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Medical Claims and Benefits Payable - Reconciliation of Claims Development (Details) - USD ($)
$ in Millions
12 Months Ended
Dec. 31, 2020
Dec. 31, 2019
Dec. 31, 2018
Dec. 31, 2017
Insurance [Abstract]        
Incurred claims and allocated claims adjustment expenses $ 45,255      
Less: cumulative paid claims and allocated claims adjustment expenses (43,149)      
All outstanding liabilities before 2018 16      
Acquisition - Magellan Complete Care 294 $ 0 $ 0  
Non-risk and other provider payables 280      
Total $ 2,696 $ 1,854 $ 1,961 $ 2,192