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Medical Claims and Benefits Payable (Tables)

9 Months Ended

Sep. 30, 2019

Other Liabilities Disclosure [Abstract]

Medical Claims and Benefits Payable

The following table provides the details of our medical claims and benefits payable as of the dates indicated.

	September 30, 2019				December 31, 2018
	(In millions)
Fee-for-service claims incurred but not paid (“IBNP”)	$	1,424			$	1,562
Pharmacy payable	128				115
Capitation payable	57				52
Other	366				232
	$	1,975			$	1,961

Components of Components of Change in Medical Claims and Benefits Payable

The following table presents the components of the change in our medical claims and benefits payable for the periods indicated. The amounts presented for “Components of medical care costs related to: Prior periods” represent the amounts by which our original estimate of medical claims and benefits payable at the beginning of the period were more than the actual amount of the liability, based on information (principally the payment of claims) developed since that liability was first reported.

	Nine Months Ended September 30,
	2019				2018
	(In millions)
Medical claims and benefits payable, beginning balance	$	1,961			$	2,192
Components of medical care costs related to:
Current period	10,613				11,670
Prior periods (1)	(253		)		(308		)
Total medical care costs	10,360				11,362
Change in non-risk and other provider payables	131				60
Payments for medical care costs related to:
Current period	8,996				9,866
Prior periods	1,481				1,706
Total paid	10,477				11,572
Medical claims and benefits payable, ending balance	$	1,975			$	2,042

_______________________

(1)

The September 30, 2018, amount includes the 2018 benefit of the 2017 Marketplace CSR reimbursement of $81 million.

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Tabular disclosure of the activity in the reserve for settling insured claims and expenses incurred in the claims settlement process for the period. The estimated liability includes the amount of money that will be required for future payments of (a) claims that have been reported to the insurer, (b) claims related to insured events that have occurred but that have not been reported to the insurer as of the date the liability is estimated, and (c) claim adjustment expenses. Claim adjustment expenses include costs incurred in the claim settlement process such as legal fees; outside adjuster fees; and costs to record, process, and adjust claims.

+ References

Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 944
-SubTopic 40
-Section 50
-Paragraph 3
-URI http://asc.fasb.org/extlink&oid=116884095&loc=d3e14764-158437

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