5 Nov 2026 · TrustList Editorial
Rivio raises R$180m to run Brazilian hospitals' billing with AI agents
Valor Capital Group led the Series A extension for the São Paulo company founded in 2025, which says it is now valued above R$1 billion and…
19 of 59 BPO service companies ranked on evidence in the Q4 2026 edition.
Between them, the 60 best-ranked of these 61 BPO service companies cover insurance (34), outsourcing (14), collections (14) and government (5). They also list work in Arizona, Florida, United States and Houston. 60 of them have written a profile you can read before you get in touch.
TrustList ranking
Q4 2026 edition
19 of 59 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.

Private Limited · Medical · Insurance · Also in Louisiana and United States
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.
Medical · Insurance · Outsourcing
iMarque Solutions Pvt Ltd is an outsourcing company based in India that provides business process services to clients around the world.
Why #2: 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.
Medical · Analytics · Education
ebix inc. offers medical billing and revenue cycle services for independent physician practices.
Why #3 (shared): Founded 1976, as stated on its own website, read 29 Sept 2026
Not yet on record: client reviews, vetting.
Medical · 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 #3 (shared): In business 50+ years, as stated on its own website, read 28 Sept 2026
Not yet on record: client reviews, vetting.

Medical · Insurance · Government
Medical billing, coding, credentialing and auditing services for physician practices and healthcare providers since 1992
Why #5: Founded 1992, as stated on its own website, read 28 Sept 2026
Not yet on record: client reviews, vetting.
Medical · Insurance · Government
Fastnet Medical Billing is a medical billing company based in Gresham, Oregon.
Why #6 (shared): Founded 1994, as stated on its own website, read 5 Oct 2026
Not yet on record: client reviews, vetting.
Medical · Video
Billing Buddies is a medical billing company based in Minnetonka, Minnesota, that has offered billing services since 1994.
Why #6 (shared): Founded 1994, as stated on its own website, read 28 Sept 2026
Not yet on record: client reviews, vetting.
Medical · Insurance · Also in New Jersey and Florida
Doctors' offices hand their claims and billing to Fast Track Medical Billing LLC, which describes itself as a full-service medical billing company.
Why #8 (shared): Founded 2000, as stated on its own website, read 5 Oct 2026
Not yet on record: client reviews, vetting.
Medical · Insurance · Collections · Also in Houston
Since 2000, 360 Medical Billing Solutions has handled billing and consulting for radiology practices, urgent care providers, emergency physician groups and freestanding emergency…
Why #8 (shared): Founded 2000, as stated on its own website, read 28 Sept 2026
Not yet on record: client reviews, vetting.
Medical · Also in Massachusetts and Bradford
Massachusetts medical billing company helping physician practices of every specialty with billing and practice management
Why #10 (shared): In business 25+ years, as stated on its own website, read 28 Sept 2026
Not yet on record: client reviews, vetting.
Medical · Insurance · Personnel
Jabz Medical Billing handles the revenue cycle for medical practices, from the first insurance claim to the last balance.
Why #10 (shared): In business 25+ years, as stated on its own website, read 5 Oct 2026
Not yet on record: client reviews, vetting.
Medical
Chicago-based JDT Medical Billing, Ltd. submits claims to commercial insurers and public agencies on behalf of physician practices, and reviews each payment.
Why #10 (shared): In business 25+ years, as stated on its own website, read 5 Oct 2026
Not yet on record: client reviews, vetting.

Health Care · Medical · .NET
CPa Medical Billing is a privately owned company, set up in 2003, that runs billing and revenue cycle work for healthcare providers.
Why #13: Founded 2003, as stated on its own website, read 28 Sept 2026
Not yet on record: client reviews, vetting.
Medical
Blatt Medical Billing Service Inc handles the billing process for specialist medical offices.
Why #14 (shared): In business 20+ years, as stated on its own website, read 28 Sept 2026
Not yet on record: client reviews, vetting.

Medical · Insurance · simple · Also in Pennsylvania and United States
Obstetrics and gynecology practices are the particular focus of Heartland Medical Billing & Consulting, which takes over insurance billing so that physicians can concentrate on…
Why #14 (shared): In business 20+ years, as stated on its own website, read 5 Oct 2026
Not yet on record: client reviews, vetting.
Medical · Outsourcing · Also in Carolina
Carolina Medical Billing takes over claims billing and accounts receivable work for healthcare practices.
Why #14 (shared): In business 20+ years, as stated on its own website, read 28 Sept 2026
Not yet on record: client reviews, vetting.

Medical · Insurance · Collections · Also in Phoenix and Arizona
DDR Medical Billing and Consultants handles billing and coding for medical practices in the Phoenix, Arizona area.
Why #17: Founded 2016, as stated on its own website, read 29 Sept 2026
Not yet on record: client reviews, vetting.

Medical · Outsourcing · Partners
Eminence Healthcare Services, which markets itself as Eminence RCM, is a medical billing and coding company in McKinney, Texas.
Why #18 (shared): ISO 27001, as stated on its own website, read 5 Oct 2026
Not yet on record: client reviews, vetting.
Medical · Insurance · 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 #18 (shared): ISO 9001, as stated on its own website, read 29 Sept 2026
Not yet on record: client reviews, vetting.
Medical
DeMonte Medical Billing Solutions LLC handles billing and back-office work for medical practices.
On record: Team of 25+, as stated on its own website, read 29 Sept 2026

Medical · Outsourcing · Collections
Outsourced billing for practices that cannot keep billing in house is the focus of 24x7 Medical Billing Services, which presents itself online as 247 Medical Billing Services.

Medical · Insurance · Internet · Also in Phoenix and Arizona
Accurate Medical Billing, or AMB, is an Arizona corporation that takes on claims and administration for private practices.
Medical · Insurance · Outsourcing
Achane Medical Billing, LLC is a locally owned and operated medical billing company in Crowley, Louisiana.

Medical · Insurance · Collections
Apex MedPro is a medical billing company based in Cheyenne, Wyoming.
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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.
5 Nov 2026 · TrustList Editorial
Valor Capital Group led the Series A extension for the São Paulo company founded in 2025, which says it is now valued above R$1 billion and…
2 Oct 2026 · TrustList Editorial
Tokyo company mutex announced a ¥281.6 million Series A on 30 September 2026 for Reze, AI that checks hospitals’ medical fee claims for…
15 Nov 2026 · TrustList Editorial
The BIR, SEC, DTI, DICT and six other bodies filed notifications after leaks were reported on 5 November. The NPC says reports alone do not…
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