30 Oct 2026 · TrustList Editorial
Dell fixes four CVSS 9.8 flaws in PowerProtect Data Domain
DSA-2026-416 now covers unauthenticated root command execution, a hard-coded key and rogue admin creation in DD OS, plus three Management…
9 of 20 BPO service companies ranked on evidence in the Q4 2026 edition.
Between them, the 20 BPO service companies on this page cover medical (6), medical billing (4), mobile app development (2) and web development (2). They also list work in Austin. 20 of them have written a profile you can read before you get in touch.
TrustList ranking
Q4 2026 edition
9 of 20 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.

Mobile App Development · Web Development · eCommerce · Also in United States of America
Transform Solution, also written TRANSFORM Solutions, is an outsourcing company that began as a business process outsourcing provider.
Why #1: Based in Austin, Texas and Surat, India · Founded 2002 · ISO 9001, ISO 27001, as stated on its own website, read 6 Oct 2026
Not yet on record: client reviews, vetting.

Etech Global Services is a business process outsourcing company that runs customer contact centres.
Why #2: Based in Nacogdoches, Texas · In business 23+ years · SOC 2 · Team of 4,000+, as stated on its own website, read 5 Oct 2026
Not yet on record: client reviews, vetting.

Also in Hastings
Hastings Humans is a telephone answering and contact centre company in Austin, Texas.
Why #3: Based in Austin, Texas · Founded 1948 · Family owned, as stated on its own website, read 5 Oct 2026
Not yet on record: client reviews, vetting.

DJM Sales & Marketing is a B2B sales and marketing services company in Austin, Texas, founded in 1997.
Why #4: Based in Austin, Texas, United States · Founded 1997, as stated on its own website, read 29 Sept 2026
Not yet on record: client reviews, vetting.
Medical · Also in Lahore and Adelaide
Bright Vision Transcription Services turns dictated audio into written records, specialising in medical work but also handling legal and business material.
Why #5: Based in Austin, Texas, United States · Founded 1999, as stated on its own website, read 28 Sept 2026
Not yet on record: client reviews, vetting.

Acclaim Medical Billing is a locally owned billing company serving doctors in San Antonio, Texas, and nearby areas.
Why #6: Based in San Antonio, Texas · In business 20+ years, as stated on its own website, read 28 Sept 2026
Not yet on record: client reviews, vetting.

Medical · eCommerce · Government
Agiliway is a software development and consulting company headquartered in Austin, Texas.
Why #7 (shared): Based in Austin, Texas, USA · AWS partner, as stated on its own website, read 28 Sept 2026
Not yet on record: client reviews, vetting.

Medical Billing · Medical · Outsourcing
Eminence Healthcare Services is a medical billing and coding business based in McKinney, Texas.
Why #7 (shared): Based in McKinney, Texas, USA · ISO 27001, as stated on its own website, read 5 Oct 2026
Not yet on record: client reviews, vetting.

Mobile App Development · Web Development · Frontend · Also in Austin, Texas and Austin
HMG Creative is a digital marketing agency based in Austin, Texas, working on brand identity, websites and marketing strategy for growing companies.
Why #7 (shared): Based in Austin, Texas · Client numbers stated on its own website, as stated on its own website, read 28 Sept 2026
Not yet on record: client reviews, vetting.

Goals · Also in Irving, Texas
Hot Iron M&A and Growth, also known as Hot Iron Sales, is a business growth consultancy for owners preparing to sell or merge.
On record: In business 25+ years, as stated on its own website, read 5 Oct 2026

Creative
ANKR Agency is a marketing agency working with businesses in the Dallas-Fort Worth area and further afield.
On record: Based in Dallas-Fort Worth, Texas

Apex Healthcare Solutions provides remote medical assistants to doctors' offices and healthcare facilities.
On record: Based in Dallas, Texas

Medical Billing · Medical
Bilcorp Medical Billing Services manages medical billing for healthcare professionals from its office in San Antonio, Texas.
On record: Based in San Antonio, Texas, USA

Spanish-speaking customers form a large part of the market for insurers, healthcare providers and online retailers in the United States, and Centris Information Services is built…
On record: Address in Texas

Also in Carrollton, Texas
DMP BPO runs the production and delivery of customer communications, turning client data files into printed and digital documents.
Medical Billing · Medical
EHealth Source is a medical billing company that also offers healthcare IT support.
Medical Billing · Medical · Also in Houston and Austin
Ember Medical Billing is a medical billing company in Pflugerville, Texas.
On record: Based in Pflugerville, Texas, USA

Outsourcing · Government
Freedom Makers supplies remote virtual assistants to small business owners and entrepreneurs.
On record: Address in Texas
Intelli-Med Billing LLC is a medical billing company that takes over the administrative side of getting healthcare providers paid.
On record: Based in Texas and Florida, United States

Keys Digital Marketing is a digital marketing agency helping businesses in El Paso, Texas build their online presence.
On record: Based in El Paso, Texas, USA
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.
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