15 Nov 2026 · TrustList Editorial
Desible.ai raises ₹32 crore to put voice agents in Indian insurers
Prime Venture Partners led the seed-plus round, with existing backer Invention Engine. The Bengaluru company sells call agents for…
26 of 102 BPO service companies ranked on evidence in the Q4 2026 edition.
TrustList ranking
Q4 2026 edition
26 of 102 BPO service companies ranked on evidence held on 12 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.
Flagship ranking · Q4 2026 edition
This page ranks business process outsourcing companies in India, covering call centres, medical billing, back-office processing, data work and staffing. TrustList lists 98 of them, and 16 earned a rank number in the Q4 2026 edition. Among the ranked, five cite ISO 27001 and three cite ISO 9001. Eleven state a founding date, eight in the 2000s and three in the 1990s. Most are based in India, with New Delhi, Navi Mumbai, Mumbai, Chennai and Ahmedabad named, and one has a Seattle head office with delivery in India.
Places are set by the evidence TrustList held on 5 October 2026: client reviews, vetting, awards and facts each business states on its own website, which we read and dated. Nobody pays to be placed. A listing with nothing checkable is shown but not ranked, and positions are fixed until the January 2027 edition. A business can move up by adding client reviews or verified facts to its free profile.
By TrustList Editorial
The SME ranking on this page lists 94 small and medium-sized firms, and 15 of them earned a rank number. Four businesses known to be large are left out. The SME order does not reward age, so newer firms compete on evidence alone. See the SME ranking
Best for: US physicians and billing companies
Offshore medical billing and coding, mainly for physicians in the United States and the revenue cycle companies that serve them.

Medical Billing · Private Limited · Outsourcing · Also in Florida and Louisiana
Offshore medical billing and coding is the core of e-care India's service.
Why #1: Based in India · Founded 2000 · ISO 9001, ISO 27001 · Team of 1,500+, as stated on its own website, read 29 Sept 2026
Not yet on record: client reviews, vetting.

Mobile App Development · Web Development · E-Commerce Development · Also in United States of America
Transform Solution started in 2002 to help organizations lower their costs by handing business processes to an outside provider.
Why #2: Based in Austin, Texas and Surat, India · Founded 2002 · ISO 9001, ISO 27001, as stated on its own website, read 6 Oct 2026
Not yet on record: client reviews, vetting.
Medical Billing · Outsourcing · Medical
iMarque Solutions Pvt Ltd is an outsourcing company based in India that provides business process services to clients around the world.
Why #3: Based in India · In business 20+ years · Team of 2,700+, as stated on its own website, read 29 Sept 2026
Not yet on record: client reviews, vetting.
Outsourcing · Retail · Analytics · Also in Hyderabad, India and Hyderabad, Telangana, India
Brigade Corporation has been taking on other companies' routine work since 1998.
Why #4 (shared): Office in India · Founded 1998, as stated on its own website, read 28 Sept 2026
Not yet on record: client reviews, vetting.
Founded in India in 1998, Kankei handles outsourced work for brands that look after several groups at once, including customers, dealers, staff, the wider public and shareholders.
Why #4 (shared): Based in India, with a head office in Mumbai's Andheri area · Founded 1998, as stated on its own website, read 5 Oct 2026
Not yet on record: client reviews, vetting.
Medical Billing · Private Limited · Outsourcing
Founded in 1999 in India, Giftech Software Solutions Private Limited, known as Giftech, combines software development with healthcare business process outsourcing.
Why #6: Based in India · Founded 1999, as stated on its own website, read 29 Sept 2026
Not yet on record: client reviews, vetting.

Digital Marketing · Creative · SEO · Also in Bangalore
Based in Bangalore, DigiOn is a digital marketing and creative agency that has added artificial intelligence automation to its work.
Why #7: Based in Bangalore, India · In business 23+ years, as stated on its own website, read 29 Sept 2026
Not yet on record: client reviews, vetting.
Outsourcing · Also in Chennai
Enlist is a manpower outsourcing and HR consulting company in Chennai, India.
Why #8: Based in Chennai, India · Founded 2004, as stated on its own website, read 29 Sept 2026
Not yet on record: client reviews, vetting.
Tax
Mumbai outsourcing company offering call centre, back office, field work, temporary staffing and payroll compliance services
Why #9 (shared): Based in Mumbai, India · Founded 2005, as stated on its own website, read 28 Sept 2026
Not yet on record: client reviews, vetting.

Web Development · IT Services · iOS App · Also in United Kingdom
ESG Global is an outsourcing company that runs offshore teams for clients through a UK management layer.
Why #9 (shared): Based in United Kingdom, with an office in Mumbai, India · Founded 2005, as stated on its own website, read 5 Oct 2026
Not yet on record: client reviews, vetting.

Information Technology · Outsourcing · Education · Also in York
Bikham Healthcare sits within Bikham, which was established in 2005.
Why #9 (shared): Office in India · Founded 2005, as stated on its own website, read 28 Sept 2026
Not yet on record: client reviews, vetting.
Infinity Servisols is a business process and knowledge process outsourcing company in India.
Why #12 (shared): Based in India · Founded 2006, as stated on its own website, read 5 Oct 2026
Not yet on record: client reviews, vetting.

Consumer Products & Services · Energy & Natural Resources · Financial Services
EOSGlobe is an Indian outsourcing provider that runs business processes for other companies.
Why #12 (shared): Based in India · In business 20+ years, as stated on its own website, read 29 Sept 2026
Not yet on record: client reviews, vetting.

Call Center · Outsourcing · Partners · Also in Karnataka and Bangalore
Outsourced support, back-office processing and technical staffing are delivered by GlowTouch Technologies, a business process outsourcing provider whose main office is in…
Why #12 (shared): Based in Louisville, with offices in Mangalore and Bangalore · In business 20+ years, as stated on its own website, read 29 Sept 2026
Not yet on record: client reviews, vetting.

Outsourcing · Accounting · Also in Seattle
Call Center in India, operating as Call Centers India, is a US-registered company with its head office in Seattle and a delivery centre in India.
Why #12 (shared): Based in Seattle, USA, with delivery in India · Founded 2006, as stated on its own website, read 28 Sept 2026
Not yet on record: client reviews, vetting.
Security · Insurance · Automotive
Calling 24o7 begins each new account with an analysis of the client's business goals, so that its solutions are aligned with those objectives from the outset.
Why #12 (shared): Based in Pune, India · In business 20+ years, as stated on its own website, read 28 Sept 2026
Not yet on record: client reviews, vetting.

Creative · Internet · Responsive
Avanta Business Centre provides serviced and managed office space in Delhi and the National Capital Region.
Why #17 (shared): Based in Connaught Place, KG Marg, Nehru Place, Saket and Gurgaon · In business 18+ years · One person, as stated on its own website, read 28 Sept 2026
Not yet on record: client reviews, vetting.

Lead Generation · Outsourcing · SEO
Emarketz India, which dates from 2008, has a head office in New Delhi and a base in Bangalore, and provides technology consulting and business support to micro, small and medium…
Why #17 (shared): Based in New Delhi and Bangalore · Founded 2008, as stated on its own website, read 28 Sept 2026
Not yet on record: client reviews, vetting.
ISPL Chennai is a call centre and business process outsourcing company based in Chennai, India.
Why #19 (shared): Based in Chennai, India · In business 17+ years, as stated on its own website, read 5 Oct 2026
Not yet on record: client reviews, vetting.

Energy & Natural Resources · Information Technology · Data Entry · Also in Gujarat
eDataMine takes routine data work off the hands of other businesses.
Why #19 (shared): Based in India · Founded 2009, as stated on its own website, read 29 Sept 2026
Not yet on record: client reviews, vetting.

Consumer Products & Services · Hospitality & Leisure · Advertising & Marketing
From Lucknow in India, BDeveloper pairs brand strategy with creative production and paid campaigns for clients at home and abroad.
Why #21: Based in Lucknow, India · In business 15+ years, as stated on its own website, read 28 Sept 2026
Not yet on record: client reviews, vetting.
Call Center · Information Technology · Creative · Also in Mumbai
Navi Mumbai is where this outsourcing company runs its operations, and its current site is narrowly aimed at small and mid-sized businesses in the United States and India that want…
Why #22 (shared): Based in Navi Mumbai, India · ISO 9001, ISO 27001, as stated on its own website, read 28 Sept 2026
Not yet on record: client reviews, vetting.

Medical Billing · IT Services · Process Management · Also in United Kingdom, Canada
Indian outsourcing firm offering virtual teams for insurance, recruitment, bookkeeping, data labelling and customer care
Why #22 (shared): Office in India · ISO 9001, ISO 27001, as stated on its own website, read 5 Oct 2026
Not yet on record: client reviews, vetting.

Infomatic Solutions is a business process outsourcing provider with an office in Ahmedabad, India.
Why #24 (shared): Based in Ahmedabad, India · ISO 27001, as stated on its own website, read 5 Oct 2026
Not yet on record: client reviews, vetting.
As each business states it on its own website, read by TrustList for this edition.
| # | Business | Based in | Since | Accreditations | Best for |
|---|---|---|---|---|---|
| 1 | e-care India | India | 2000 | ISO 9001, ISO 27001 | US physicians and billing companies |
| 2 | Transform Solution | Austin, Texas and Surat, India | 2002 | ISO 9001, ISO 27001 | |
| 3 | iMarque Solutions | India | 20+ yrs | None stated | |
| =4 | Brigade Corporation | India | 1998 | None stated | |
| =4 | Kankei | India, with a head office in Mumbai's Andheri area | 1998 | None stated | Brands serving many audiences |
| 6 | Giftech | India | 1999 | None stated | US healthcare transcription and coding |
| 7 | DigiOn | Bangalore, India | 23+ yrs | None stated | |
| 8 | Enlist | Chennai, India | 2004 | None stated | Staffing and payroll in India |
| =9 | CD Infotech Pvt. Ltd. | Mumbai, India | 2005 | None stated | |
| =9 | ESG Global | United Kingdom, with an office in Mumbai, India | 2005 | None stated |
1. Check the legal entity
Ask which company signs the contract, where it is registered and who owns the delivery centre. A foreign sales office and an Indian delivery company are often separate entities with separate liability.
2. Ask about data protection
Ask how client and customer data is stored, who can access it, and whether staff work from the office or from home. Certificates such as ISO 27001 help, but ask for the scope.
3. Visit or audit the delivery centre
Ask to tour the site or join a video walkthrough, meet the team leads who will run your work, and see how quality is monitored, scored and reported.
4. Agree measures and service levels
Settle response times, accuracy targets, reporting and what credits apply if they are missed. Ask who covers absence and attrition so your account is not left short.
5. Check industry and compliance experience
Medical billing, mortgage processing and insurance back-office work each carry their own rules. Ask for experience in your field and how staff are trained for the regulations that apply.
6. Understand pricing and exit terms
Compare per-hour, per-transaction and per-seat pricing. Ask about minimum terms, notice periods, set-up fees and how your data and processes are handed back if you leave.
For vendors
The order is earned on evidence: client reviews, vetting, awards and the facts a business states on its own website, which we read and date. Nobody can pay to move up. Add reviews or verified facts to your free profile to move up at the next edition; there are two ways to stand out now, and each one says what it is.
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