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Segment Information (Tables)
12 Months Ended
Dec. 31, 2022
Segment Reporting [Abstract]  
Segment Information
Segment information for the year ended December 31, 2022, follows ($ in millions):
 
Managed Care
Specialty ServicesEliminationsConsolidated Total
Total revenues from external customers$135,055 $9,492 $— $144,547 
Total revenues from internal customers13,273 (13,281)— 
Total revenues$135,063 $22,765 $(13,281)$144,547 
Earnings (loss) from operations$1,913 $(595)$— $1,318 

Segment information for the year ended December 31, 2021, follows ($ in millions):
 
Managed Care
Specialty ServicesEliminationsConsolidated Total
Total revenues from external customers$120,119 $5,863 $— $125,982 
Total revenues from internal customers12,789 (12,795)— 
Total revenues$120,125 $18,652 $(12,795)$125,982 
Earnings (loss) from operations$1,789 $(5)$— $1,784 

Segment information for the year ended December 31, 2020, follows ($ in millions):
 
Managed Care
Specialty ServicesEliminationsConsolidated Total
Total revenues from external customers$106,862 $4,253 $— $111,115 
Total revenues from internal customers10,741 (10,746)— 
Total revenues$106,867 $14,994 $(10,746)$111,115 
Earnings from operations$3,031 $51 $— $3,082