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Medical Claims and Benefits Payable - Components of the Change (Details) - USD ($) $ in Millions | 12 Months Ended
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Dec. 31, 2016 | Dec. 31, 2015 | Dec. 31, 2014
Liability for Unpaid Claims and Claims Adjustment Expense [Roll Forward] |  |  |
Balance at beginning of period | $ 1,685 | $ 1,201 | $ 670
Components of medical care costs related to: |  |  |
Current period | 14,966 | 11,935 | 8,123
Prior periods | (192) | (141) | (46)
Total medical care costs | 14,774 | 11,794 | 8,077
Change in non-risk provider payables | 58 | 48 | (32)
Payments for medical care costs related to: |  |  |
Current period | 13,304 | 10,448 | 7,064
Prior periods | 1,284 | 910 | 450
Total paid | 14,588 | 11,358 | 7,514
Balance at end of period | $ 1,929 | $ 1,685 | $ 1,201

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- Definition Medical Claims and Benefits Payable, Adjustments, Change in Provider + References No definition available. + Details
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- Definition The amount needed to reflect the estimated ultimate cost of settling claims relating to insured events that have occurred on or before the balance sheet date, whether or not reported to the insurer at that date. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 944 -SubTopic 40 -Section 50 -Paragraph 3 -Subparagraph (a) -URI http://asc.fasb.org/extlink&oid=65670824&loc=d3e14764-158437 Reference 2: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 944 -SubTopic 40 -Section 50 -Paragraph 3 -Subparagraph (cc) -URI http://asc.fasb.org/extlink&oid=65670824&loc=d3e14764-158437 + Details
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- Definition Amount, after effects of reinsurance, of payments to settle claims incurred in the current period and related claims settlement costs. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 944 -SubTopic 40 -Section 50 -Paragraph 3 -Subparagraph (c) -URI http://asc.fasb.org/extlink&oid=65670824&loc=d3e14764-158437 + Details
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- Definition Amount, after effects of reinsurance, of payments to settle claims incurred in prior periods and related claims settlement costs. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 944 -SubTopic 40 -Section 50 -Paragraph 3 -Subparagraph (c) -URI http://asc.fasb.org/extlink&oid=65670824&loc=d3e14764-158437 + Details
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- Definition Amount, after effects of reinsurance, of expense (reversal of expense) for claims incurred and costs incurred in the claim settlement process. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 944 -SubTopic 40 -Section 50 -Paragraph 3 -Subparagraph (b) -URI http://asc.fasb.org/extlink&oid=65670824&loc=d3e14764-158437 + Details
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