3 Nov 2026 · TrustList Editorial
Atomic Software raises ¥600m Series C from SBC Medical Group
The Tokyo maker of medicalforce, clinic software used by more than 800 clinics, takes the money from a clinic management group that already…
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 (57), 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
Offshore medical billing and coding is the core of e-care India's service.
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
As a third-party revenue cycle management provider, BillingParadise works for hospitals, health systems, physician groups, independent practices and the billing teams inside larger…
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
Answering calls since 1961, AnswerPlus is a company the firm itself describes as Canadian owned and operated.
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
A live person picks up the phone when a business cannot, and that is the service Anser-fone has offered since 1952 from the intermountain west of the United States.
Why #5: Founded 1952, as stated on its own website, read 28 Sept 2026
Not yet on record: client reviews, vetting.
Insurance · Responsive
Recording and dictation equipment for courts, hospitals, contact centers and emergency dispatch rooms is the business BusComm Incorporated has been in 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.
Medical Billing · Partners · Education
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.

Scheduling · Also in San Francisco Bay Area and California
Call24 Communications is a telephone answering service based in Pleasant Hill, California.
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
For over fifty years this American medical billing company has worked in revenue cycle management, and its name is short for Cvikota Medical Business Services.
Why #8 (shared): In business 50+ years, as stated on its own website, read 28 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.

Advertising & Marketing · Hospitality & Leisure · Call Center · Also in Minneapolis
From office hours to round-the-clock cover, with consulting for other call centers Call Center Sales Pro, which uses the short name CCSP, sells answering services and outsourced…
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 · CRM
BELLSYSTEM24 provides business process outsourcing with a focus on contact centres, and it describes its model as hybrid intelligence, in which human operators work alongside AI.
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.

Financial Services · Legal · eCommerce
Operating from French-speaking Switzerland, the Suisse romande, Digicall is an independent contact centre that answers calls and customer requests for other organisations.
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 · Internet
Answer Plus Las Vegas, known as APLV, has run a telephone answering and telemessaging service 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 is an American telephone answering company that has been operating since 1989, with its 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 trades as FixMyClaim, works on health insurance claims that an insurer has 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 is a medical billing company based in Minnetonka, Minnesota, that has offered billing services since 1994.
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 is a medical billing company based in Gresham, Oregon.
Why #23 (shared): Founded 1994, as stated on its own website, read 5 Oct 2026
Not yet on record: client reviews, vetting.

Call Center · Security · Property
Hartley and Associates is a telephone answering and call centre service based in Santa Rosa, California.
Why #25 (shared): In business 30+ years, as stated on its own website, read 5 Oct 2026
Not yet on record: client reviews, vetting.
For vendors
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Every other way we rank bpo service companies, by what they do and where they are.
Articles on this subject first, then the newest.
3 Nov 2026 · TrustList Editorial
The Tokyo maker of medicalforce, clinic software used by more than 800 clinics, takes the money from a clinic management group that already…
28 Oct 2026 · TrustList Editorial
Threshold Ventures leads, taking total funding to $32 million. The 12-person company says more than 800,000 clinicians in 190 countries use…
27 Oct 2026 · TrustList Editorial
The Rome-founded company keeps clinical data inside each hospital and anonymises it. Its network has 50 facilities, and it plans to double…
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