If a trend of an insurance company becomes apparent that results in a specific pattern of non-payments, slow/stalled payments or underpayments, the Center for Health Insurance Claims Advocacy can handle the affected claims as a special project on the hospital's behalf.

By lumping together claims with similar insurance responses, a group resolution can often be achieved in an expedited fashion. Examples of such projects that have been handled by the Center for Health Insurance Claims Advocacy are where a specific insurance company was consistently reducing bills by an arbitrary figure, and where certain types of claims were consistently not being paid correctly per the terms of the contract between the insurance company and the hospital.