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Top BPO Service Companies for Insurance

18 of 57 BPO service companies ranked on evidence in the Q4 2026 edition.

Between them, the 58 best-ranked of these 59 BPO service companies cover medical (39), medical billing (23), security (11) and outsourcing (9). They also list work in United States, Florida, Arizona and Phoenix. 58 of them have written a profile you can read before you get in touch.

TrustList ranking

Q4 2026 edition

18 of 57 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.

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  1. e-care India logo

    Medical Billing · Medical · Security · Also in Louisiana and Dallas

    e-care India provides offshore medical billing and coding, mainly for physicians in the United States and the revenue cycle companies that serve them.

    Why #1: 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.

  2. Greenwave logo

    Education · 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 #2: Founded 2002 · ISO 9001, as stated on its own website, read 29 Sept 2026

    Not yet on record: client reviews, vetting.

  3. Insuresoft logo

    Security · Administration · Goals

    Insuresoft delivers core systems for the property and casualty insurance industry.

    Why #3: In business 30+ years · Client numbers stated on its own website, as stated on its own website, read 28 Sept 2026

    Not yet on record: client reviews, vetting.

  4. Business Centers of Missouri logo

    Scheduling · Backup · Also in Illinois

    Business Centers of Missouri, Inc. runs telephone answering and call centre services for companies that need their calls covered around the clock. It serves clients in St.

    Why #4: In business 43+ years, as stated on its own website, read 28 Sept 2026

    Not yet on record: client reviews, vetting.

  5. Denials Management Inc. logo

    Medical · CMS · Legal

    Denials Management Inc., which now trades as FixMyClaim, helps patients and healthcare providers deal with health insurance claims that have been refused.

    Why #5: Founded 1990, as stated on its own website, read 29 Sept 2026

    Not yet on record: client reviews, vetting.

  6. Bsi Medical Billing logo

    Medical Billing · Medical · Government

    Medical billing, coding, credentialing and auditing services for physician practices and healthcare providers since 1992

    Why #6: Founded 1992, as stated on its own website, read 28 Sept 2026

    Not yet on record: client reviews, vetting.

  7. Fastnet logo

    Medical Billing · Medical · Analytics

    Fastnet Medical Billing handles billing for healthcare providers, from insurance checks to collections.

    Why #7: Founded 1994, as stated on its own website, read 5 Oct 2026

    Not yet on record: client reviews, vetting.

  8. Fast Track Medical Billing LLC logo

    Medical Billing · Medical · Also in New Jersey and Florida

    Fast Track Medical Billing LLC is a medical billing company that manages insurance claims and billing for doctors' offices.

    Why #8: Founded 2000, as stated on its own website, read 5 Oct 2026

    Not yet on record: client reviews, vetting.

  9. Jabz Medical Billing logo

    Medical Billing · Medical · Personnel

    Jabz Medical Billing is a billing and collections service for medical practices. Its staff say they have worked in this field for over 25 years.

    Why #9: In business 25+ years, as stated on its own website, read 5 Oct 2026

    Not yet on record: client reviews, vetting.

  10. Grindstone logo

    Lead Generation · Security · Analytics · Also in Maryland and North America

    Grindstone is a B2B sales support company that generates leads and books appointments for other businesses.

    Why #10: Founded 2003, as stated on its own website, read 29 Sept 2026

    Not yet on record: client reviews, vetting.

  11. Howard Medical Billing logo

    Medical · Also in Indiana

    Howard Medical Billing, Inc. is a billing company that helps Indiana doctors manage the financial side of their practices.

    Why #11 (shared): In business 20+ years, as stated on its own website, read 5 Oct 2026

    Not yet on record: client reviews, vetting.

  12. Calling 24o7 logo

    Security · Automotive

    Calling 24o7 is an outsourced contact centre and BPO provider in India, with its operations in Pune.

    Why #11 (shared): In business 20+ years, as stated on its own website, read 28 Sept 2026

    Not yet on record: client reviews, vetting.

  13. Heartland Medical Billing & Consulting logo

    Medical Billing · Medical · simple · Also in Pennsylvania and United States

    Heartland Medical Billing & Consulting handles insurance billing for medical practices so clinicians can spend their time on patients.

    Why #11 (shared): In business 20+ years, as stated on its own website, read 5 Oct 2026

    Not yet on record: client reviews, vetting.

  14. 3 Way Marketing logo

    Banking

    3 Way Marketing, now trading as 3Way Group, generates sales leads and marketing data for consumer brands.

    Why #14: Founded 2007, as stated on its own website, read 28 Sept 2026

    Not yet on record: client reviews, vetting.

  15. Gulf South HealthCare Management logo

    Medical · Collections

    Gulf South HealthCare Management provides medical billing, collections and practice management for clinics along the Gulf Coast

    Why #15: Founded 2010, as stated on its own website, read 29 Sept 2026

    Not yet on record: client reviews, vetting.

  16. First Call BPO logo

    Outsourcing · Also in Hyderabad

    Indian contact centre and outsourcing firm handling voice and non-voice customer work for telecom, banking and insurance

    Why #16: Founded 2011, as stated on its own website, read 29 Sept 2026

    Not yet on record: client reviews, vetting.

  17. Enchantment Medical Billing logo

    Medical Billing · Medical · Also in New Mexico and Albuquerque, New Mexico

    Enchantment Medical Billing is a billing and credentialing service for medical practices, based in Albuquerque, New Mexico, and serving practices across the country.

    Why #17 (shared): ISO 9001, as stated on its own website, read 29 Sept 2026

    Not yet on record: client reviews, vetting.

  18. DME Medical Billing (Division of Integra Corp) logo

    Medical · Security · Accounting

    DME Medical Billing (Division of Integra Corp) handles billing and revenue work for suppliers of durable medical equipment (DME).

    Why #17 (shared): ISO 27001, as stated on its own website, read 29 Sept 2026

    Not yet on record: client reviews, vetting.

  19. Also listed, not yet ranked. We hold nothing checkable on these yet that ranks them here: no client review, vetting, award, expert review, or fact stated on their own website (and on a place ranking, where they are based). They follow in order of their TrustList Score. How TrustList ranks · Get vetted, free
  20. LEVERnGEAR logo

    Medical · Security · Government · Also in Asia

    LEVERnGEAR is an outsourcing company that takes over back-office work, with a strong focus on healthcare administration.

    On record: Team of 250+, as stated on its own website, read 5 Oct 2026

  21. ACCUMED logo

    Medical · Also in Dubai

    Dubai revenue cycle management firm handling medical coding, insurance billing and payer contracting for healthcare providers

  22. Accurate Medical Billing logo

    Medical Billing · Medical · Administration · Also in Arizona and Phoenix

    Accurate Medical Billing, or AMB, handles insurance billing and practice administration for private practices.

  23. Akkerman HealthCare Management logo

    Accounting · Education

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

  24. Appointment Setters logo

    Lead Generation

    Appointment Setters runs B2B appointment setting and lead generation campaigns under the Appointmentsetter name.

  25. APS Billing Solution logo

    Medical · Production

    APS Billing Solution is a medical billing company in Butler, PA, USA, that takes over billing for doctors and chiropractors.

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