Go to content

Glossary of Health Insurance Terms

As you explore our site, you may come across an unfamiliar word or term. We've developed a glossary of health care terms we hope will help you.

Select one of the following letters to take you to the part of the alphabet that applies.

I

IC - See "Individual Consideration."

I-9 - See "International Classification of Diseases."

ICD-9-CM - See "International Classification of Diseases."

ICN - See "Internal Control Number" and "Inquiry Control Number."

ID Card - See "Identification Card."

Identification Card - BCBSKS issues the policyholder up to two records of their membership. These records are billfold size and contain the policyholder's name, certification number, group number and Blue Plan number. The information on the back of the cards can include telephone numbers for predetermination of inpatient admission, and/or telephone numbers for inquiries relative to claims questions.

Identification Number - See "Certificate Number."

Incurred - A charge billable on the date that the service is performed or the supply or equipment is delivered.

Indemnified Amount - See "Indemnity Contract."

Indemnity Benefit-s - See "Indemnity Contract."

Indemnity Contract - A patient contract that pays a set amount for a specific service, balances are patient's financial responsibility.

Indemnified Payment Limitation Balance - See "Contract Indemnified Payment Limitation Balance."

Individual Consideration -IC - By using modifier "22" immediately following the procedure code, a provider may request special review of the service because of unusual circumstances. Additional information must accompany the claim. This information should document the unusual circumstances.

Individual Provider Number - A unique numeric identifier for each eligible provider that gives BCBSKS an audit trail of who performed the services and who was reimbursed for those services. See "Common Pay Provider Number" and "Claims Filing". Without this information BCBSKS is not able to determine whom to pay.

Individual Stop Loss - When a patient's contract requires that a coinsurance amount be the patient's responsibility, there is also a total amount that the patient has as out-of-pocket expense for covered services before BCBSKS begins to reimburse 100 percent of the allowed charge; this amount is referred to as the individual stop loss.

Initial Appeal - The first step or first level in the BCBSKS appeal procedure. A peer consultant makes the decision at this level.

Injured on the Job - When a patient is hurt during work-related duties, it is referred to as injured on the job, work comp, work compensation, or work related injury. These services are always filed with the Workers' Compensation carrier first.

Injury - Physical harm. See "Accidental Injury."

Inpatient - The setting in which services are provided to a patient who has been admitted to a hospital or medical care facility.

Inquiry Control Number -ICN - The unique numeric sequence that identifies an specific contact to CSC.

Insured - Any person entitled to receive medical, surgical and ancillary services pursuant to the terms of BCBSKS underwritten or administered contracts referencing contracting providers.

Intermediary - See "Medicare Part A Intermediary."

Internal Control Number -ICN - The unique sequence of numeric characters that BCBSKS assigns to each claim as it is imaged and before it is processed.

International Classification of Diseases -ICD-9, I-9 - An alpha-numeric coding system that identifies the complaints, symptoms and diagnosis of a patient.

Internet - A network of networks, a way of connecting many systems together. Physically, it consists of a small number of interconnected high-speed primary networks called backbones, each with thousands of smaller networks attached to them. You may reach your professional relations representative and many of the BCBSKS departments through this network. BCBSKS also has a website on the network. Contracting providers, in the near future, will be able to look up patient eligibility and claims information via this network also.

Investigational - See "Experimental or Investigational."

ITS - Interplan Teleprocessing System. See " BlueCard Program."