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Health Care Costs Payable - Narrative (Details) - USD ($)
$ in Millions
6 Months Ended
Jun. 30, 2024
Jun. 30, 2023
Liability for Claims and Claims Adjustment Expense [Line Items]    
Decrease in prior years' healthcare costs payable $ 662 $ 619
Incurred but not reported (IBNR) claims liability, net $ 10,600