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Health Care Costs Payable - Narrative (Details) - USD ($) $ in Millions | 9 Months Ended
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Sep. 30, 2020 | Sep. 30, 2019
Liability for Claims and Claims Adjustment Expense [Line Items] |  |
Incurred but not reported (IBNR) claims liability, net | $ 5,800 |
Health Insurance Product Line |  |
Liability for Claims and Claims Adjustment Expense [Line Items] |  |
Decrease in prior years' healthcare costs payable | $ (448) | $ (511)

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- Definition Undiscounted amount, after reinsurance, of incurred-but-not-reported (IBNR) liabilities plus expected development on reported claims, for claims and allocated claim adjustment expense for short-duration insurance contracts. Excludes unallocated claim adjustment expense. + References Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 944 -SubTopic 40 -Section 50 -Paragraph 4E -URI http://asc.fasb.org/extlink&oid=116884468&loc=SL65671321-158438 Reference 2: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 944 -SubTopic 40 -Section 50 -Paragraph 4D -Subparagraph (a) -URI http://asc.fasb.org/extlink&oid=116884468&loc=SL65671317-158438 + Details
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- Definition Amount, after effects of reinsurance, of expense (reversal of expense) for claims incurred in prior reporting periods and related claims settlement costs. + References Reference 1: http://www.xbrl.org/2003/role/disclosureRef -Publisher FASB -Name Accounting Standards Codification -Topic 944 -SubTopic 40 -Section 50 -Paragraph 3 -Subparagraph (b) -URI http://asc.fasb.org/extlink&oid=116884095&loc=d3e14764-158437 + Details
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