23 Oct 2026 · TrustList Editorial
Maggioli Group takes 20% of Turin clinical AI start-up DatAIMed
The Italian public-sector software group joins through a capital increase reported at €1.2 million. DatAIMed answers clinicians' questions…
56 of 157 BPO service companies ranked on evidence in the Q4 2026 edition.
Between them, the 157 best-ranked of these 159 BPO service companies cover medical billing (61), insurance (56), collections (26) and outsourcing (25). They also list work in Florida, Houston, Tampa and Phoenix. 157 of them have written a profile you can read before you get in touch.
TrustList ranking
Q4 2026 edition
56 of 157 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.

Medical Billing · Medical Records · Disaster Recovery · 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.

Insurance · Collections · Security
BillingParadise is a third-party revenue cycle management company handling billing and related operations for hospitals, health systems and physician practices in the US.
Why #2: In business 21+ years · SOC 2 · Team of 600+, as stated on its own website, read 28 Sept 2026
Not yet on record: client reviews, vetting.

Advertising & Marketing · Business Services · Financial Services
AnswerPlus is a Canadian-owned call centre that has provided answering services since 1961.
Why #3: Founded 1961 · Client numbers stated on its own website, as stated on its own website, read 28 Sept 2026
Not yet on record: client reviews, vetting.
Medical Billing · Insurance · Outsourcing
iMarque Solutions Pvt Ltd is an outsourcing company based in India that provides business process services to clients around the world.
Why #4: 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.
Property · Personnel · Tax
Anser-fone is a telephone answering and inbound call centre business in the intermountain west of the United States, operating since 1952.
Why #5: Founded 1952, as stated on its own website, read 28 Sept 2026
Not yet on record: client reviews, vetting.

Call Center · Outsourcing
CCS - Customer Contact Services runs outsourced phone and messaging support for organisations ranging from single-doctor practices to very large enterprises.
Why #6 (shared): Founded 1972, as stated on its own website, read 28 Sept 2026
Not yet on record: client reviews, vetting.
Insurance · Responsive
BusComm Incorporated has provided communications technology since March 1972.
Why #6 (shared): Founded 1972, as stated on its own website, read 28 Sept 2026
Not yet on record: client reviews, vetting.

Scheduling · Also in San Francisco Bay Area and California
Call24 Communications runs a live telephone answering service from Pleasant Hill, California, and has served businesses in the San Francisco Bay Area since 1976.
Why #8 (shared): Founded 1976, as stated on its own website, read 28 Sept 2026
Not yet on record: client reviews, vetting.
Medical Billing · Business Services · Reporting · Also in Wisconsin and Knoxville
Cvikota MBS, short for Cvikota Medical Business Services, is an American medical billing company with more than 50 years in revenue cycle work.
Why #8 (shared): In business 50+ years, as stated on its own website, read 28 Sept 2026
Not yet on record: client reviews, vetting.
Medical Billing · Education · Partners
ebix inc. offers medical billing and revenue cycle services for independent physician practices.
Why #8 (shared): Founded 1976, as stated on its own website, read 29 Sept 2026
Not yet on record: client reviews, vetting.

Call Center · HIPAA Compliant · front · Also in California and United States
Direct Line - Phone Answering Services provides live telephone answering and call centre cover for businesses in the United States, day and night.
Why #11: Founded 1979, as stated on its own website, read 29 Sept 2026
Not yet on record: client reviews, vetting.
Outsourcing · Scheduling · Routing · Also in Miami and Atlanta
Absent Answer runs a live telephone answering service and call centre from Jacksonville, Florida.
Why #12: Founded 1985, as stated on its own website, read 28 Sept 2026
Not yet on record: client reviews, vetting.

Financial Services · Legal · eCommerce
Digicall is an independent contact centre in Switzerland, operating from the Suisse romande region.
Why #13 (shared): In business 40+ years, as stated on its own website, read 29 Sept 2026
Not yet on record: client reviews, vetting.
Security · CRM
BELLSYSTEM24 runs contact-centre-focused business process outsourcing, pairing its operators with AI in what it calls hybrid intelligence.
Why #13 (shared): In business 40+ years, as stated on its own website, read 28 Sept 2026
Not yet on record: client reviews, vetting.

Business Services · Real Estate · Legal
Answering Service Care is a telephone answering company offering live operators alongside automated call tools.
Why #13 (shared): In business 40+ years · Family-run, as stated on its own website, read 28 Sept 2026
Not yet on record: client reviews, vetting.

Advertising & Marketing · Hospitality & Leisure · Call Center · Also in Minneapolis
Call Center Sales Pro, also called CCSP, supplies answering services and outsourced business processes for organisations of any size.
Why #13 (shared): In business 40+ years, as stated on its own website, read 28 Sept 2026
Not yet on record: client reviews, vetting.
Security · Internet
APLV, short for Answer Plus Las Vegas, has run a telephone answering and telemessaging business since 1987.
Why #17: Founded 1987, as stated on its own website, read 28 Sept 2026
Not yet on record: client reviews, vetting.

Property
Answering 365 (styled Answering365) is an American live answering service operating since 1989, with headquarters in Los Angeles.
Why #18: Founded 1989, as stated on its own website, read 28 Sept 2026
Not yet on record: client reviews, vetting.
Insurance · Legal · CMS
Denials Management Inc., which now trades as FixMyClaim, helps patients and healthcare providers deal with health insurance claims that have been refused.
Why #19: Founded 1990, as stated on its own website, read 29 Sept 2026
Not yet on record: client reviews, vetting.
Goals · Inc · Also in New Orleans
Healthcare Billing Services, Inc, also called HBS, was founded in 1992 to handle office management and receivables recovery for medical practices.
Why #20 (shared): Founded 1992, as stated on its own website, read 5 Oct 2026
Not yet on record: client reviews, vetting.

Medical Billing · Insurance · Government
Medical billing, coding, credentialing and auditing services for physician practices and healthcare providers since 1992
Why #20 (shared): Founded 1992, as stated on its own website, read 28 Sept 2026
Not yet on record: client reviews, vetting.
Insurance · Reporting · Personnel · Also in Las Vegas
Electronic Medical Claims Billing Center, or EMC, is a medical billing service in Las Vegas, Nevada. It was set up in 1992 by Roberta Brown and is now under new ownership.
Why #20 (shared): Founded 1992, as stated on its own website, read 5 Oct 2026
Not yet on record: client reviews, vetting.
Medical Billing · Video
Billing buddies, styled Billing Buddies, is a medical billing company headquartered in Minnetonka, Minnesota.
Why #23 (shared): Founded 1994, as stated on its own website, read 28 Sept 2026
Not yet on record: client reviews, vetting.
Medical Billing · Customer Service · Insurance
Fastnet Medical Billing handles billing for healthcare providers, from insurance checks to collections.
Why #23 (shared): Founded 1994, as stated on its own website, read 5 Oct 2026
Not yet on record: client reviews, vetting.
For vendors
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