Patent ID: 8725524

Claim:
A method comprising: receiving, by a computer, a first code that identifies a first service for which payment is requested from an insurance provider; identifying, by the computer, at least one second code that represents a second service that is statistically likely to have been confused with the first service; identifying, by the computer, at least one first insured observable aspect of the first service, the at least one first insured observable aspect comprising at least one of an event or condition that would have been experienced during a provision of the first service; identifying, by the computer, at least one second insured observable aspect of the second service, the at least one second insured observable aspect comprising at least one of an event or condition that would have been experienced during a provision of the second service; filtering, by the computer and based on a differentiation of the at least one first insured observable aspect and the at least one second insured observable aspect, to determine whether a differentiated first insured observable aspect and a differentiated second insured observable aspect are available; determining, by the computer, that the differentiated first insured observable aspect and the differentiated second insured observable aspect are available; determining, by the computer and based on the determining that the differentiated first insured observable aspect and the differentiated second insured observable aspect are available, whether information associated with the differentiated first insured observable aspect and the differentiated second insured observable aspect is sufficient to determine if a claim associated with the first service is valid; and initiating, by the computer and based on determining that the information associated with the differentiated first insured observable aspect and the differentiated second insured observable aspect is sufficient to determine if the claim associated with the first service is valid, a communication session with a person associated with the provision of the first service about an occurrence of at least one of the differentiated first insured observable aspect or the differentiated second insured observable aspect.