9 Oct 2026 · TrustList Editorial
DHS proposes a $70,000 school fee for each student's first OPT
Later OPT recommendations, including STEM extensions, would cost schools $30,000 each. DHS says schools may pass the cost to students or…
111 of 302 BPO service companies ranked on evidence in the Q4 2026 edition.
TrustList ranking
Q4 2026 edition
111 of 302 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.
The SME ranking on this page lists 291 small and medium-sized companies, and 58 of them earned a rank number. Three businesses known to be large are left out. The SME order does not reward age, so newer firms compete on evidence alone. See the SME ranking

Help Desk · Also in San Francisco
31West supplies outsourced IT support and customer service to businesses in the United States and Europe.
On record: Based in San Francisco, California, United States
Outsourcing · Advertising · simple
411 BPO is a business process outsourcing company that handles customer service and call centre work for clients.
On record: Office in United States of America

45 Inc is a privately owned sales and business development firm in Birmingham that concentrates on winning new customers for large brands.
On record: Based in Birmingham, USA

Medical · Outsourcing · Collections
5 Star Billing Services is a medical billing and revenue cycle management company headquartered in Chandler, Arizona.
On record: Based in Chandler, Arizona

Virtual Assistant · App Development · SEO
Remote staffing firm placing dedicated virtual assistants from India, the Philippines and Latin America with small businesses
On record: Address in United States of America

Virtual Assistant
A1 Virtual Assistant supplies remote virtual assistants to businesses around the world, operating from the USA and India.
On record: Based in USA and India
Social Media Marketing · Real Estate · Virtual Assistant · Also in Cambridge and Austin
A2ZVA is a virtual assistant company based in the United States.
On record: Based in United States
AAPC is an American organisation for medical coding, billing and auditing professionals.
On record: Based in United States
Account Management Services is a medical billing company in Nashville that runs the financial side of healthcare practices.
On record: Based in Nashville
Accurate Billing Solutions is a medical billing company in West Warwick in the United States.
On record: Based in West Warwick, United States

Inbound Call Center · Call Center · Disaster Recovery · Also in New York and York
Acena runs a call centre and answering service from New York, taking inbound calls for businesses throughout North America.
On record: Based in New York, United States
Medical Billing · Medical · Insurance
Achane Medical Billing is a privately owned billing company based in Crowley, LA, in the United States.
On record: Based in Crowley, LA, United States
front · Production · Also in Tampa, Fl and Tampa
Acquistion Technologies is a contact centre business in Tampa, Florida that runs sales and lead generation campaigns by phone and webchat.
On record: Based in Tampa, Florida, USA

IT Services · Disaster Recovery · Accounting · Also in Chattanooga and Dubai
AHS Consulting is an IT and consulting provider headquartered in the Atlanta area that specialises in freight, third-party logistics and supply chain businesses.
On record: Based in Atlanta area, United States
Aleron is a group of companies that helps employers find, manage and support their workforce.
On record: Address in United States of America
Web Development · E-Commerce Development · Cloud · Also in Canada
Alight Solutions focuses on benefits administration for employers.
On record: Address in United States of America
US-based virtual assistant service answering calls, booking appointments and handling admin and customer support for businesses
On record: Based in United States

Creative · Video
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

Outsourcing · Responsive
Greensboro, North Carolina contact centre handling inbound and outbound calls, lead qualification and patient recruitment
On record: Based in Greensboro, North Carolina, United States
Medical · Scheduling · Telecommunications · Also in Vancouver
Answer Ally provides live receptionists, based in the United States, who answer business calls around the clock every day of the year so that callers never end up in voicemail.
On record: Address in United States of America
Answer Bay Area offers live, round-the-clock call answering through AnswerUSA and its affiliate companies, which have served business and medical clients for more than 50 years.
On record: Office in United States of America
Business Services · Financial Services · Real Estate · Also in California
Answer California is a call centre and business answering service run from an office in San Diego.
On record: Based in San Diego, California, US
Answer Excellence is a telephone answering service and inbound call centre in the Tampa Bay area of Florida.
On record: Based in Tampa Bay area, Florida, US
Call Center · Real Estate · Insurance
Answer Now is a call centre and answering service in Phoenix, Arizona, with bilingual agents who work on site and answer calls day and night.
On record: Based in Phoenix, Arizona, US
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The order is earned on evidence: client reviews, vetting, awards and the facts a business states on its own website, which we read and date. Nobody can pay to move up. Add reviews or verified facts to your free profile to move up at the next edition; there are two ways to stand out now, and each one says what it is.
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Articles on this subject first, then the newest.
9 Oct 2026 · TrustList Editorial
Later OPT recommendations, including STEM extensions, would cost schools $30,000 each. DHS says schools may pass the cost to students or…
8 Oct 2026 · TrustList Editorial
The Wage and Hour Division had proposed in July 2025 to remove nine interpretive parts from Title 29. It received six substantive comments,…
8 Oct 2026 · TrustList Editorial
The agency's notice covers search, social media and marketplace advertising tools, and cites $16 billion in reported 2025 fraud losses.…
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