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12 of 29 BPO service companies ranked on evidence in the Q4 2026 edition.
Between them, the 29 BPO service companies on this page cover medical (10), security (9), call center (7) and outsourcing (7). They also list work in United States, California, Nice and Florida. 29 of them have written a profile you can read before you get in touch.
TrustList ranking
Q4 2026 edition
12 of 29 BPO service companies ranked on evidence held on 6 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 Records · Disaster Recovery · Accounts Receivable · Also in Florida and Louisiana
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.
Medical · 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 #2: Founded 1952, as stated on its own website, read 28 Sept 2026
Not yet on record: client reviews, vetting.
Call Center · Security · Messaging
Answering Innovations is a Madison, Wisconsin, answering service that has provided live telephone answering since 1977.
Why #3: Founded 1977, as stated on its own website, read 28 Sept 2026
Not yet on record: client reviews, vetting.

Call Center · HIPAA Compliant · Medical · Also in Nice and California
Direct Line - Phone Answering Services provides live telephone answering and call centre cover for businesses in the United States, day and night.
Why #4: Founded 1979, as stated on its own website, read 29 Sept 2026
Not yet on record: client reviews, vetting.
Real Estate · Property Management · Outsourcing · Also in York and Atlanta
AnswerMTI is an answering service and inbound call centre headquartered in Atlanta, GA, working since 1982.
Why #5: Founded 1982, as stated on its own website, read 28 Sept 2026
Not yet on record: client reviews, vetting.

Medical
Answering 365 (styled Answering365) is an American live answering service operating since 1989, with headquarters in Los Angeles.
Why #6: Founded 1989, as stated on its own website, read 28 Sept 2026
Not yet on record: client reviews, vetting.

Call Center · Medical · Security
Hartley and Associates is a telephone answering and call centre service based in Santa Rosa, California.
Why #7 (shared): In business 30+ years, as stated on its own website, read 5 Oct 2026
Not yet on record: client reviews, vetting.

Call Center · Medical
Anwswerwest, which trades as Answerwest, runs a telephone answering service that covers calls 24 hours a day for businesses that cannot always pick up themselves.
Why #7 (shared): In business 30+ years, as stated on its own website, read 28 Sept 2026
Not yet on record: client reviews, vetting.
SEO · Responsive · DataBase
C3i3 Interactive is a web design and development company in Alameda, California, working with businesses across the San Francisco Bay Area, including San Jose and Oakland.
Why #9: Founded 2002, as stated on its own website, read 28 Sept 2026
Not yet on record: client reviews, vetting.
Legal · Advertising · Also in Kuala Lumpur
Business Butler rents business addresses and support services in Kuala Lumpur, Malaysia, so that companies can use a city address without leasing a physical office.
Why #10: Founded 2010, as stated on its own website, read 28 Sept 2026
Not yet on record: client reviews, vetting.

Medical Records · Disaster Recovery · Accounts Receivable · Also in Florida and Louisiana
ecare India Pvt Ltd is a medical billing and coding company that operates from India for healthcare providers in the United States.
Why #11: 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.
Goals · Also in Australia
EMBR is an Australian agency that generates sales leads for other businesses.
Why #12: In business 10+ years, as stated on its own website, read 5 Oct 2026
Not yet on record: client reviews, vetting.

App Development · SEO · Responsive
Remote staffing firm placing dedicated virtual assistants from India, the Philippines and Latin America with small businesses

Property Management · Learning · Also in Mexico
Anequim provides fully managed remote professionals, mainly to property management firms.
Medical
AnswerRochester is a live answering service and a member of the AnswerUSA Group.

Outsourcing · Also in Jordan
ARTELCO is an information and communications technology company in Jordan that helps organisations improve customer experience.
Security · Insurance · Agile · Also in Fleet
Binary Semantics builds software products and provides technology services for several industries.

Business Services · Information Technology · Security
BPO Technology builds bespoke software, websites and mobile apps for businesses.
Call Center · Messaging · Contractors · Also in Reading
Call Center Plus is an American telephone answering service that describes itself as a boutique operation.
On record: Boutique

SEO · Goals · Also in Hong Kong
Concinnity is a digital marketing firm from Hong Kong that trades as Concinnity Limited.

Business Services · Medical · Security · Also in India
Data Entry India BPO handles offshore back-office work in India, with data entry at the centre of its business.

Also in Asia and Europe
Technographic data and business-to-business marketing services provider covering software, hardware, cloud and channel-partner audiences
Call Center · Real Estate · Business Services · Also in Nice and California
A telephone answering firm offering live call handling, emergency dispatch and bilingual call centre support to US businesses

App Development · Cloud · CRM · Also in Phoenix and Melbourne
Girikon Inc is a Salesforce consulting and development company that also works with HubSpot, quality assurance and data projects.
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