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Business Segments - Segment Revenues (Detail)
$ in Millions
3 Months Ended
Mar. 31, 2021
USD ($)
segment
Mar. 31, 2020
USD ($)
Segment Reporting [Abstract]    
Number of operating segments | segment 2  
Segment Reporting, Revenue Reconciling Item [Line Items]    
Revenues $ 2,316 $ 4,681
Total segment    
Segment Reporting, Revenue Reconciling Item [Line Items]    
Revenues 2,112 4,452
Unallocated corporate and other    
Segment Reporting, Revenue Reconciling Item [Line Items]    
Revenues 204 229
U.S. & Canada | Total segment    
Segment Reporting, Revenue Reconciling Item [Line Items]    
Revenues 1,721 3,820
International | Total segment    
Segment Reporting, Revenue Reconciling Item [Line Items]    
Revenues 391 632
Fee revenues    
Segment Reporting, Revenue Reconciling Item [Line Items]    
Gross revenues 445 629
Contract investment amortization (17) (25)
Revenues 428 604
Fee revenues | Total segment    
Segment Reporting, Revenue Reconciling Item [Line Items]    
Gross revenues 337 508
Contract investment amortization (17) (25)
Revenues 320 483
Fee revenues | U.S. & Canada | Total segment    
Segment Reporting, Revenue Reconciling Item [Line Items]    
Gross revenues 250 406
Contract investment amortization (13) (19)
Revenues 237 387
Fee revenues | International | Total segment    
Segment Reporting, Revenue Reconciling Item [Line Items]    
Gross revenues 87 102
Contract investment amortization (4) (6)
Revenues 83 96
Owned, leased, and other    
Segment Reporting, Revenue Reconciling Item [Line Items]    
Revenues 108 280
Owned, leased, and other | Total segment    
Segment Reporting, Revenue Reconciling Item [Line Items]    
Revenues 101 270
Owned, leased, and other | U.S. & Canada | Total segment    
Segment Reporting, Revenue Reconciling Item [Line Items]    
Revenues 35 102
Owned, leased, and other | International | Total segment    
Segment Reporting, Revenue Reconciling Item [Line Items]    
Revenues 66 168
Reimbursements    
Segment Reporting, Revenue Reconciling Item [Line Items]    
Revenues 1,780 3,797
Reimbursements | Total segment    
Segment Reporting, Revenue Reconciling Item [Line Items]    
Revenues 1,691 3,699
Reimbursements | U.S. & Canada | Total segment    
Segment Reporting, Revenue Reconciling Item [Line Items]    
Revenues 1,449 3,331
Reimbursements | International | Total segment    
Segment Reporting, Revenue Reconciling Item [Line Items]    
Revenues $ 242 $ 368