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Medical Claims and Benefits Payable (Tables)

6 Months Ended

Jun. 30, 2020

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.

			June 30, 2020						December 31, 2019
			(In millions)
Fee-for-service claims incurred but not paid (“IBNP”)			$	1,432					$	1,406
Pharmacy payable			132						126
Capitation payable			74						55
Other			322						267
Total			$	1,960					$	1,854

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 years” represent the amounts by which our original estimate of medical claims and benefits payable at the beginning of the year were more than the actual amount of the liability, based on information (principally the payment of claims) developed since that liability was first reported.

			Six Months Ended June 30,
			2020						2019
			(In millions)
Medical claims and benefits payable, beginning balance			$	1,854					$	1,961
Components of medical care costs related to:
Current year			7,372						7,069
Prior years			(58)						(232)
Total medical care costs			7,314						6,837
Change in non-risk and other provider payables			(34)						4
Payments for medical care costs related to:
Current year			5,688						5,585
Prior years			1,486						1,450
Total paid			7,174						7,035
Medical claims and benefits payable, ending balance			$	1,960					$	1,767

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- Definition

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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