7 Oct 2026 · TrustList Editorial
45 open-weight models, 53 closed ones and the licences between them
Eight of the 13 specified models dated October ship downloadable weights, and all eight are Apache 2.0, while only five of the 45 open rows…
19 of 54 BPO service companies ranked on evidence in the Q4 2026 edition.
Between them, the 54 BPO service companies on this page cover outsourcing (16), medical (15), monitoring (10) and goals (8). 54 of them have written a profile you can read before you get in touch.
TrustList ranking
Q4 2026 edition
19 of 54 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.

Call Center · Business Intelligence · Outsourcing
A Dhaka outsourcing firm providing call centre, back office, marketing and software services to local and overseas clients
Why #1: Founded 2011 · ISO 9001 · Team of 250+, as stated on its own website, read 5 Oct 2026
Not yet on record: client reviews, vetting.
Medical Billing · Business Services · Medical · 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 #2: In business 50+ years, as stated on its own website, read 28 Sept 2026
Not yet on record: client reviews, vetting.

Quality Assurance · Outsourcing · iPhone · Also in Oxford
Hudson Software Corporation provides outsourced technical support and client success programmes, mainly for EdTech and software-as-a-service companies.
Why #3 (shared): Founded 1991, as stated on its own website, read 5 Oct 2026
Not yet on record: client reviews, vetting.
Also in Ohio
Healthcare Billing Services, known as HBS, is an Ohio company that helps school districts claim Medicaid reimbursement for services given to students. It is based in Carroll, Ohio.
Why #3 (shared): In business 35+ years, as stated on its own website, read 5 Oct 2026
Not yet on record: client reviews, vetting.
Medical · Insurance · 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 #5: Founded 1992, as stated on its own website, read 5 Oct 2026
Not yet on record: client reviews, vetting.

Outsourcing
Information Transformation Services Pvt. Ltd, or ITS, is a business process outsourcing company that has operated since 1997.
Why #6: Founded 1997, as stated on its own website, read 5 Oct 2026
Not yet on record: client reviews, vetting.
Also in New Zealand, Australia
Corporate Connect runs a call and contact centre from Wellington that is owned and operated in New Zealand.
Why #7: Founded 1998, as stated on its own website, read 28 Sept 2026
Not yet on record: client reviews, vetting.

Customer Support · Retail · Also in Ireland
Arema Connect is an Irish contact centre in Cork that has been handling customer conversations for other companies since 2001.
Why #8: Founded 2001, as stated on its own website, read 28 Sept 2026
Not yet on record: client reviews, vetting.

B2B Lead Generation · Lead Generation · Insurance · Also in Maryland and United States
Grindstone is a B2B sales support company that generates leads and books appointments for other businesses.
Why #9: Founded 2003, as stated on its own website, read 29 Sept 2026
Not yet on record: client reviews, vetting.
Information Technology · Outsourcing · Medical · Also in Henderson
Singapore outsourced contact centre providing customer service, technical support and telemarketing across many channels
Why #10: Founded 2004, as stated on its own website, read 28 Sept 2026
Not yet on record: client reviews, vetting.

Outbound Call Center · Call Center · Customer Service · Also in Alberta
ExpertCallers is a business process outsourcing company running customer support, outreach and back-office work for other firms.
Why #11 (shared): In business 20+ years, as stated on its own website, read 5 Oct 2026
Not yet on record: client reviews, vetting.

Practice Management · Medical · Collections
Integrated Physicians Management Services, known as IPMS, is a medical practice management firm.
Why #11 (shared): In business 20+ years, as stated on its own website, read 5 Oct 2026
Not yet on record: client reviews, vetting.

Outsourcing · Goals · simple
Global Help Desk Services, Inc., or GHDSi, is an outsourcing company that runs IT help desks for larger businesses.
Why #11 (shared): In business 20+ years, as stated on its own website, read 29 Sept 2026
Not yet on record: client reviews, vetting.

Medical · Monitoring · Goals
BillingDocs handles medical billing for practices across the United States, from basic claim follow-up to running the whole revenue cycle.
Why #14: Founded 2012, as stated on its own website, read 28 Sept 2026
Not yet on record: client reviews, vetting.

Outsourcing · Accounting · Personnel · Also in Kazakhstan and Europe
IT Smart Solutions supplies outsourcing services to technology companies. It reports 13 years in HR services, IT staff augmentation and business process outsourcing.
Why #15: In business 13+ years, as stated on its own website, read 5 Oct 2026
Not yet on record: client reviews, vetting.

Monitoring · DataBase · front · Also in Michigan
Demand Works Media, trading as DemandWorks, runs demand generation programmes for B2B revenue and marketing teams.
Why #16: In business 10+ years, as stated on its own website, read 29 Sept 2026
Not yet on record: client reviews, vetting.

Information Technology · Business Services · simple · Also in Ukraine
LimTC sets up managed support and operations teams in Ukraine for growing businesses.
Why #17: Founded 2017, as stated on its own website, read 5 Oct 2026
Not yet on record: client reviews, vetting.

Monitoring · simple · Retail · Also in Egypt
Confluence, trading as Confluence Technologies, supplies software and services for regulatory reporting, portfolio analytics and investor communications in the investment…
Why #18 (shared): nothing checkable yet, as stated on its own website, read 28 Sept 2026
Not yet on record: client reviews, vetting.

Information Technology · Security · Accounting · Also in Poland
Getsix, written getsix®, is an outsourcing and advisory firm in Poland covering accounting, payroll, tax, HR and legal work.
Why #18 (shared): ISO 27001, as stated on its own website, read 29 Sept 2026
Not yet on record: client reviews, vetting.

Financial Services · Quality Assurance · Outsourcing
Argo Contact Centers is a business process outsourcing company that handles customer contact and back-office work on behalf of other firms.
On record: Boutique

Responsive
BDO Estonia is the member for Estonia of the BDO network. It handles outsourced accounting and payroll, advises on tax, audits financial statements and supports companies with HR…
Goals · Analytics · Creative
BDPros is a business development agency that works as an outsourced sales team, representing clients under their own name.
On record: Small independent firm

Outbound Call Center · Call Center · Customer Support · Also in India
Bestcallcenter.in is the web name of KAP Call Center Pvt. Ltd., a call centre company in Bangalore, India.
Business Intelligence · Insurance · Security · Also in Fleet
Binary Semantics builds software products and provides technology services for several industries.
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