 28 Sept 2026
Not yet on record: client reviews, vetting.

Government · Advertising · Also in Wisconsin
KW2 is a research and marketing agency that concentrates on three areas: education, health and work.
Why #5 (shared): Founded 1986, as stated on its own website, read 5 Oct 2026
Not yet on record: client reviews, vetting.

Business Services · Medical · eCommerce · Also in California and Newport
GoldenComm has built business websites since 1996, with a focus on sites that produce results for the companies that own them.
Why #7: Founded 1996, as stated on its own website, read 28 Sept 2026
Not yet on record: client reviews, vetting.
Medical Billing · Medical · Insurance · Also in Houston
360 Medical Billing Solutions handles billing, coding and revenue cycle work for emergency and urgent care providers in the United States.
Why #8: Founded 2000, as stated on its own website, read 28 Sept 2026
Not yet on record: client reviews, vetting.

Information Technology · Outsourcing · Accounting · Also in York
Bikham Healthcare is the healthcare arm of Bikham, a company set up in 2005 that now describes itself as a healthcare technology business.
Why #9: Founded 2005, as stated on its own website, read 28 Sept 2026
Not yet on record: client reviews, vetting.

Advertising & Marketing · Hospitality & Leisure · Information Technology
Callbox is a B2B lead generation and appointment setting agency that finds prospects and books meetings with decision-makers for its clients' sales teams.
Why #10: In business 20+ years, as stated on its own website, read 28 Sept 2026
Not yet on record: client reviews, vetting.
Consumer Products & Services · Advertising & Marketing · Information Technology
Bloom is an independent digital marketing agency with teams in Montréal and Toronto.
Why #11: In business 19+ years, as stated on its own website, read 28 Sept 2026
Not yet on record: client reviews, vetting.

Energy & Natural Resources · Information Technology · Business Services · Also in Gujarat
eDataMine is a business process outsourcing company that digitises and manages paperwork and data for other firms.
Why #12: Founded 2009, as stated on its own website, read 29 Sept 2026
Not yet on record: client reviews, vetting.

eCommerce · Insurance · Goals · Also in Nebraska
GENR8 Marketing, written GenR8, is a small family-owned digital marketing consultancy in Lincoln, Nebraska, set up in 2010.
Why #13: Founded 2010 · Family-owned, as stated on its own website, read 29 Sept 2026
Not yet on record: client reviews, vetting.

Consumer Products & Services · Advertising & Marketing · Hospitality & Leisure · Also in India
BDeveloper is a digital marketing and branding agency in Lucknow, India, with around 15 years of experience according to its website.
Why #14: In business 15+ years, as stated on its own website, read 28 Sept 2026
Not yet on record: client reviews, vetting.

Call Center · Outsourcing · eCommerce · Also in Edmonton and United States
Emenac Call Center Services is a contact centre provider with an office in Edmonton, Alberta, Canada.
Why #15: In business 10+ years, as stated on its own website, read 5 Oct 2026
Not yet on record: client reviews, vetting.

Hospitality & Leisure · Information Technology · Business Services
CALLCARE, also written CallCare, is a UK outsourced contact centre that answers calls and handles customer contact for other organisations around the clock.
Why #16: ISO 27001, professional accreditation, as stated on its own website, read 28 Sept 2026
Not yet on record: client reviews, vetting.
Call Center · Outsourcing · Insurance · Also in India
KServe is a business process outsourcing company in Maharashtra, India.
Why #17 (shared): ISO 27001, as stated on its own website, read 5 Oct 2026
Not yet on record: client reviews, vetting.

Gps, Navigation & Gis · Hospitality & Leisure · Information Technology
Agiliway is a software development and consulting company headquartered in Austin, Texas.
Why #17 (shared): AWS partner, as stated on its own website, read 28 Sept 2026
Not yet on record: client reviews, vetting.

Energy & Natural Resources · Financial Services · Real Estate
Data Entry Hub, which also trades as DEH BPO, is an outsourcing company in Egypt.
On record: Team of 70+, as stated on its own website, read 29 Sept 2026

Consumer Products & Services · Arts, Entertainment & Music · Call Center
A1 Call Center is a call centre outsourcing company in India, working from the Delhi NCR region.

Automation · simple · Industrial · Also in India
Aabasoft Technologies, registered as Aabasoft Technologies (India) Private Limited, is an offshore software and IT-enabled services provider in Kerala, India.
Medical Billing · Medical · Outsourcing
Achane Medical Billing is a privately owned billing company based in Crowley, LA, in the United States.

Consumer Products & Services · Arts, Entertainment & Music · Gps, Navigation & Gis · Also in Russia
AcrilSEO is the digital marketing and outsourcing arm of Acril Holdings, a Sri Lankan company that has offered business process and knowledge process outsourcing since 2016.

Insurance · Accounting
Akkerman HealthCare Management, trading as Akkerman HealthCare Management, Inc. (AHCM-Inc), handles the back-office side of running a medical practice.
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